How do individuals with colorectal cancer perceive the term "cancer survivor": a cross-sectional survey

Abstract

Background: There are growing discussions regarding the term "cancer survivor," particularly how patients with cancer relate to it.

Objective: To assess how individuals diagnosed with colorectal cancer (CRC) perceive the term "cancer survivor."

Methods: We conducted an international cross-sectional study and, using social media, invited individuals who were ≥18 years; received a diagnosis for CRC; and can communicate in English. We administered an online survey comprising both quantitative (e.g., multiple choice) and qualitative (e.g., open-ended) questions. We used logistic regression to assess determinants of participants' perspectives towards the term "cancer survivor." Qualitative responses were analyzed using content analysis.

Results: In all, 539 participants with CRC completed the survey, including 122 (22.6%) undergoing treatment and 417 (77.4%) who completed treatment. Participants who had completed treatment were four times more likely to relate with term "cancer survivor" compared to those undergoing treatment (adjusted odds ratio (aOR), 4.0; 95% confidence interval (CI) 2.4 to 6.7). Participants diagnosed with CRC ≥50 years were also more likely to relate with the term compared to those diagnosed < 50 years (aOR, 1.88; 95% (CI) 1.2 to 3.0). Analysis of open-ended survey responses revealed aversion, discomfort, indifference, reluctance, and acceptance as themes which capture the spectrum of feelings towards the term "cancer survivor."

Conclusion: Perspectives of individuals with CRC towards the term "cancer survivor" differ according to treatment status and age of diagnosis.

Implication of cancer survivors: Our study amplifies voices of the CRC community towards reconsideration of the term "cancer survivor", considering the implications of treatment status and age in highlighting the importance of language.

Keywords: Cancer survivor; Colorectal cancer; Psycho oncology.