Surgery Clinical Trial
Official title:
Assessment of Functional Digestive and Genitourinary Outcomes in Patients With Rectal Cancer Living After 2 Years Without Recurrence. Population Study. (Rectqol)
Total mesorectal excision and neoadjuvant radio-chemotherapy have revolutionized the
management of rectal cancer allowing an increase in survival (between 55 and 68% at 5 years)
and allowing a decrease of local recurrence (under 10%) and allowing to push the limits of
sphinctyer saving procedures.
Parallel to the oncological findings, evaluating quality of life and functionnals sequelae
has become a priority as highlighted by the second axis of "plan cancer 2014-2019".
The prevalence of digestive functional sequelae decrease during the first two years after
surgery. However, these results are difficult to analyse due to the heterogeneity of used
scores in medical litterature. The low anterior resection syndrom associate poly-exoneration,
gas and / or stool incontinence, urgency and stool splitting.
The score of low anterior resection " LARS score " validated in Danemark in 2012 allow us to
understand the complexity of these sequelae and to measure their impact on the quality of
life of patients, that's why he is currently recommended.
In the long term, almost two out of three patients suffer from this syndrom, with half of the
patients in a severe form.
However, its prevalence and severity are often underestimated by practitioners. It leads to
inappropriate therapeutic measures. The aim of this study is to evaluate the impact of
digestive and genito-urinary sequelae on quality of life from validated scores in patients
operated curatively of rectal cancer using a population study.
This study should include 676 patients with rectal cancer treated in calvados and alive at 2
years of their proctectomy without local or general recurrence.
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