Effect of age factors on health-related quality of life in patients with lower rectal cancer after sphincter-saving surgery: A 1-year longitudinal study

Yumiko Kinoshita, Rieko Izukura, Mami Miyazono, Shuntaro Nagai, Eiji Oki, Maki Kanaoka, Hisako Nakao, Akiko Chishaki, Ryuichi Mibu

Research output: Contribution to journalArticle

Abstract

Purpose: To examine age-related factors influencing health-related quality of life (HR-QOL) among patients with lower rectal cancer during the 12-month period after sphincter-saving surgery (SSS). Material and methods: In this 1-year longitudinal study, 137 patients (120 patients completed, and 82 aged ≥60 years) answered the European Organization for Research and Treatment of Cancer questionnaire (EORTC-C30/CR38) assessing their HR-QOL and related factors during the 12 months after SSS. Results: No significant differences in HR-QOL were found before surgery. Only among those aged ≥60 years, global health status/QOL and cognitive functioning showed a significant decrease one month after surgery. At one month after SSS, the role functioning of groups <60 years old (which is negatively related to defecation problems, insomnia, and financial difficulties) was lower compared to those aged ≥60 years; and role functioning was significantly related to global health status/QOL. Six months after SSS, the global health status/QOL had recovered. In both groups, global health status/QOL was related to role and social functioning. Among participants aged <60 years, global health status/QOL was significantly related to emotional functioning, which is related to future perspective. Among participants aged ≥60 years only, global health status/QOL was significantly related to cognitive functioning; pain, financial difficulties, and defecation problems negatively influenced HR-QOL. Symptoms specific after SSS: defecation problems (in both group), micturition problems (only ≥60 years), and sexual problems (only<60 years) influenced HR-QOL. Conclusion: Health care providers should assess the influence of age-related factors during the early post-operative period after SSS to improve HR-QOL.

Original languageEnglish
Pages (from-to)185-191
Number of pages7
JournalArchives of Gerontology and Geriatrics
Volume79
DOIs
Publication statusPublished - Nov 1 2018

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Age Factors
Rectal Neoplasms
surgery
Longitudinal Studies
longitudinal study
quality of life
cancer
Quality of Life
Health Status
health status
health
Defecation
problem group
future perspective
Urination
Sleep Initiation and Maintenance Disorders
Health Personnel
Global Health
pain
Group

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Ageing
  • Gerontology
  • Geriatrics and Gerontology

Cite this

Effect of age factors on health-related quality of life in patients with lower rectal cancer after sphincter-saving surgery : A 1-year longitudinal study. / Kinoshita, Yumiko; Izukura, Rieko; Miyazono, Mami; Nagai, Shuntaro; Oki, Eiji; Kanaoka, Maki; Nakao, Hisako; Chishaki, Akiko; Mibu, Ryuichi.

In: Archives of Gerontology and Geriatrics, Vol. 79, 01.11.2018, p. 185-191.

Research output: Contribution to journalArticle

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AU - Kinoshita, Yumiko

AU - Izukura, Rieko

AU - Miyazono, Mami

AU - Nagai, Shuntaro

AU - Oki, Eiji

AU - Kanaoka, Maki

AU - Nakao, Hisako

AU - Chishaki, Akiko

AU - Mibu, Ryuichi

PY - 2018/11/1

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N2 - Purpose: To examine age-related factors influencing health-related quality of life (HR-QOL) among patients with lower rectal cancer during the 12-month period after sphincter-saving surgery (SSS). Material and methods: In this 1-year longitudinal study, 137 patients (120 patients completed, and 82 aged ≥60 years) answered the European Organization for Research and Treatment of Cancer questionnaire (EORTC-C30/CR38) assessing their HR-QOL and related factors during the 12 months after SSS. Results: No significant differences in HR-QOL were found before surgery. Only among those aged ≥60 years, global health status/QOL and cognitive functioning showed a significant decrease one month after surgery. At one month after SSS, the role functioning of groups <60 years old (which is negatively related to defecation problems, insomnia, and financial difficulties) was lower compared to those aged ≥60 years; and role functioning was significantly related to global health status/QOL. Six months after SSS, the global health status/QOL had recovered. In both groups, global health status/QOL was related to role and social functioning. Among participants aged <60 years, global health status/QOL was significantly related to emotional functioning, which is related to future perspective. Among participants aged ≥60 years only, global health status/QOL was significantly related to cognitive functioning; pain, financial difficulties, and defecation problems negatively influenced HR-QOL. Symptoms specific after SSS: defecation problems (in both group), micturition problems (only ≥60 years), and sexual problems (only<60 years) influenced HR-QOL. Conclusion: Health care providers should assess the influence of age-related factors during the early post-operative period after SSS to improve HR-QOL.

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