Quality of life and fatigue among colorectal cancer survivors according to stoma status - the national VICAN survey

J Psychosoc Oncol. 2020 Jan-Feb;38(1):89-102. doi: 10.1080/07347332.2019.1638481. Epub 2019 Jul 15.

Abstract

Objective: To assess colorectal cancer survivors' quality of life (QoL) and fatigue according to stoma status.Methods: In this large-scale national survey, we examined and compared QoL (SF-12) and fatigue (QLQ-C30) of colorectal cancer survivors according to stoma status and against population norms. Of the 487 colorectal cancer survivors who participated in the VICAN survey, 43 had a reversed stoma. We randomly selected 43 survivors without stoma as a comparison group.Findings: Colorectal cancer survivors had lower QoL scores compared to population norms. Fatigue affected survivors even two years after diagnosis. Participants with a reversed stoma scored lower on the physical QoL scale than participants without stoma.Conclusion: QoL and fatigue are impaired during a considerable period after cancer diagnosis and differ according to stoma status.Implications for psychosocial providers: Interventions aimed at improving QoL and fatigue for colorectal cancer survivors should be offered on a long-term basis, even two years after diagnosis.

Keywords: Colorectal; French cancer survivors; fatigue; oncology; quality of life; reversed stoma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cancer Survivors / statistics & numerical data*
  • Colorectal Neoplasms / surgery*
  • Fatigue / epidemiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Surgical Stomas / statistics & numerical data*
  • Surveys and Questionnaires
  • Young Adult