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. 2018 Jan 17;16(1):16.
doi: 10.1186/s12955-017-0824-4.

Influence of preoperative life satisfaction on recovery and outcomes after colorectal cancer surgery - a prospective pilot study

B Romain  1   2 , O Rohmer  3 , S Schimchowitsch  3 , M Hübner  4 , J B Delhorme  2 , C Brigand  2 , S Rohr  2 , D Guenot  5
Affiliations

Influence of preoperative life satisfaction on recovery and outcomes after colorectal cancer surgery - a prospective pilot study

B Romain et al. Health Qual Life Outcomes. .

Abstract

Background: Colorectal surgery has an important impact on a patient's quality of life, and postoperative rehabilitation shows large variations. To enhance the understanding of recovery after colorectal cancer, health-related quality of life has become a standard outcome measurement for clinical care and research. Therefore, we aimed to correlate the influence of preoperative global life satisfaction on subjective feelings of well-being with clinical outcomes after colorectal surgery.

Methods: In this pilot study of consecutive colorectal surgery patients, various dimensions of feelings of preoperative life satisfaction were assessed using a self-rated scale, which was validated in French. Both objective (length of stay and complications) and subjective (pain, subjective well-being and quality of sleep) indicators of recovery were evaluated daily during each patient's hospital stay.

Results: A total of 112 patients were included. The results showed a negative relationship between life satisfaction and postoperative complications and a significant negative correlation with the length of stay. Moreover, a significant positive correlation between life satisfaction and the combined subjective indicators of recovery was observed.

Conclusion: We have shown the importance of positive preoperative mental states and global life satisfaction as characteristics that are associated with an improved recovery after colorectal surgery. Therefore, patients with a good level of life satisfaction may be better able to face the consequences of colorectal surgery, which is a relevant parameter in supportive cancer care.

Keywords: Colorectal cancer surgery; Life satisfaction; Pain; Postoperative complications; Rehabilitation; Sleep.

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Conflict of interest statement

Ethics approval and consent to participate

Prospective pilot study approved by the Ethic committee of the Strasbourg University Medicine Faculty under the N°2016–38.

Consent for publication

Not applicable.

Competing interests

Not applicable.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Correlation between preoperative life satisfaction scores and postoperative subjective recovery indicator. The latter combines the sleep, pain and well-being scores (r = 0.33; p = 0.0001). Dotted lines display confidence limits (confidence interval of 95%)
Fig. 2
Fig. 2
Correlation between preoperative life satisfaction scores and the length of stay (days) (r = 0.23; p = 0.03). Dotted lines display confidence limits (confidence interval of 95%)
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