Postby [Ana & Alex] » Sun Apr 23, 2017 1:41 am
Dear Swirdfish,
Thank you so much for your link. I would gladly review the article (scientifically speaking) with more detail, but just a quick look let's me see that this is a descriptive study without the possibility of any multivariate analysis and therefore it is really not possible, throughout the results, to establish a causality effect between operation technique and quality of life.
This study was also conducted by doctors who analyse quality of life factors as a sum of objective measurable items - which is NEVER the case, specially among cancer patients. When looking for studies about QoL, look for studies done with a sociological aspect.
That is why LAR Patients still have more obstipation and diarrhea problems on a 4 year make than stoma patients, but still are the stoma patients that report poorer functionality. The fact that stoma Patients feel worse about every other dimension may be explained through the meaning of having a stoma instead of the real difficulties of living with it.
So... as you see... it is really hard to tell:
A) Do stoma Patients have poor QoL because they feel worse about having a Stoma, even having less symptoms, than people who had a reversal and have more negative symptoms but cope better because they feel better about their life and themselves,
B) do Stoma Patients have more negative symptoms and therefore worse QoL than Patients that had a reversal.
Through this Study you really can't tell.
But thank you nonetheless, everything that I can find about this thematic I would gladly read and be thankfully for it.
Wishing you the best,
Ana
Dx @ 29 yo. Mum (2 y.o.) & Wife
12/2016: Rectal AdenoCa G2. CEA 4.3. RAS Wild. MSS. IIIB.
01 - 03/2017: 28 RTx + CHT 2,5 g/d Capecit.
03 - 06/2017: Suplemments and Cimetidine.
05/2017: TME/TAMIS + permanent Colostomy CEA 0.5
05/2017: ypT2N2aM0 (4/15), good cCR, limited pCR
06 - 8/2017: 4x CapOx 3,5 g/d (2x Oxi reduced to 80%)
09 -11/2017: 3x Capecit. monotherapy 4g/d
12/2017: Aspirin, Vit. D3, Curcumin, Multivitamin.