Patient Perspectives on Pre-Operative and Post-Operative Care of Colorectal Cancer: a Systematic Review

Ni Made Juniari, Nuzul Qur`aniati


Treatment for patients with colorectal cancer often only focuses on medical and clinical aspects. All diagnostic procedures, preoperative care, and post-operative recovery have a significant impact on the patient's quality of life. This is a systematic review of qualitative study published where the aim was to evaluate the perspectives of patient with colorectal cancer on pre-operative and post-operative care. The articles were searched for using the PRISMA approach from within Scopus, Web of Sciences and PubMed to identify the relevant English publications on colorectal cancer patient’s perspectives over the last 5 years (2019-2023). In total, 5 studies met the inclusion criteria. The results of this review: sample size used in the research varied between 9-18 respondents. Two studies were located in the Netherlands, the other three studies were located in Norway, Washington, and Denmark. There are five studies that examine patients' experiences and views regarding preoperative care, post-operative recovery, post-operative changes, and the need for post-operative actions. All studies use the respondent's perspective in data collection and use a qualitative design. There are three themes that are the main focus of these five studies, namely: information, coping strategies and symptoms. It can be concluded that patients with colorectal cancer really need detailed information regarding pre-operative preparation for post-operative recovery. Support from people closest to them such as family has an impact on the patient's coping strategies in facing the changes that occur after surgery. Patients with a stoma generally have problems with stool, so patients must be taught how to regulate diet, meal times, and activities.

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Andersson, M., Egenvall, M., Danielsson, J., Thorell, A., Sturesson, C., Soop, M., Nygren-Bonnier, M., & Rydwik, E. (2023). CANOPTIPHYS study protocol: Optimising PHYSical function before CANcer surgery: effects of pre-operative optimisation on complications and physical function after gastrointestinal cancer surgery in older people at risk—a multicentre, randomised, parallel-. Trials, 24(1), 1–14.

Bøe, C., Bondevik, H., Wahl, A. K., & Andersen, M. H. (2019). Going through laparoscopic liver resection in patients with colorectal liver metastases-A qualitative study. Nursing Open, 6(2), 260–267.

Cuijpers, A. C. M., Lubbers, T., van Rens, H. A., Smit-Fun, V., Gielen, C., Reynders, K., Kimman, M. L., & Stassen, L. P. S. (2022). The patient perspective on the preoperative colorectal cancer care pathway and preparedness for surgery and postoperative recovery—a qualitative interview study. Journal of Surgical Oncology, 126(3), 544–554.

Hohl, S. D., Shankaran, V., Bell-Brown, A., & Issaka, R. B. (2020). Text Message Preferences for Surveillance Colonoscopy Reminders Among Colorectal Cancer Survivors. Health Education and Behavior, 47(4), 581–591.

Kamer, E., & Çolak, T. (2020). What to Do When A Patient Infected With COVID-19 Needs An Operation: A Pre-surgery, Peri-surgery and Post-surgery Guide. Turkish Journal of Colorectal Disease, 30(1), 1–8.

Kovoor, J. G., Jacobsen, J. H. W., Stretton, B., Bacchi, S., Gupta, A. K., Claridge, B., Steen, M. V., Bhanushali, A., Bartholomeusz, L., Edwards, S., Asokan, G. P., Asokan, G., McGee, A., Ovenden, C. D., Hewitt, J. N., Trochsler, M. I., Padbury, R. T., Perry, S. W., Wong, M. L., … Hewett, P. J. (2023). Depression after stoma surgery: a systematic review and meta-analysis. BMC Psychiatry, 23(1), 1–20.

Lewandowska, A., Rudzki, G., Lewandowski, T., Stryjkowska-Góra, A., & Rudzki, S. (2022). Title: Risk Factors for the Diagnosis of Colorectal Cancer. Cancer Control, 29, 1–15.

Lund, C. M., Dolin, T. G., Mikkelsen, M. K., Juhl, C. B., Vinther, A., & Nielsen, D. L. (2020). Effect of Exercise on Physical Function and Psychological Well-being in Older Patients With Colorectal Cancer Receiving Chemotherapy—A Systematic Review. Clinical Colorectal Cancer, 19(4), e243–e257.

Oggesen, B. T., Hamberg, M. L. S., Thomsen, T., & Rosenberg, J. (2023). Exploring Patients’ Perspectives on Late Complications after Colorectal and Anal Cancer Treatment: A Qualitative Study. Current Oncology, 30(8), 7532–7541.

Purnomo, H. D., Permatadewi, C. O., Prasetyo, A., Indiarso, D., Hutami, H. T., Puspasari, D., Listiana, D. E., Suhartono, Armatussolikha, H. R., Priyadi, S. S., Sadono, S., Silvina, Nurhayati,

Samsud, & Sonny, M. (2023). Colorectal cancer screening in Semarang, Indonesia: A multicenter primary health care based study. PLOS ONE, 18(1).

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249.

Susanti, S., Wibowo, S., Akbariani, G., Yoshuantari, N., Heriyanto, D. S., Ridwanuloh, A. M., Hariyatun, H., Handaya, A. Y., Kurnianda, J., Hutajulu, S. H., & Ilyas, M. (2021). Molecular analysis of colorectal cancers suggests a high frequency of lynch syndrome in Indonesia. Cancers, 13(24), 1–18.

van Kooten, R. T., Schutte, B. A. M., van Staalduinen, D. J., Hoeksema, J. H. L., Holman, F. A., van Dorp, C., Peeters, K. C. M. J., Tollenaar, R. A. E. M., & Wouters, M. W. J. M. (2023). Patient perspectives on consequences of resection for colorectal cancer: A qualitative study. Colorectal Disease.

Zhao, X., Wang, S., Yuan, Z., Yan, S., Pang, W., Liu, X., Wang, W., Yi, B., Han, Q., Zhang, Q., Zhang, X., & Zhang, C. (2023). Colonoscopy compliance and diagnostic yield in a large population-based colorectal cancer screening programme. International Journal of Colorectal Disease, 38(1).



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