TY - JOUR
T1 - Systematic Screening for Late Sequelae after Colorectal Cancer - a Feasibility Study
AU - Juul, Therese
AU - Bräuner, Annette Boesen
AU - Drewes, Asbjørn Mohr
AU - Emmertsen, Katrine Jøssing
AU - Krogh, Klaus
AU - Laurberg, Søren
AU - Lauritzen, Michael Bødker
AU - Thorlacius-Ussing, Ole
AU - Christensen, Peter
AU - Danish Cancer Society Centre for Research on Survivorship and Late Adverse Effects after Cancer in the Pelvic Organs Study Group
N1 - he study was funded by the Danish Cancer Society, grant R192-A11536. Therese Juul was partly supported by the Novo Nordisk Foundation grant NNF19OC0022988. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.
PY - 2021/2
Y1 - 2021/2
N2 - AIM: The aim of this study was to test the feasibility of a new method for systematic screening for late sequelae (LS) following colorectal cancer treatment.METHOD: Patients with colorectal cancer from five Danish hospitals were invited to complete a survey about LS at 3, 12, 24 and 36 months after surgery as part of their follow-up. The survey consisted primarily of validated tools, supplemented by a few ad hoc items, measuring bowel, urinary and sexual dysfunction, pain and quality of life and an additional question regarding request for contact. Patients completed surveys electronically or on paper.RESULTS: Of the 1721 invited patients, 1386 (80.5%) were included (1085 with colon cancer and 301 with rectal cancer) of whom 72.5% responded electronically. Patients responding electronically were 7.6 years younger than those responding on paper (P < 0.001). Since some patients answered more than once, the dataset consisted of 2361 surveys. Patients with colon cancer requested phone contact in 19.0% of the surveys, and 8.4% were referred to treatment for LS, primarily bowel dysfunction. Among patients with rectal cancer, 30.8% requested phone contact and 16.2% were referred for treatment of LS, mainly due to bowel and sexual dysfunction.CONCLUSION: This is the first paper investigating a new method of systematic screening for LS following colorectal cancer using electronic patient-reported outcome measures. The study shows that in the Danish population a high response rate can be obtained with this method and that close to three-quarters of patients respond electronically. Patients with rectal cancer had a higher need for phone contact and treatment of LS than patients with colon cancer.
AB - AIM: The aim of this study was to test the feasibility of a new method for systematic screening for late sequelae (LS) following colorectal cancer treatment.METHOD: Patients with colorectal cancer from five Danish hospitals were invited to complete a survey about LS at 3, 12, 24 and 36 months after surgery as part of their follow-up. The survey consisted primarily of validated tools, supplemented by a few ad hoc items, measuring bowel, urinary and sexual dysfunction, pain and quality of life and an additional question regarding request for contact. Patients completed surveys electronically or on paper.RESULTS: Of the 1721 invited patients, 1386 (80.5%) were included (1085 with colon cancer and 301 with rectal cancer) of whom 72.5% responded electronically. Patients responding electronically were 7.6 years younger than those responding on paper (P < 0.001). Since some patients answered more than once, the dataset consisted of 2361 surveys. Patients with colon cancer requested phone contact in 19.0% of the surveys, and 8.4% were referred to treatment for LS, primarily bowel dysfunction. Among patients with rectal cancer, 30.8% requested phone contact and 16.2% were referred for treatment of LS, mainly due to bowel and sexual dysfunction.CONCLUSION: This is the first paper investigating a new method of systematic screening for LS following colorectal cancer using electronic patient-reported outcome measures. The study shows that in the Danish population a high response rate can be obtained with this method and that close to three-quarters of patients respond electronically. Patients with rectal cancer had a higher need for phone contact and treatment of LS than patients with colon cancer.
KW - Colorectal cancer
KW - LARS
KW - bowel function
KW - cancer survivorship
KW - follow up
KW - late sequelae
KW - quality of life
KW - sexual function
KW - urinary function
UR - http://www.scopus.com/inward/record.url?scp=85100472034&partnerID=8YFLogxK
U2 - 10.1111/codi.15519
DO - 10.1111/codi.15519
M3 - Journal article
C2 - 33420746
SN - 1462-8910
VL - 23
SP - 345
EP - 355
JO - Colorectal Disease
JF - Colorectal Disease
IS - 2
ER -