Evidence map›Paper›PMID 34011586›Full record

ArticleBMJ open2021

'Because Everybody is so Different': a qualitative analysis of the lived experiences and information needs of rectal cancer survivors.

Catherine H Saunders, Jenaya L Goldwag, Jackson T Read, Marie-Anne Durand, Glyn Elwyn, Srinivas J Ivatury

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Conversations in rectal cancer treatment: a qualitative study of multidisciplinary clinician perspective into non-operative management decision-making discussions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  2. Article
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  4. Factors associated with anxiety in colorectal cancer survivors: a scoping review.Journal of cancer survivorship : research and practice · 2026
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  16. Recurrent Diverticulitis: Where Uncomplicated Is Complicated.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Catherine H SaundersDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Jenaya L GoldwagDepartment of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Jackson T ReadGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Marie-Anne DurandThe Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire, USA.ORCID 0000-0002-8173-1993
Glyn ElwynDartmouth College, Hanover, New Hampshire, USA.ORCID 0000-0002-0917-6286
Srinivas J IvaturyDepartment of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA jivatury@gmail.com.ORCID 0000-0002-5255-3817

Funding

RESEARCH TRAINING IN GERIATRIC MOOD DISORDERST32MH019132 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI GUNNING, FAITH M · 1990 to 2025
$3.4M
NIMH NIH HHS T32 MH019132
6 · The paper itself

Abstract

objectiveTo (1) characterise (A) the lived experiences and (B) information needs of patients with rectal cancer; and (2) compare to the perceived lived experiences and information needs of colorectal surgeons.

designWe conducted 1-hour semistructured qualitative interviews, dual independent transcript coding and thematic analysis. SETTING/

participantsInterviews included rectal cancer survivors (stages I-III), some accompanied by caregivers, at Dartmouth-Hitchcock Medical Center and experienced colorectal surgeons.

resultsWe performed 25 interviews involving 30 participants, including 15 patients with 5 caregivers, plus 10 physicians. Two major themes emerged. First, patients reported major impacts on their lives following rectal cancer, including on their everyday lives and leisure activities; identity, self-confidence and intimacy; mental health, especially anxiety. These impacts were mediated by their medical experiences, lifestyle and attitudes. Second, the diversity of effects on patients' lives means that care, counselling and information needs should be personalised for a better medical experience and outcomes. Surgeons did not report knowledge of the full range of patient experiences and reported limited counselling in key areas, particularly concerning intimacy and mental health.

conclusionRectal cancer diagnosis, treatment and survivorship dramatically affect all people, regardless of which surgical treatment they undergo. Effects are varied and necessitate customised care, counselling and information, which surgeons are not currently providing. Because rectal cancer affects every part of patients' lives, they need holistic support and information. Patients would benefit from substantial support after treatment as they establish a new normal.

Indexed as

Cancer SurvivorsRectal NeoplasmsCaregiversHumansQualitative ResearchSurvivorscolorectal surgeryoncologyqualitative research

Identifiers

PMID34011586
PMCPMC8137244

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.