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@ARTICLE{Thong:153439,
author = {M. Thong$^*$ and L. Jansen$^*$ and J. Chang-Claude$^*$ and
M. Hoffmeister$^*$ and H. Brenner$^*$ and V. Arndt$^*$},
title = {{A}ssociation of laparoscopic colectomy versus open
colectomy on the long-term health-related quality of life of
colon cancer survivors.},
journal = {Surgical endoscopy and other interventional techniques},
volume = {34},
number = {12},
issn = {0930-2794},
address = {Heidelberg]},
publisher = {Springer},
reportid = {DKFZ-2020-00290},
pages = {5593-5603},
year = {2020},
note = {#EA:C071#LA:C071#2020 Dec;34(12):5593-5603ISSN: 0930-2794
(Print) 1432-2218 (Electronic) 0930-2794 (Linking)},
abstract = {Laparoscopic colectomy (LC) is a less invasive alternative
to open colectomy (OC) in the treatment of stage I-III colon
cancer. Research on the long-term (5-year post-diagnosis)
health-related quality of life (HRQOL) of LC patients is
scarce. Our study aimed to compare the long-term HRQOL and
psychological well-being of stage I-III colon cancer
survivors treated either with LC or OC.This study used a
German population-based cohort of patients treated with
either LC (n = 86) or OC (n = 980). LC patients were
matched to OC patients using a propensity score. At 5-year
follow-up, patients completed assessments on HRQOL (EORTC
QLQ-C30 and EORTC QLQ-CR29) and psychological well-being
(distress and disease/treatment burden). Least square mean
scores of HRQOL were derived using linear regression.
Proportions of patients with moderate/high distress and
disease/treatment burden were compared with Chi-square
tests.In total, 81 LC patients were matched to 156 OC
patients. Generally, LC patients had HRQOL comparable to OC
patients, albeit LC patients reported significantly better
body image (87.1 versus 81.0, p = 0.03). Distress levels
were generally low and comparable between the two groups,
even though LC patients were more likely to experience
disease recurrence $(16\%$ versus $7\%,$ p = 0.02) than
OC patients. OC patients were more likely to feel
moderate/high levels of burden associated with the treatment
$(72\%$ versus $56\%,$ p = 0.01) and the time after
treatment completion $(43\%$ versus $28\%,$ p = 0.02).LC
patients reported comparable long-term HRQOL outcomes but
higher levels of psychological well-being than OC patients 5
years after diagnosis, even though LC was associated with
higher risk of disease recurrence.},
cin = {C071 / C070 / C020 / C120 / HD01},
ddc = {610},
cid = {I:(DE-He78)C071-20160331 / I:(DE-He78)C070-20160331 /
I:(DE-He78)C020-20160331 / I:(DE-He78)C120-20160331 /
I:(DE-He78)HD01-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31993822},
doi = {10.1007/s00464-019-07360-2},
url = {https://inrepo02.dkfz.de/record/153439},
}