Abstract
OBJECTIVE: This study investigates the impact of improved diagnostics and treatments on health-related quality of life (HRQoL) and functional outcomes in patients with rectal carcinoma in the Netherlands. DESIGN: Data from the Prospective National ColorRectal Carcinoma cohort (PLCRC) were analysed to compare trends in HRQoL and functional outcomes between 2014 and 2019. METHOD: HRQoL and functional outcomes were assessed with validated patient questionnaires (EORTC-QLQ-C30, CR29, LARS score). Longitudinal and multivariate analyses were used to analyse changes over time. RESULTS: Patients in 2019 had better HRQoL scores, fewer adverse events and improved anorectal function compared with 2014. Physical, role and social functioning improved significantly, while complaints such as fatigue and pain decreased. Fewer patients underwent invasive treatments or had a stoma. CONCLUSION: Innovations such as population screening and less invasive treatments led to better HRQoL. Less complex therapies contributed to fewer side effects and better recovery. Further progress is expected through personalised care and innovative therapies.
| Translated title of the contribution | Quality of life and functional outcomes in patients with rectal carcinoma |
|---|---|
| Original language | Dutch |
| Journal | Nederlands Tijdschrift voor Geneeskunde |
| Volume | 169 |
| Publication status | Published - 27 May 2025 |