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Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery

Jan Grosek

Jan Grosek

University Medical Centre Ljubljana, Department of Abdominal SurgeryLjubljana, Slovenia
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Grosek, Jan
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Jurij Aleš Košir

Jurij Aleš Košir

University Medical Centre Ljubljana, Department of Abdominal SurgeryLjubljana, Slovenia
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Košir, Jurij Aleš
, 
Jerica Novak

Jerica Novak

Institute of Oncology Ljubljana, Division of SurgeryLjubljana, Slovenia
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Novak, Jerica
, 
Mirko Omejc

Mirko Omejc

University Medical Centre Ljubljana, Department of Abdominal SurgeryLjubljana, Slovenia
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Omejc, Mirko
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Aleš Tomažič

Aleš Tomažič

University Medical Centre Ljubljana, Department of Abdominal SurgeryLjubljana, Slovenia
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Tomažič, Aleš
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Gregor Norčič

Gregor Norčič

University Medical Centre Ljubljana, Department of Abdominal SurgeryLjubljana, Slovenia
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Norčič, Gregor
  
01 ott 2019
Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery's Cover Image
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Categoria dell'articolo: Original scientific article
Pubblicato online: 01 ott 2019
Pagine: 148 - 154
Ricevuto: 12 ott 2018
Accettato: 03 lug 2019
DOI: https://doi.org/10.2478/sjph-2019-0019
Parole chiave
© 2019 National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Study flowchart. A total of 100 patients were included in the analysis. Of those, 51 were included in the test-retest analysis.
Study flowchart. A total of 100 patients were included in the analysis. Of those, 51 were included in the test-retest analysis.

Figure 2

Bland-Altman plot illustrating the difference between the numerical LARSS values at the first and second test (solid line denotes mean difference, dashed lines denote limits of agreement).
Bland-Altman plot illustrating the difference between the numerical LARSS values at the first and second test (solid line denotes mean difference, dashed lines denote limits of agreement).

Figure 3

Box plot showing the relationship between the LARSS and the QoL group.
Box plot showing the relationship between the LARSS and the QoL group.

Figure 4

The LARSS in clinical subgroups: radiotherapy, type of surgery and age.
The LARSS in clinical subgroups: radiotherapy, type of surgery and age.

Agreement between responses at the first and the second LARS test for each question of the LARSS_

Perfect Moderate No
Q1 78.4 (66.7–90.1) 15.7 (5.4–26.0) 5.9 (0–11.6)
Q2 72.5 (59.9–85.2) 25.5 (13.1–37.9) 2.0 (0–5.9)
Q3 78.4 (66.7–90.1) 19.6 (8.3–30.9) 2.0 (0–5.9)
Q4 76.5 (64.4–88.5) 17.6 (6.8-28.5) 5.9 (0-12.6)
Q5 78.4 (66.7–90.1) 19.6 (8.3–30.9) 2.0 (0–5.9)

Fit between the LARSS group and the QoL group_

Fit n% (95% CI)
No 10.0 (4.0-16.0)
Moderate 24.0 (14.5-32.5)
Perfect 66.0 (56.5-75.4)

The Slovenian version of Low Anterior Resection Syndrome Score (LARSS) (11)_

1. Se vam kdaj zgodi, da ne morete zadržati uhajanje vetrov?
- Ne, nikoli 0
- Da, manj kot enkrat na teden 4
- Da, vsaj enkrat na teden 7
2. Se vam kdaj zgodi, da vam po nesreči uide nekaj tekočega blata?
- Ne, nikoli 0
- Da, manj kot enkrat na teden 3
- Da, vsaj enkrat na teden 3
3. Kako pogosto odvajate blato?
- Več kot 7-krat na dan (na 24 ur) 4
- Od 4- do 7-krat na dan (na 24 ur) 2
- Od 1- do 3-krat na dan (na 24 ur) 0
- Manj kot enkrat na dan (na 24 ur) 5
4. Se vam kdaj zgodi, da morate ponovno na blato v eni uri po zadnjem odvajanju blata?
- Ne, nikoli 0
- Da, manj kot enkrat na teden - Da, vsaj enkrat na teden 9 11
5. Ali kdaj občutite tako hudo siljenje na blato, da morate steči na stranišče?
- Ne, nikoli 0
- Da, manj kot enkrat na teden 11
- Da, vsaj enkrat na teden 16

Fit between the QoL category and the LARSS category_

Impact of bowel function on QoL No LARS (0-20 points) Minor LARS (21-29 points) Major LARS (30-42 points)
No 3 (3%) 2 (2%) 0 (0%)
Minor 8 (8%) 8 (8%) 3 (3%)
Some/major 10 (10%) 11 (11%) 55 (55%)

Patient characteristics_

N=100
Males, n (%) 69 (69)
Age in years at time of survey, mean (SD) 73.5 (10.6)
Age in years at time of operation mean (SD) 63.4 (10.5)
Tumour stage
T0-T2, n (%) 52 (52)
T3-T4, n (%) 48 (48)
Years since operation, mean (SD) 9.7 (1.4)
Type of surgery
TME, n (%) 69 (69)
PME, n (%) 31 (31)
Tumour level in cm, mean (SD) 9.4 (3.3)
Radiotherapy, n (%) 57 (57)
Chemotherapy, n (%) 69 (69)
Lingua:
Inglese
Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicina, Medicina clinica, Medicina dell'igiene e dell'ambiente
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