The Quality of Life of Patients with Surgically Treated Colorectal Cancer: A Narrative Review
- PMID: 36294531
- PMCID: PMC9604858
- DOI: 10.3390/jcm11206211
The Quality of Life of Patients with Surgically Treated Colorectal Cancer: A Narrative Review
Abstract
Introduction: Quality of life is a topic increasingly being addressed by researchers. Due to the increasing incidence of colorectal cancer, this issue is particularly relevant. Despite the increasing number of publications on this topic each year, it still requires further research. The aim of this study was to analyze the available literature from the past 10 years, addressing the topic of QoL in patients with colorectal cancer which has been treated surgically.
Material and methods: This review is based on 93 articles published between 2012 and 2022. It analyzes the impact of socioeconomic factors, the location and stage of the tumor, stoma and the method of surgical treatment on patients' QoL and sexual functioning.
Results: CRC has a negative impact on patients' financial status, social functioning, pain and physical functioning. Patients with stage II or III cancer have an overall lower QoL than patients with stage I. The more proximally the lesion is located to the sphincters, the greater the negative impact on the QoL. There was a significant difference in favor of laparoscopic surgery compared with open surgery. In patients with a stoma, the QoL is lower compared with patients with preserved gastrointestinal tract continuity. The more time has passed since surgery, the more the presence of a stoma has a negative impact on QoL. Surgery for CRC negatively affects patients' sex lives, especially in younger people and among men.
Conclusions: This study may contribute to the identification of the factors that affect the QoL of patients with surgically treated colorectal cancer. This will allow even more effective and complete treatment, facilitating patients' return to normal physical, mental and social functioning.
Keywords: colorectal cancer; quality of life; sex life; stoma.
Conflict of interest statement
The authors declare no conflict of interest.
Figures
Similar articles
-
The Influence of Sociodemographic Factors and Clinical Aspects on the Quality of Life of Surgically Treated Patients with Colorectal Cancer.Cancer Manag Res. 2024 Sep 27;16:1293-1303. doi: 10.2147/CMAR.S478179. eCollection 2024. Cancer Manag Res. 2024. PMID: 39355765 Free PMC article.
-
Survey on Mental Health Status and Quality of Life and Correlation among Patients with Permanent Stoma of Colorectal Tumor.Comput Math Methods Med. 2022 Sep 5;2022:5792312. doi: 10.1155/2022/5792312. eCollection 2022. Comput Math Methods Med. 2022. PMID: 36105242 Free PMC article.
-
Cross-cultural Adaptation and Validation of the Stoma Quality of Life Questionnaire for Patients With a Colostomy or Ileostomy in Brazil: A Cross-sectional Study.Ostomy Wound Manage. 2017 May;63(5):34-41. Ostomy Wound Manage. 2017. PMID: 28570247
-
Quality of life among ostomy patients: A narrative literature review.J Clin Nurs. 2021 Nov;30(21-22):3111-3123. doi: 10.1111/jocn.15840. Epub 2021 May 12. J Clin Nurs. 2021. PMID: 33982291 Review.
-
Quality of life in colorectal cancer. Stoma vs. nonstoma patients.Dis Colon Rectum. 1995 Apr;38(4):361-9. doi: 10.1007/BF02054222. Dis Colon Rectum. 1995. PMID: 7720441 Review.
Cited by
-
Impact of Systemic Treatments on Outcomes and Quality of Life in Patients with RAS-Positive Stage IV Colorectal Cancer: A Systematic Review.Diseases. 2024 Apr 20;12(4):79. doi: 10.3390/diseases12040079. Diseases. 2024. PMID: 38667537 Free PMC article. Review.
-
Independent risk factors for diversion colitis: a retrospective case-control study.Rev Assoc Med Bras (1992). 2025 May 2;71(3):e20241590. doi: 10.1590/1806-9282.20241590. eCollection 2025. Rev Assoc Med Bras (1992). 2025. PMID: 40332268 Free PMC article.
-
Development Trajectories of Fatigue, Quality of Life, and the Ability to Work among Colorectal Cancer Patients in the First Year after Rehabilitation-First Results of the MIRANDA Study.Cancers (Basel). 2023 Jun 13;15(12):3168. doi: 10.3390/cancers15123168. Cancers (Basel). 2023. PMID: 37370777 Free PMC article.
-
The Influence of Sociodemographic Factors and Clinical Aspects on the Quality of Life of Surgically Treated Patients with Colorectal Cancer.Cancer Manag Res. 2024 Sep 27;16:1293-1303. doi: 10.2147/CMAR.S478179. eCollection 2024. Cancer Manag Res. 2024. PMID: 39355765 Free PMC article.
-
Impact of Primary Tumor Location on Demographics, Resectability, Outcomes, and Quality of Life in Finnish Metastatic Colorectal Cancer Patients (Subgroup Analysis of the RAXO Study).Cancers (Basel). 2024 Mar 5;16(5):1052. doi: 10.3390/cancers16051052. Cancers (Basel). 2024. PMID: 38473410 Free PMC article.
References
-
- Van Heinsbergen M., Haan N.D., Maaskant-Braat A.J., Melenhorst J., Belgers E.H., Leijtens J.W., Bloemen J.G., Rutten H.J., Bouvy N.D., Janssen-Heijnen M.L., et al. Functional bowel complaints and quality of life after surgery for colon cancer: Prevalence and predictive factors. Color. Dis. 2020;22:136–145. doi: 10.1111/codi.14818. - DOI - PubMed
-
- American Cancer Society . Cancer Facts & Figures 2022. American Cancer Society; Atlanta, GA, USA: 2022.
-
- World Health Organization The World Health Organization Quality of Life (WHOQOL) [(accessed on 1 March 2012)]. Available online: https://www.who.int/tools/whoqol.
Publication types
LinkOut - more resources
Full Text Sources
Miscellaneous