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Quality of Life After Radiotherapy for Rectal and Anal Cancer

Shane S Neibart¹, Sharon L Manne², Salma K Jabbour¹

¹Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, United States.

Current Colorectal Cancer Reports

|July 8, 2020

Abstract

Purpose Of Review:

With advances in radiation therapy (RT) techniques for rectal and anal cancers allowing for the modulation of critical normal tissues, there has been an increased emphasis on improving the quality of life (QOL) of cancer survivors. Herein, we review the literature to examine the impact of RT on QOL and patient reported outcomes (PROs) to better inform providers about the challenges of survivorship.

Recent Findings:

Large systematic reviews, recent studies and long-term follow-up of pivotal clinical trials have shown that RT impacts QOL, particularly fecal continence and sexual function. Modern preoperative RT techniques allow for decreased dose to organs-at-risk will likely improve QOL.

Summary:

RT, though critical in the treatment of rectal and anal cancer, has a profound impact on QOL for some patients. Recent studies have included PROs and validated QOL metrics to better inform providers and patients.

Keywords:

Anus Neoplasms Cancer Survivors Patient Reported Outcome Measures Quality of Life Radiation Therapy Rectal Neoplasms

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