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A systematic review examining quality of life following pelvic exenteration for locally advanced and recurrent rectal cancer
Author(s) -
Rausa E.,
Kelly M. E.,
Bonavina L.,
O'Connell P. R.,
Winter D. C.
Publication year - 2017
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.13647
Subject(s) - medicine , pelvic exenteration , quality of life (healthcare) , colorectal cancer , surgery , cancer , nursing
Aim Pelvic exenteration is a complex surgical procedure associated with considerable morbidity. Quality of life (QoL) is a crucial metric of surgical outcome. The aim of this review was to assess the QoL following pelvic exenteration for locally advanced rectal cancer (LARC) and local recurrent rectal cancer (LRRC). Method A comprehensive search of studies published between 2000 and 2016 that examined QoL outcome following pelvic exenteration was performed. Functional Assessment of Cancer Therapy – Colorectal (FACT‐C), SF‐36 version 2, European Organization for Research and Treatment of Cancer QLQ‐C30, and Brief Pain Inventory assessments from these studies were reviewed. Results Seven studies reporting on 382 patients were included. Baseline QoL was the strongest predictor of postoperative QoL. Female gender, total pelvic exenteration with or without bone resection, and positive surgical margins were associated with a reduced QoL. In the majority of patients, QoL gradually improved between 2 and 9 months post‐operation. Conclusion QoL is an important patient‐reported outcome. This review highlights factors associated with reduced postoperative QoL that should be borne in mind when surgical resection is being considered.