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The impact of surgery and adjuvant chemotherapy on health‐related quality of life in patients with colon cancer: Changes at group level versus individual level

The impact of surgery and adjuvant chemotherapy on health‐related quality of life in patients... INTRODUCTIONColon cancer is a typical disease of the ageing population. The median age of patients at diagnosis is 67 years (Institute NC, 2019), and due to ageing of the population and the implementation of screening for colorectal cancer, the prevalence of colon cancer will increase (Integraal Kankercentrum Nederland, IKNL, 2020). This will present a challenge in the decision‐making process.Treatment for primary resectable colon cancer consists of surgery and adjuvant chemotherapy for high risk stages II and III patients as indicated by the national guideline (Federatie Medisch specialisten, 2014). Treatment recommendations are based on tumour characteristics and should be weighed against patient characteristics and preferences. Since the beginning of shared decision‐making, it has become increasingly important to consider patient preferences. These preferences also concern the impact of colon cancer treatment on quality of life during and after treatment. Health‐related quality of life (HR‐QoL) is defined as ‘an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns’ (Social Science & Medicine, 1995) and is frequently divided in various domains such as physical functioning, role functioning, emotional functioning, cognitive functioning and social functioning (Aaronson et al., 1993). http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cancer Care Wiley

The impact of surgery and adjuvant chemotherapy on health‐related quality of life in patients with colon cancer: Changes at group level versus individual level

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Publisher
Wiley
Copyright
© 2022 John Wiley & Sons Ltd
ISSN
0961-5423
eISSN
1365-2354
DOI
10.1111/ecc.13691
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONColon cancer is a typical disease of the ageing population. The median age of patients at diagnosis is 67 years (Institute NC, 2019), and due to ageing of the population and the implementation of screening for colorectal cancer, the prevalence of colon cancer will increase (Integraal Kankercentrum Nederland, IKNL, 2020). This will present a challenge in the decision‐making process.Treatment for primary resectable colon cancer consists of surgery and adjuvant chemotherapy for high risk stages II and III patients as indicated by the national guideline (Federatie Medisch specialisten, 2014). Treatment recommendations are based on tumour characteristics and should be weighed against patient characteristics and preferences. Since the beginning of shared decision‐making, it has become increasingly important to consider patient preferences. These preferences also concern the impact of colon cancer treatment on quality of life during and after treatment. Health‐related quality of life (HR‐QoL) is defined as ‘an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns’ (Social Science & Medicine, 1995) and is frequently divided in various domains such as physical functioning, role functioning, emotional functioning, cognitive functioning and social functioning (Aaronson et al., 1993).

Journal

European Journal of Cancer CareWiley

Published: Nov 1, 2022

Keywords: colon cancer treatment; group level; individual level; quality of life

References