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dc.contributor.authorMarks, John H
dc.contributor.authorSalem, Jean F
dc.contributor.authorValsdottir, Elsa B
dc.contributor.authorYarandi, Shadi S
dc.contributor.authorMarks, Gerald J
dc.date.accessioned2018-03-26T15:16:17Z
dc.date.available2018-03-26T15:16:17Z
dc.date.issued2017-03
dc.date.submitted2018
dc.identifier.citationQuality of Life and Functional Outcome After Transanal Abdominal Transanal Proctectomy for Low Rectal Cancer. 2017, 60 (3):258-265 Dis. Colon Rectumen
dc.identifier.issn1530-0358
dc.identifier.pmid28177987
dc.identifier.doi10.1097/DCR.0000000000000762
dc.identifier.urihttp://hdl.handle.net/2336/620522
dc.descriptionTo access publisher's full text version of this article click on the hyperlink belowen
dc.description.abstractTransanal abdominal transanal proctectomy is a sphincter-preserving procedure designed to avoid colostomy in patients with cancer in the distal third of the rectum. Oncologic outcomes of this procedure have been established. However, data regarding patient satisfaction and quality of life are scant.
dc.description.abstractThe purpose of this study was to evaluate the quality of life and functional outcomes of patients after transanal abdominal transanal proctectomy.
dc.description.abstractThis is a cross-sectional study.
dc.description.abstractThe study was conducted at a tertiary referral colorectal center.
dc.description.abstractPatients who underwent transanal abdominal transanal proctectomy were included and surveyed using the Fecal Incontinence Quality of Life Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30, the Quality of Life Questionnaire CR38 module, and a questionnaire designed by the authors to assess satisfaction with quality of life.
dc.description.abstractQuality of life, functional outcomes, and patient satisfaction were measured and compared by age, tumor level, and stage of the disease.
dc.description.abstractA total of 133 surveys were mailed, and 90 patients responded and were included in the study. Patient quality of life was not significantly different after surgery. Patients with more proximal tumors had better lifestyle, physical, and emotional scores. Older patients performed better on multiple levels, including coping, emotional, body image, future perspective, and digestive. Stage of disease had no impact on quality of life. Compared with reference values, patients who underwent transanal abdominal transanal proctectomy performed better on most of the components. All of patients preferred transanal abdominal transanal proctectomy over having a stoma based on their current anal sphincter function, and >97% of patients preferred transanal abdominal transanal proctectomy based on their current quality of life, sexual function, and level of activities.
dc.description.abstractThis study is limited by the lack of a comparison group and a potential selection bias.
dc.description.abstractSatisfaction with quality of life and functional outcomes is high after transanal abdominal transanal proctectomy. Older patients and those with more proximal tumors performed better. This patient population clearly preferred a sphincter-preserving option for treatment of their rectal cancer.
dc.description.sponsorshipHarry Paul Mirabile, Sr., Colorectal Cancer Center of the Marks Colorectal Surgical Foundationen
dc.language.isoenen
dc.publisherLippincott Williams & Wilkinsen
dc.relation.urlhttp://ovidsp.uk.ovid.com/sp-3.28.0a/ovidweb.cgi?QS2=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
dc.rightsArchived with thanks to Diseases of the colon and rectumen
dc.subjectEndaþarmskrabbameinen
dc.subjectSkurðlækningaren
dc.subjectLífsgæðien
dc.subjectSAM12en
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshColonic Pouchesen
dc.subject.meshCross-Sectional Studiesen
dc.subject.meshFecal Incontinenceen
dc.subject.meshFemaleen
dc.subject.meshFollow-Up Studiesen
dc.subject.meshHumansen
dc.subject.meshLife Styleen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshPatient Satisfactionen
dc.subject.meshPostoperative Complicationsen
dc.subject.meshProctoscopyen
dc.subject.meshProspective Studiesen
dc.subject.meshQuality of Lifeen
dc.subject.meshRectal Neoplasmsen
dc.subject.meshRectumen
dc.subject.meshSurveys and Questionnairesen
dc.titleQuality of Life and Functional Outcome After Transanal Abdominal Transanal Proctectomy for Low Rectal Cancer.en
dc.typeArticleen
dc.contributor.department[ 1 ] Lankenau Hosp, Div Colorectal Surg, Wynnewood, PA USA Show more [ 2 ] Univ Iceland, Dept Surg, Reykjavik, Icelanden
dc.identifier.journalDiseases of the colon and rectumen
dc.rights.accessLandspitali Access - LSH-aðganguren
dc.departmentcodeSAM12
html.description.abstractTransanal abdominal transanal proctectomy is a sphincter-preserving procedure designed to avoid colostomy in patients with cancer in the distal third of the rectum. Oncologic outcomes of this procedure have been established. However, data regarding patient satisfaction and quality of life are scant.
html.description.abstractThe purpose of this study was to evaluate the quality of life and functional outcomes of patients after transanal abdominal transanal proctectomy.
html.description.abstractThis is a cross-sectional study.
html.description.abstractThe study was conducted at a tertiary referral colorectal center.
html.description.abstractPatients who underwent transanal abdominal transanal proctectomy were included and surveyed using the Fecal Incontinence Quality of Life Scale, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30, the Quality of Life Questionnaire CR38 module, and a questionnaire designed by the authors to assess satisfaction with quality of life.
html.description.abstractQuality of life, functional outcomes, and patient satisfaction were measured and compared by age, tumor level, and stage of the disease.
html.description.abstractA total of 133 surveys were mailed, and 90 patients responded and were included in the study. Patient quality of life was not significantly different after surgery. Patients with more proximal tumors had better lifestyle, physical, and emotional scores. Older patients performed better on multiple levels, including coping, emotional, body image, future perspective, and digestive. Stage of disease had no impact on quality of life. Compared with reference values, patients who underwent transanal abdominal transanal proctectomy performed better on most of the components. All of patients preferred transanal abdominal transanal proctectomy over having a stoma based on their current anal sphincter function, and >97% of patients preferred transanal abdominal transanal proctectomy based on their current quality of life, sexual function, and level of activities.
html.description.abstractThis study is limited by the lack of a comparison group and a potential selection bias.
html.description.abstractSatisfaction with quality of life and functional outcomes is high after transanal abdominal transanal proctectomy. Older patients and those with more proximal tumors performed better. This patient population clearly preferred a sphincter-preserving option for treatment of their rectal cancer.


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