Evidence map›Paper›PMID 34314550›Full record

ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2021

Burden of disease experienced by patients following a watch-and-wait policy for locally advanced rectal cancer: A qualitative study.

Alexander J Pennings, Merel L Kimman, Anke H C Gielen, Geerard L Beets, Jarno Melenhorst, Stephanie O Breukink

Open access · hybridAbstract read
In one paragraph

Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Decision regret in patients with rectal cancer undergoing multimodal therapy.Clinical and translational radiation oncology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Burden of disease experienced by patients following a watch-and-wait policy for locally advanced rectal cancer: A qualitative study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021
    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 at 2 institutions in 1 country.

Alexander J PenningsDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0003-2444-1073
Merel L KimmanClinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center+, Maastricht, The Netherlands.ORCID 0000-0002-5717-5704
Anke H C GielenDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0002-7854-9349
Geerard L BeetsGROW School for Oncology and Developmental Biology, Maastricht, The Netherlands.ORCID 0000-0002-1671-9912
Jarno MelenhorstDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0002-1495-4003
Stephanie O BreukinkDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0002-5445-4011
Maastricht University · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPatient-reported outcome measures (PROMs) are increasingly being used in routine cancer care to evaluate treatment and monitor symptoms, function and other aspects of quality of life (QoL). There is no suitable PROM for rectal cancer patients following a watch-and-wait (W&W) programme. Insight into patient experiences with this programme is an essential step in the development of a PROM. The aim of this qualitative study was to provide insights into the most important functional outcomes and QoL features experienced by patients during our W&W programme.

methodPatients with locally advanced rectal cancer who are enrolled in the W&W programme in the Netherlands were interviewed by telephone using a semistructured interview guide. All interviews were digitally audio-recorded, transcribed verbatim and coded. A thematic approach was used to analyse the data and identify themes and subthemes of importance to patients.

resultsEighteen patients were interviewed (78% male, mean age 68 years, range 52-83 years). Physical complaints after treatment were present, most notably gastrointestinal problems, neuropathy and fatigue. Furthermore, patients were anxious about a possible recurrence, had a fear of surgery or a stoma, or were experiencing a general feeling of apprehension in daily life. Many patients had different coping mechanisms, such as acceptance, and there were few limitations in daily life.

conclusionWe identified important functional outcomes, such as gastrointestinal complaints, fatigue and neuropathy, in patients who were enrolled in this W&W programme. Furthermore, an emotional burden and unmet needs were reported by these patients. These findings can be used to improve clinical practice and inform the development of a PROM.

Indexed as

Quality of LifeRectal NeoplasmsAgedAged, 80 and overCost of IllnessFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm Recurrence, LocalPolicyWatchful Waitingburden of diseasefunctional outcomesinterviewspatient reported outcomesquality of liferectal cancerwatch-and-wait

Identifiers

PMID34314550
PMCPMC9291314
OpenAlexW3184180244

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.