Influence of preoperative life satisfaction on recovery and outcomes after colorectal cancer surgery - a prospective pilot study

B Romain, O Rohmer, S Schimchowitsch, M Hübner, J B Delhorme, C Brigand, S Rohr, D Guenot, B Romain, O Rohmer, S Schimchowitsch, M Hübner, J B Delhorme, C Brigand, S Rohr, D Guenot

Abstract

Background: Colorectal surgery has an important impact on a patient's quality of life, and postoperative rehabilitation shows large variations. To enhance the understanding of recovery after colorectal cancer, health-related quality of life has become a standard outcome measurement for clinical care and research. Therefore, we aimed to correlate the influence of preoperative global life satisfaction on subjective feelings of well-being with clinical outcomes after colorectal surgery.

Methods: In this pilot study of consecutive colorectal surgery patients, various dimensions of feelings of preoperative life satisfaction were assessed using a self-rated scale, which was validated in French. Both objective (length of stay and complications) and subjective (pain, subjective well-being and quality of sleep) indicators of recovery were evaluated daily during each patient's hospital stay.

Results: A total of 112 patients were included. The results showed a negative relationship between life satisfaction and postoperative complications and a significant negative correlation with the length of stay. Moreover, a significant positive correlation between life satisfaction and the combined subjective indicators of recovery was observed.

Conclusion: We have shown the importance of positive preoperative mental states and global life satisfaction as characteristics that are associated with an improved recovery after colorectal surgery. Therefore, patients with a good level of life satisfaction may be better able to face the consequences of colorectal surgery, which is a relevant parameter in supportive cancer care.

Keywords: Colorectal cancer surgery; Life satisfaction; Pain; Postoperative complications; Rehabilitation; Sleep.

Conflict of interest statement

Ethics approval and consent to participate

Prospective pilot study approved by the Ethic committee of the Strasbourg University Medicine Faculty under the N°2016–38.

Consent for publication

Not applicable.

Competing interests

Not applicable.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Correlation between preoperative life satisfaction scores and postoperative subjective recovery indicator. The latter combines the sleep, pain and well-being scores (r = 0.33; p = 0.0001). Dotted lines display confidence limits (confidence interval of 95%)
Fig. 2
Fig. 2
Correlation between preoperative life satisfaction scores and the length of stay (days) (r = 0.23; p = 0.03). Dotted lines display confidence limits (confidence interval of 95%)

