Survivorship issues in long‐term survivors of locally recurrent rectal cancer: A qualitative study

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Autores principales: Niamh McKigney, Sophia Waldenstedt, Elisabeth Gonzalez, Jan M. van Rees, Henriette Vind Thaysen, Eva Angenete, Galina Velikova, Julia M. Brown, Deena P. Harji
Formato: Artículo Open Access
Publicado: Wiley 2025
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author Niamh McKigney
Sophia Waldenstedt
Elisabeth Gonzalez
Jan M. van Rees
Henriette Vind Thaysen
Eva Angenete
Galina Velikova
Julia M. Brown
Deena P. Harji
author_facet Niamh McKigney
Sophia Waldenstedt
Elisabeth Gonzalez
Jan M. van Rees
Henriette Vind Thaysen
Eva Angenete
Galina Velikova
Julia M. Brown
Deena P. Harji
Niamh McKigney
Sophia Waldenstedt
Elisabeth Gonzalez
Jan M. van Rees
Henriette Vind Thaysen
Eva Angenete
Galina Velikova
Julia M. Brown
Deena P. Harji
collection Wiley Open Access
contents Survivorship issues in long‐term survivors of locally recurrent rectal cancer: A qualitative study Niamh McKigney Sophia Waldenstedt Elisabeth Gonzalez Jan M. van Rees Henriette Vind Thaysen Eva Angenete Galina Velikova Julia M. Brown Deena P. Harji Colorectal Disease AbstractAimThere are increasing numbers of long‐term survivors following curative treatment for locally recurrent rectal cancer (LRRC); however, their experiences remain relatively underreported. The aim of this qualitative study was to identify the long‐term survivorship issues relevant to these patients.MethodAdults who remained disease free >3 years following treatment for LRRC were invited to participate in an international multicentre study. Semistructured qualitative interviews were conducted either in person, via telephone or via Microsoft Teams and were analysed using a framework method of thematic analysis.ResultsA total of 26 participants were recruited from 11 sites in seven countries. Sixteen (61.5%) participants were male, the median age was 70.5 (33.0–85.0) years, participants were a median of 5.0 (3.0–17.0) years posttreatment, most had undergone surgery for LRRC (n = 24, 92.3%), two participants received neoadjuvant chemo/radiation for LRRC with a complete response. Eight major survivorship themes were identified: (1) experience of long‐term follow‐up care, (2) unmet needs and areas for improvement, (3) long‐term physical effects of cancer and treatment, (4) living with a stoma, urostomy or other urinary device, (5) long‐term psychological impact, (6) impact on sexual function and intimate relationships, (7) impact on daily life and (8) feelings surrounding life now, adapting and the future.ConclusionParticipants experienced a wide range of long‐term survivorship issues, reflecting the complexity of both LRRC and its treatment. Despite this, most had adapted well. Further work regarding survivorship care in LRRC is required to address the unmet needs and issues highlighted in this study, such as support regarding sexual function. 10.1111/codi.70051 http://creativecommons.org/licenses/by/4.0/
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spellingShingle Survivorship issues in long‐term survivors of locally recurrent rectal cancer: A qualitative study
Niamh McKigney
Sophia Waldenstedt
Elisabeth Gonzalez
Jan M. van Rees
Henriette Vind Thaysen
Eva Angenete
Galina Velikova
Julia M. Brown
Deena P. Harji
Colorectal Disease
Survivorship issues in long‐term survivors of locally recurrent rectal cancer: A qualitative study Niamh McKigney Sophia Waldenstedt Elisabeth Gonzalez Jan M. van Rees Henriette Vind Thaysen Eva Angenete Galina Velikova Julia M. Brown Deena P. Harji Colorectal Disease AbstractAimThere are increasing numbers of long‐term survivors following curative treatment for locally recurrent rectal cancer (LRRC); however, their experiences remain relatively underreported. The aim of this qualitative study was to identify the long‐term survivorship issues relevant to these patients.MethodAdults who remained disease free >3 years following treatment for LRRC were invited to participate in an international multicentre study. Semistructured qualitative interviews were conducted either in person, via telephone or via Microsoft Teams and were analysed using a framework method of thematic analysis.ResultsA total of 26 participants were recruited from 11 sites in seven countries. Sixteen (61.5%) participants were male, the median age was 70.5 (33.0–85.0) years, participants were a median of 5.0 (3.0–17.0) years posttreatment, most had undergone surgery for LRRC (n = 24, 92.3%), two participants received neoadjuvant chemo/radiation for LRRC with a complete response. Eight major survivorship themes were identified: (1) experience of long‐term follow‐up care, (2) unmet needs and areas for improvement, (3) long‐term physical effects of cancer and treatment, (4) living with a stoma, urostomy or other urinary device, (5) long‐term psychological impact, (6) impact on sexual function and intimate relationships, (7) impact on daily life and (8) feelings surrounding life now, adapting and the future.ConclusionParticipants experienced a wide range of long‐term survivorship issues, reflecting the complexity of both LRRC and its treatment. Despite this, most had adapted well. Further work regarding survivorship care in LRRC is required to address the unmet needs and issues highlighted in this study, such as support regarding sexual function. 10.1111/codi.70051 http://creativecommons.org/licenses/by/4.0/
title Survivorship issues in long‐term survivors of locally recurrent rectal cancer: A qualitative study
topic Colorectal Disease
url https://onlinelibrary.wiley.com/doi/10.1111/codi.70051