Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 23 May 2018

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Rectal cancer has an impact on labor

Diagnosis and treatment of rectal cancer affect paid and unpaid labor, although the impact on paid labor is most pronounced, reports October's Diseases of the Colon and Rectum.

News image

fiogf49gjkf04

Dr Mandy Brink and colleagues from The Netherlands described the consequences of rectal cancer for paid and unpaid labor.

The investigative team looked at the effects of diagnosis and treatment over time and to identify sociodemographic-related factors.

The investigators also identified treatment-related factors, and quality of life-related factors associated with paid and unpaid labor.

Data were assessed prospectively in 2 samples of patients with primary rectal cancer, participating in a multicenter clinical trial.

The team randomized the patients to receive surgery with or without 5 × 5-Gy preoperative radiotherapy.

After surgery, paid labor resumption increased from 19 to 63%
Diseases of the Colon & Rectum

For paid labor, 292 patients who indicated paid labor before treatment filled out quality of life questionnaires.

The questionnaires included questions on paid labor at 3, 6, 12, 18, and 24 months after surgery.

For unpaid labor, another sample of 92 patients also filled out the Health and Labor questionnaire.

The team included questions on unpaid labor, before treatment, and at 3 and 12 months after treatment.

From 3 to 18 months after surgery, paid labor resumption increased from 19 to 63%.

The investigators found that at 24 months after surgery, paid labor resumption was 61%.

In a multivariate analysis, age older than 55 years, and lower education level were associated with less or later resumption of paid labor preoperative radiotherapy.

Shorter time since surgery, lower valuation of overall health, and more physical symptom distress were also associated with less or later resumption of paid labor.

In addition, the investigators found that more limitations in daily activities were associated with less or later resumption of paid labor.

The average amount of unpaid labor increased from 17 hours per week at 3 months to 21 hours per week at 12 months after surgery.

In a multivariate analysis, only shorter time since surgery and male gender were related to less unpaid labor.

Dr Brink's team commented, “Diagnosis and treatment of rectal cancer affect paid and unpaid labor.”

“The impact on paid labor is most pronounced.”

“Multiple other sociodemographic and quality of life-related variables also were associated with paid labor.”

“Patient information and decision making on preoperative radiotherapy should include the effects on paid labor, and interventions focused on promoting paid labor participation in patients with rectal cancer should be tailored to the specific characteristics and needs of those patients.”

Dis Col Rectum 2005: 48(10): 1875-882
17 October 2005

Go to top of page Email this page Email this page to a colleague

 23 May 2018 
High body mass index is and ulcerative colitis
 23 May 2018 
Management of perianal fistulas in Crohn’s disease
 23 May 2018 
Cardiovascular risk in diabetes mellitus with NAFLD
 22 May 2018 
Worldwide H.pylori prevalence
 22 May 2018 
PPI and risk of stroke
 22 May 2018 
Online tool predicts bowel dysfunction severity prior to anterior resection
 21 May 2018 
Fecal incontinence and quality of life in IBD
 21 May 2018 
PPI use and cognitive decline
 21 May 2018 
Depressive symptoms in IBD youth
 18 May 2018 
Esophageal dilatation in clinical practice 
 17 May 2018 
IBD and later extraintestinal manifestations
 17 May 2018 
Repeat stool DNA testing
 17 May 2018 
IBS and chronic fatigue following GI infection
 16 May 2018 
Factors associated with fecal incontinence
 16 May 2018 
Diagnostic delay in Crohn's disease
 16 May 2018 
Cardiovascular risk in diabetes mellitus with NAFLD
 15 May 2018 
Guidelines for management of Crohn's
 15 May 2018 
New therapies for CDI
 15 May 2018 
Hep B in the Grey Zone
 14 May 2018 
Blood test for the diagnosis of fibrotic NASH
 14 May 2018 
Outcomes at bariatric centers of excellence
 14 May 2018 
Management of perianal fistulas in Crohn’s
 11 May 2018 
Detection of undiagnosed celiac disease
 11 May 2018 
Alcohol consumption and drug-induced liver injury
 10 May 2018 
Colorectal cancer screening
 10 May 2018 
Post‐operative complications in elderly IBD
 10 May 2018 
Fibrosis in patients with chronic hepatitis B
 09 May 2018 
Esophageal dilatation in clinical practice 
 09 May 2018 
Fecal incontinence
 09 May 2018 
Health problems and IBS
 07 May 2018 
Omitting antibiotics in uncomplicated acute diverticulitis
 07 May 2018 
Health problems and IBS
 07 May 2018 
Assessment of diminutive colorectal polyps
 04 May 2018 
Factors associated with fecal incontinence
 04 May 2018 
National Institutes of Health workshop and obesity
 04 May 2018 
Colorectal cancer screening and ethnic inequities
 03 May 2018 
Gastrointestinal ultrasound in IBD
 03 May 2018 
Ultransonography in postsurgical recurrence in Crohn's
 02 May 2018 
Hep C antiviral treatment and liver cancer risk
 02 May 2018 
Symptom assessment in cirrhotic ascites
 02 May 2018 
Chronic Hep B
 01 May 2018 
European guidelines on pancreatic cystic neoplasms
 01 May 2018 
Interferon‐free regimens in Hep C
 01 May 2018 
Age at IBD onset and extraintestinal complications
 30 April 2018 
Formula for preterm infants
 30 April 2018 
Primary antibiotic resistance and sequential therapy for H. pylori
 27 April 2018 
Eastern and western practices for endoscopic resection of colorectal lesions
 27 April 2018 
Anxiety scale for chronic esophageal disease
 27 April 2018 
Disease activity in eosinophilic esophagitis
 26 April 2018 
Obesity and physical activity in diverticulosis
 26 April 2018 
Primary sclerosing cholangitis in the USA
 25 April 2018 
Aspirin and pancreatic cancer
 25 April 2018 
Central mediators of irinotecan-induced steatohepatitis
 25 April 2018 
Neuroimaging in Hep C
 24 April 2018 
Scoring system identifies cancer risk in Barrett's
 24 April 2018 
Microbiome in athletes vs sedentary subjects
 23 April 2018 
Genome-wide study on HBV-related acute-on-chronic liver failure
 23 April 2018 
Antibody suitable for further clinical development to complement existing therapeutic strategies for HCV
 23 April 2018 
Sleep deprivation and NAFLD in the USA
 20 April 2018 
Two annexin A11 epitopes targeted by IgG1 and IgG4 autoantibodies were shared between patients with IAC/AIP and IgG4 antibodies blocked binding of IgG1 antibodies to the shared annexin A11 epitopes

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2018 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us