Evidence map›Paper›PMID 36353560›Full record

ArticleFrontiers in oncology2022

Quality of life and function after rectal cancer surgery with and without sphincter preservation.

Emmanouil P Pappou, Larissa K Temple, Sujata Patil, J Joshua Smith, Iris H Wei, Garrett M Nash, José G Guillem, Maria Widmar, Martin R Weiser, Philip B Paty and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.8field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
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  11. Patient-Reported Outcomes After Neoadjuvant Therapy and Watch-and-Wait for Rectal Cancer: A Systematic Review and Meta-Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
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  12. Review
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  14. Review
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  18. Course and predictors of supportive care needs among colorectal cancer survivors with ostomies: a longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  19. Article
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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

12 authors at 4 institutions in 1 country.

Emmanouil P PappouDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Larissa K TempleDepartment of Surgery, University of Rochester Medical Center, Rochester, NY, United States.
Sujata PatilDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, United States.
J Joshua SmithDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Iris H WeiDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Garrett M NashDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
José G GuillemDepartment of Surgery, UNC School of Medicine, Chapel Hill, NC, United States.
Maria WidmarDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Martin R WeiserDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Philip B PatyDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Deborah SchragDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Julio Garcia-AguilarDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Memorial Sloan Kettering Cancer Center · USCleveland Clinic · USUniversity of North Carolina Health Care · USUniversity of Rochester Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Despite improvements in surgical techniques, functional outcomes and quality of life after therapy for rectal cancer remain suboptimal. We sought to prospectively evaluate the effect of bowel, bladder, and sexual functional outcomes on health-related quality of life (QOL) in patients with restorative versus non-restorative resections after rectal cancer surgery. A cohort of 211 patients with clinical stage I-III rectal cancer who underwent open surgery between 2006 and 2009 at Memorial Sloan Kettering were included. Subjects were asked to complete surveys preoperatively and at 6, 12, and 24 months after surgery. Validated instruments were used to measure QOL, bowel, bladder, and sexual function. Univariable and multivariable regression analyses evaluated predictors of 24- month QOL. In addition, longitudinal trends over the study period were evaluated using repeated measures models. In total, 180 patients (85%) completed at least 1 survey, and response rates at each time point were high (>70%). QOL was most impaired at 6 and 12 months and returned to baseline levels at 24 months. Among patients who underwent sphincter-preserving surgery (SPS; n=153 [85%]), overall bowel function at 24 months was significantly impaired and never returned to baseline. There were no differences in QOL at 24 months between patients who underwent SPS and those who did not (p=.29). Bowel function was correlated with QOL at 24 months (Pearson correlation,.41; p<.001). QOL among patients who have undergone SPS for rectal cancer is good despite poor function. Patients with ostomies are able to adjust to the functional changes and, overall, have good global QOL. Patients with low anastomoses had lower global QOL at 24 months than patients with permanent stomas. Our findings can help patients set expectations about function and quality of life after surgery for rectal cancer with and without a permanent stoma.

Indexed as

LARS – low anterior resektion syndromMSKCC = memorial sloan–kettering cancer centerpatient reported clinical outcomesquality of Liferectal cancer

Identifiers

PMID36353560
PMCPMC9639454
OpenAlexW4307274072

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.