ArticleJournal of cancer survivorship : research and practice2020
Physical functional limitations and psychological distress in people with and without colorectal cancer: findings from a large Australian study.
Article in Journal of cancer survivorship : research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 11 citations in OpenAlex.
- Latent profile analysis of health-related quality of life in patients with bladder cancer and abdominal wall stomas: a multicenter cross-sectional study.BMC urology · 2026Article
- Predictors of impaired quality of life among colorectal cancer survivors: a cross-sectional study.Journal of patient-reported outcomes · 2025Article
- Association of cancer diagnosis with disability status among older survivors of colorectal cancer: a population-based retrospective cohort study.Frontiers in oncology · 2024Article
- Resilience process in individuals with colorectal cancer: a qualitative study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
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4 authors at 1 institution in 1 country.
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Abstract
purposeTo quantify physical disability and psychological distress in people with and without colorectal cancer (CRC).
methodsQuestionnaire data (2006-2009) from 267,153 Australian general population members aged ≥ 45 years participating in the 45 and Up Study (n = 213,231 following exclusions) were linked to cancer registry and hospital admission data, to ascertain CRC status. Modified Poisson regression estimated adjusted prevalence ratios (PRs) for physical disability and psychological distress in participants with CRC versus those without.
resultsCompared with participants without CRC (n = 210,836), CRC survivors (n = 2395) had significantly higher physical disability prevalence (11.9% versus 19.5%, respectively), PR = 1.11 (95% CI = 1.03-1.20); and a similar prevalence of distress (23.1% versus 20.2%), PR = 1.03 (0.94-1.20). Adverse outcomes were associated with certain clinical characteristics. Compared with participants without CRC, CRC survivors diagnosed 5-< 10 and ≥ 10 years, with regional spread, and without recent cancer treatment had broadly similar outcomes; survivors with metastatic CRC and recent treatment had 30-60% higher prevalence of disability and distress. Compared with participants with neither CRC nor disability, PRs for distress were 4.71 (4.22-5.26) for those with disability and CRC; and 4.22 (4.13-4.31) for those with disability without CRC.
conclusionsPhysical disability is elevated in CRC survivors. Psychological distress is elevated 4- to 5-fold with disability, regardless of CRC diagnosis, with lesser increases around diagnosis and treatment. IMPLICATIONS FOR CANCER SURVIVORS: CRC survivors with less advanced disease and who have not been recently diagnosed or treated have physical disability and psychological distress comparable to the general population. Survivors with disability are at particularly high risk of psychological distress.
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