References

    1. Jonsson CA, Stenberg A, Hollman FG. The lived experience of the early postoperative period after colorectal cancer surgery. Eur J Cancer Care. 2011;2(20):248–256. doi: 10.1111/j.1365-2354.2009.01168.x.
    1. Cabilan CJ, Hines S. The short-term impact of colorectal cancer treatment on physical activity, functional status and quality of life: a systematic review. JBI Database of Systematic Reviews and Implementation Reports. 2017;15(2):517–566.
    1. Jakobsson J, Idvall E, Kumlien C.The lived experience of recovery during the first 6 months after colorectal cancer surgery. J Clin Nurs. 2017;26(23-24):4498-505. 10.1111/jocn.13780.
    1. Asgeirsdottir GH, Sigurdardottir V, Gunnarsdottir S, Sigurbjörnsson E, et al. Spiritual well-being and quality of life among Icelanders receiving palliative care: data from Icelandic pilot-testing of a provisional measure of spiritual well-being from the european Oraganisation for research and treatment of cancer. E. J. Cancer Care. 2017;26(2):1-8. 10.1111/ecc.12394.
    1. Lopes-Jünior LC, Bomfim EO, Nascimento LC, Nunes MDR, Pereira-DA-Silva G, Lima RAG. Non-pharmacological interventions to manage fatigue and psychological stress in children and adolescents with cancer: an integrative review. E J Cancer Care. 2016;25(6):921-935. 10.1111/ecc.12381.
    1. Bénézech JP. The biopsychosocial model of cancer-related pain. Douleurs (Paris). 2016;17(5):252-57. 10.1016/j.douler.2016.09.001.
    1. Gustafsson UO, Scott MJ, Schwenk W, Demartines N, Roulin D, Francis N, et al. Guidelines for perioperative care in elective colonic surgery: enhanced recovery after surgery (ERAS(®)) society recommendations. World J Surg. 2013;37(2):259–284. doi: 10.1007/s00268-012-1772-0.
    1. Hübner M, Demartines N. Key factors for implementation of an enhanced recovery program. The Lausanne experience. Nutrition clinique et Métabolisme. 2014;28:70–72. doi: 10.1016/j.nupar.2013.11.005.
    1. Greco M, Capretti G, Beretta L, et al. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. World J Surg. 2014;38:1531–1541. doi: 10.1007/s00268-013-2416-8.
    1. Fiore JF, Jr, Bialocerkowski A, Browning L, et al. Criteria to determine readiness for hospital discharge following colorectal surgery: an international consensus using the Delphi technique. Dis Colon rectum. 2012;55:416–423. doi: 10.1097/DCR.0b013e318244a8f2.
    1. Carlson LE. Mindfulness-based interventions for coping with cancer. Ann N Y Acad Sci. 2016;1373(1):5–12. doi: 10.1111/nyas.13029.
    1. Wong CK, Chen J, Yu CL, et al. Systematic review recommends the European Organization for Research and Treatment of cancer colorectal cancer-specific module for measuring quality of life in colorectal cancer patients. J Clin Epidemiol. 2015;68:266–278. doi: 10.1016/j.jclinepi.2014.09.021.
    1. Fayers P, Aatonson N, Bjordal K, et al. EORTC QLQ-C30 scoring manual. 2. Brussels: EORTC Quality of Life Study Group; 2001.
    1. Croog SH, Baume RM, Nalbandian J. Pre-surgery psychological characteristics, pain response, and activities impairment in female patients with repeated periodontal surgery. J Psychosom Res. 1995;19:39–51. doi: 10.1016/0022-3999(94)00089-N.
    1. Baume RM, Croog SH, Nalbandian J. Pain perception, coping strategies, and stress management among periodontal patients with repeated surgeries. Percept Mot Skills. 1995;80:307–319. doi: 10.2466/pms.1995.80.1.307.
    1. Clement ND, MacDonald D, Burnett R. Primary total knee replacement in patients with mental disability improves their mental health and knee function: a prospective study. Bone Joint J. 2013;95-B(3):360–366. doi: 10.1302/0301-620X.95B3.29563.
    1. Kopp M, Bonatti H, Haller C, et al. Life satisfaction and active coping style are important predictors of recovery from surgery. J Psychosom Res. 2003;55:371–377. doi: 10.1016/S0022-3999(03)00012-6.
    1. Massé R, Poulin C, Lambert J, et al. Elaboration et validation d’un outil de bien-être psychologique : l’EMMBEP. Revue Canadienne de Santé Publique. 1998;89:352–358.
    1. Bouterfas N. Vers un modèle de la santé psychologique au travail des agents du social et de l'insertion : quels inducteurs organisationnels, psychosociaux et personnels sur le bien-être, la détresse et l'épuisement ?. Philosophie. 2014. Université Charles de Gaulle - Lille III.
    1. Onerup A, Bock D, Börjesson M, et al. Is preoperative physical activity related to post-surgery recovery? A cohort study of colorectal cancer patients. Int J Color Dis. 2016;31(6):1131–1140. doi: 10.1007/s00384-016-2551-4.
    1. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–213. doi: 10.1097/.
    1. Efficace F, Biganzoli L, Piccart M, et al. Baseline health-related quality-of-life data as prognostic factors in a phase III multicentre study of women with metastatic breast cancer. Eur J Cancer. 2004;40:1021–1030. doi: 10.1016/j.ejca.2004.01.014.
    1. Montazeri A, Milroy R, Hole D, et al. Quality of life in lung cancer patients: as an important prognostic factor. Lung Cancer. 2001;31:233–240. doi: 10.1016/S0169-5002(00)00179-3.
    1. Chiarion-Sileni V, Del Bianco P, De Salvo GL, et al. Quality of life evaluation in a randomised trial of chemotherapy versus bio-chemotherapy in advanced melanoma patients. Eur J Cancer. 2003;39:1577–1585. doi: 10.1016/S0959-8049(03)00372-1.
    1. Collette L, van Andel G, Bottomley A, et al. Is baseline quality of life useful for predicting survival with hormone-refractory prostate cancer? A pooled analysis of three studies of the European Organisation for Research and Treatment of Cancer genitourinary group. J Clin Oncol. 2004;22:3877–3885. doi: 10.1200/JCO.2004.07.089.
    1. Chau I, Norman AR, Cunningham D, et al. Multivariate prognostic factor analysis in locally advanced and metastatic esophago-gastric cancer–pooled analysis from three multicenter, randomized, controlled trials using individual patient data. J Clin Oncol. 2004;22:2395–2403. doi: 10.1200/JCO.2004.08.154.
    1. Efficace F, Bottomley A, Coens C, Van Steen K, Conroy T, Schöffski P, Schmoll H, Van Cutsem E, Köhne CH. Does a patient's self-reported health-related quality of life predict survival beyond key biomedical data in advanced colorectal cancer? Eur J Cancer. 2006;42:42–49. doi: 10.1016/j.ejca.2005.07.025.
    1. Skolasky RL, Mackenzie EJ, Wegener ST, et al. Patient activation and adherence to physical therapy in persons undergoing spine surgery. Spine. 2008;33(21):E784. doi: 10.1097/BRS.0b013e31818027f1.
    1. Lis CG, Gupta D, Grutsch JF. The relationship between insomnia and patient satisfaction with quality of life in cancer. Support Care Cancer. 2008;16:261–266. doi: 10.1007/s00520-007-0314-z.
    1. Devine EC. Effects of psychoeducational care for adult surgical patients: a meta-analysis of 191 studies. Patient Education Counsel. 1992;19:129–142. doi: 10.1016/0738-3991(92)90193-M.
    1. Fernández MD1, Luciano C, Valdivia-Salas S. Impact of acceptance-based nursing intervention on postsurgical recovery: preliminary findings. Span J Psychol. 2012;15(3):1361–1370. doi: 10.5209/rev_SJOP.2012.v15.n3.39421.
    1. Jaggers JR, Simpson CD, Frost KL, et al. Prehabilitation before knee arthoplasty increases postsurgical function: a case study. J Strength Cond Res. 2007;21:632–634.
    1. Jones LW, Peddle CJ, Eves ND, et al. Effects of presurgical exercise training on cardiorespiratory fitness among patients undergoing thoracic surgery for malignant lung lesions. Cancer. 2007;110(3):590–598. doi: 10.1002/cncr.22830.
    1. Rolving N, Sogaard R, Nielsen CV, et al. Preoperative cognitive-behavioral patient education versus standard care for lumbar spinal fusion patients: economic evaluation alongside a randomized controlled trial. Spine. 2016;41:18–25. doi: 10.1097/BRS.0000000000001254.
    1. Hoffman CJ, Ersser SJ, Hopkinson JB, et al. Effectiveness of mindfulness-based stress reduction in mood, breast- and endocrine-related quality of life, and well-being in stage 0 to III breast cancer: a randomized, controlled trial. J Clin Oncol. 2012;30:1335–1342. doi: 10.1200/JCO.2010.34.0331.
    1. Kabat-Zinn J. Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation. New York: Delacorte; 1990. pp. 1–440.

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