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024 7 _ |a 1432-1335
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037 _ _ |a DKFZ-2025-02209
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Wurschi, Georg W
|0 0000-0002-8751-9862
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245 _ _ |a Quality of life following total neoadjuvant therapy for rectal cancer.
260 _ _ |a Heidelberg
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520 _ _ |a This study aimed to assess the health-related quality of life (HRQoL) in patients with locally advanced rectal cancer (LARC) undergoing total neoadjuvant therapy (TNT), comparing outcomes with the German general population and colorectal cancer (CRC) patients treated with curative intent.In a multicenter, cross-sectional study within the 'TNTox' study framework (DRKS 00033000), EORTC QLQ-C30 and QLQ-CR29 questionnaires were distributed to LARC patients who had completed TNT. Mean reference values were compared descriptively, and further exploratory comparisons based on clinical features were performed.The study included responses from 72 patients. Compared to the German general population, a reduction in mean HRQoL across most domains was observed; the strongest effect was observed for role functioning (- 28.7 points, Cohen's d = - 0.95), social functioning (- 25.3 points, d = - 0.89), and for diarrhea (+ 9.9 points, d = 0.80). General HRQoL was similar to that of CRC patients following curative treatment. However, some symptom scores, notably fecal incontinence (+ 13.4 points, d = 0.52), impotence (+ 29.0 points, d = 0.73), and dyspareunia (+ 10.4 points, d = 0.40) appeared to be higher. Significant factors associated with HRQoL included the presence of chronic treatment-related toxicity and duration of TNT; no major differences were observed between patients with or without NOM or stoma.LARC patients undergoing TNT showed comparable HRQoL outcomes to CRC patients treated with curative intent, but with reductions when compared to the general population. The presence of chronic toxicity significantly impacts HRQoL. Survivors may experience HRQoL impairments post-TNT, underscoring the necessity for ongoing management of chronic toxicity tailored to their needs.
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650 _ 7 |a HRQoL
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650 _ 7 |a Organ preservation
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650 _ 7 |a QLQ-C30
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650 _ 7 |a QLQ-CR29
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650 _ 7 |a Quality of life
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650 _ 7 |a Rectal cancer
|2 Other
650 _ 7 |a Total neoadjuvant therapy
|2 Other
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Quality of Life
|2 MeSH
650 _ 2 |a Rectal Neoplasms: therapy
|2 MeSH
650 _ 2 |a Rectal Neoplasms: psychology
|2 MeSH
650 _ 2 |a Rectal Neoplasms: pathology
|2 MeSH
650 _ 2 |a Neoadjuvant Therapy: adverse effects
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Cross-Sectional Studies
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650 _ 2 |a Aged
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650 _ 2 |a Surveys and Questionnaires
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650 _ 2 |a Adult
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650 _ 2 |a Aged, 80 and over
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700 1 _ |a Diefenhardt, Markus
|0 0000-0002-9042-9729
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700 1 _ |a Kaufmann, Justus
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700 1 _ |a Ha, Hai Minh
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700 1 _ |a Schneider, Melanie
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700 1 _ |a von Ohlen, Daphne Schepers
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700 1 _ |a Schöneich, Maren
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700 1 _ |a Cieslak, Adrianna
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700 1 _ |a Depardon, Alina
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700 1 _ |a Becker, Jan-Niklas
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700 1 _ |a Rühle, Alexander
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700 1 _ |a Ehret, Felix
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700 1 _ |a Römer, Maximilian
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700 1 _ |a Rißner, Florian
|b 13
700 1 _ |a Hinz, Andreas
|0 0000-0002-6986-8145
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700 1 _ |a Pietschmann, Klaus
|b 15
773 _ _ |a 10.1007/s00432-025-06347-y
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LibraryCollectionCLSMajorCLSMinorLanguageAuthor
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