1. Influence of preoperative life satisfaction on recovery and outcomes after colorectal cancer surgery - a prospective pilot study
- Author
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Cécile Brigand, Martin Hübner, S. Schimchowitsch, Jean-Baptiste Delhorme, O. Rohmer, Serge Rohr, Dominique Guenot, Benoit Romain, Progression tumorale et microenvironnement. Approches translationnelles et épidémiologie, Institut Régional du Cancer-Université de Strasbourg (UNISTRA)-CHU Strasbourg-Les Hôpitaux Universitaires de Strasbourg (HUS)-Centre Paul Strauss : Centre Régional de Lutte contre le Cancer (CRLCC), CHU Strasbourg, Laboratoire de Psychologie des Cognitions (LPC), Université de Strasbourg (UNISTRA), and Université de Strasbourg (UNISTRA)-CHU Strasbourg-Les Hôpitaux Universitaires de Strasbourg (HUS)-Institut Régional du Cancer-Centre Paul Strauss : Centre Régional de Lutte contre le Cancer (CRLCC)
- Subjects
Male ,Colorectal cancer ,medicine.medical_treatment ,[SHS.PSY]Humanities and Social Sciences/Psychology ,Pilot Projects ,Personal Satisfaction ,0302 clinical medicine ,Quality of life ,Surveys and Questionnaires ,Colorectal cancer surgery ,Prospective Studies ,030212 general & internal medicine ,media_common ,Rehabilitation ,General Medicine ,Middle Aged ,Colorectal surgery ,3. Good health ,Treatment Outcome ,Feeling ,030220 oncology & carcinogenesis ,Preoperative Period ,lcsh:R858-859.7 ,Female ,Life satisfaction ,Colorectal Neoplasms ,medicine.medical_specialty ,media_common.quotation_subject ,Pain ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,lcsh:Computer applications to medicine. Medical informatics ,Young Adult ,03 medical and health sciences ,Postoperative complications ,medicine ,Humans ,Aged ,Colorectal Neoplasms/psychology ,Colorectal Neoplasms/surgery ,Length of Stay/statistics & numerical data ,Postoperative Complications/psychology ,Quality of Life ,Sleep ,business.industry ,Research ,Public Health, Environmental and Occupational Health ,Cancer ,Length of Stay ,medicine.disease ,Physical therapy ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,business - Abstract
Background Colorectal surgery has an important impact on a patient’s quality of life, and postoperative rehabilitation shows large variations. To enhance the understanding of recovery after colorectal cancer, health-related quality of life has become a standard outcome measurement for clinical care and research. Therefore, we aimed to correlate the influence of preoperative global life satisfaction on subjective feelings of well-being with clinical outcomes after colorectal surgery. Methods In this pilot study of consecutive colorectal surgery patients, various dimensions of feelings of preoperative life satisfaction were assessed using a self-rated scale, which was validated in French. Both objective (length of stay and complications) and subjective (pain, subjective well-being and quality of sleep) indicators of recovery were evaluated daily during each patient’s hospital stay. Results A total of 112 patients were included. The results showed a negative relationship between life satisfaction and postoperative complications and a significant negative correlation with the length of stay. Moreover, a significant positive correlation between life satisfaction and the combined subjective indicators of recovery was observed. Conclusion We have shown the importance of positive preoperative mental states and global life satisfaction as characteristics that are associated with an improved recovery after colorectal surgery. Therefore, patients with a good level of life satisfaction may be better able to face the consequences of colorectal surgery, which is a relevant parameter in supportive cancer care.
- Published
- 2018