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Characteristics of Defecation Function Related Quality of Life According to Cancer Location in Colorectal Cancer Survivors

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KMID : 1035120220220040225
³«±â±¤ ( Okimitsu Oyama ) - Yonsei University Department of Sports Industry

¹Úµ¿Çõ ( Park Dong-Hyuk ) - Yonsei University Department of Sports Industry
À̹̰æ ( Lee Mi-Kyung ) - Yonsei University Department of Sports Industry
º¯Áö¿ë ( Byeon Ji-Yong ) - Yonsei University Department of Sports Industry
ÀÌÀºº° ( Lee Eun-Byeol ) - Yonsei University Department of Sports Industry
Á¤À翬 ( Chung Jae-Youn ) - Yonsei University Department of Sports Industry
Á¤ÇýÁ¤ ( Jung Hye-Jeong ) - Yonsei University College of Medicine Severance Hospital Department of Nursing
¹ÚÁö¼ö ( Park Ji-Soo ) - Yonsei University College of Medicine Yonsei Cancer Center Cancer Prevention Center
±èÅÂÀÏ ( Kim Tae-Il ) - Yonsei University College of Medicine Yonsei Cancer Center Cancer Prevention Center
Áö¼±ÇÏ ( Jee Sun-Ha ) - Yonsei University Graduate School of Public Health Department of Epidemiology and Health Promotion
±è³²±Ô ( Kim Nam-Kyu ) - Yonsei University College of Medicine Severance Hospital Department of Surgery
Àü¿ë°ü ( Jeon Justin Y. ) - Yonsei University Department of Sports Industry

Abstract

Purpose: The purpose of this study is to explore defecation functions related quality of life (QoL) according to the location of cancer in colorectal cancer survivors.

Methods: A total of 120 colorectal cancer survivors (67 colon vs. 53 rectum, mean age: 55.3¡¾10.3 years, 46.7% male) who completed treatment were recruited from a tertiary hospital. QoL and defecation function related QoL were surveyed using the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) and EORTC QLQ- colorectal cancer specific core (CR29) questionnaire. Physical activity (PA) levels of participants were surveyed using a global PA questionnaire.

Results: There was no statistical difference in general QoL according to the location of cancer, but significant differences were observed in defecation function related QoL. When cancer location is closer to the anus, survivors experience more defecation dysfunction, negatively associated with QoL (Hemicolectomy: 67.71¡¾14.07, anterior resection: 92.22¡¾15.18, lower anterior resection: 151.85¡¾17.20, and ultra-low anterior resection: 263.73¡¾42.69).

Conclusion: When location of cancer is closer to the anus, colorectal survivors experience significantly more defecation dysfunction and poorer QoL. Strategies to reduce defecation dysfunction according to the location of cancer among colorectal cancer patients should be developed.
KeyWords
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Colorectal neoplasms, Colorectal surgery, Defecation, Quality of life, Defecation
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed