title: Impact of preoperative radiotherapy on general and disease-specific health status of rectal cancer survivors: a population-based study.
abstract: OBJECTIVE
  To date, few studies have evaluated the impact of preoperative radiotherapy (pRT) on long-term health status of rectal cancer survivors. Using a population-based sample, we assessed the impact of pRT on general and disease-specific health status of rectal cancer survivors up to 10 years post diagnosis. The health status of older (≥75 years old at diagnosis) pRT survivors was also compared with that of younger survivors.
  
  
  METHODS
  Survivors identified from the Eindhoven Cancer Registry treated with surgery only (SU) or with pRT between 1998 and 2007 were included. Survivors completed the Short Form-36 (SF-36) health survey questionnaire and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Colorectal 38 (EORTC QLQ-CR38) questionnaire. The SF-36 and EORTC QLQ-CR38 (sexuality subscale) scores of the survivors were compared to an age- and sex-matched Dutch normal population.
  
  
  RESULTS
  A total of 340 survivors (response, 85%; pRT survivors, 71%) were analyzed. Overall, survivors had similar general health status. Both short-term (<5 years) and long-term (≥5 years) pRT survivors had significantly poorer body image and more problems with gastrointestinal function, male sexual dysfunction, and defecation than SU survivors. Survivors had comparable general health status but greater sexual dysfunction than the normal population. Older pRT survivors had general and disease-specific health status comparable to that of younger pRT survivors.
  
  
  CONCLUSIONS
  For better survivorship care, rectal cancer survivors could benefit from increased clinical and psychological focus on the possible long-term morbidity of treatment and its effects on health status.
authors.affiliation: Center of Research on Psychology in Somatic Diseases (CoRPS), Tilburg University, The Netherlands. M.Thong@uvt.nl
authors.forename: Melissa S Y
authors.initials: MS
authors.lastname: Thong
authors.forename: Floortje
authors.initials: F
authors.lastname: Mols
authors.forename: Valery E P P
authors.initials: VE
authors.lastname: Lemmens
authors.forename: Harm J T
authors.initials: HJ
authors.lastname: Rutten
authors.forename: Jan A
authors.initials: JA
authors.lastname: Roukema
authors.forename: Hendrik
authors.initials: H
authors.lastname: Martijn
authors.forename: Lonneke V
authors.initials: LV
authors.lastname: van de Poll-Franse
mesh_terms: D000367:Age Factors; D000368:Aged; D000465:Algorithms; D001828:Body Image; D003672:Defecation / Q000502:physiology / Q000528:radiation effects; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D011300:Preoperative Care / Q000379:methods; D011788:Quality of Life; D012004:Rectal Neoplasms / Q000473:pathology / Q000523:psychology / Q000532:radiotherapy* / Q000601:surgery; D012044:Regression Analysis; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D017741:Survivors