Batehup, Lynn

Calman, Lynn

Chivers Seymour, Kim

Corner, Jessica

Din, Amy

Fenlon, Deborah

Foster, Claire

Grimmett, Chloe

Haviland, Joanne

May, Christine M.

Richardson, Alison

Smith, Peter W.

Winter, Jane

Nottingham ePrints

Foster, Claire and Haviland, Joanne and Winter, Jane and Grimmett, Chloe and Chivers Seymour, Kim and Batehup, Lynn and Calman, Lynn and Corner, Jessica and Din, Amy and Fenlon, Deborah and May, Christine M. and Smith, Peter W. and Richardson, Alison (2016) Trajectories of quality of life, health status and personal wellbeing up to two years after curative intent treatment for colorectal cancer: results from the UK ColoREctal Wellbeing (CREW) cohort study. In: The British Psychosocial Oncology Society 2016 Conference, 3-4 Mar. 2016, Cambridge, UK. (Unpublished) Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/32433/1/CREW%20Trajectories%20of%20quality%20of%20life%20BPOS%202016%20abstract.pdfCopyright and reuse: The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions.· Copyright and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners.· To the extent reasonable and practicable the material made available in Nottingham ePrints has been checked for eligibility before being made available.· Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way.· Quotations or similar reproductions must be sufficiently acknowledged.Please see our full end user licence at: http://eprints.nottingham.ac.uk/end_user_agreement.pdf A note on versions: The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher’s version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.ukTrajectories of quality of life, health status and personal wellbeing up to two years after curative intent treatment for colorectal cancer: results from the UK ColoREctal Wellbeing (CREW) cohort study Claire Foster, Joanne Haviland, Jane Winter, Chloe Grimmett, Kim Chivers Seymour, Lynn Batehup, Lynn Calman, Jessica Corner, Amy Din, Deborah Fenlon, Christine M May, Peter W Smith, Alison Richardson, Members of CREW Study Advisory Committee*  *Members of Study Advisory Committee: Julia Addington-Hall, Jo Armes, Janis Baird, Andrew Bateman, Nick Beck, Graham Moon, Claire Hulme, Karen Poole, Susan Restorick-Banks, Paul Roderick, Claire Taylor, Jocelyn Walters, Fran Williams Background Cancer survivorship is a growing global concern and the current aftercare system does not sufficiently meet patients needs;  patterns of recovery should be considered in order to tailor aftercare appropriately.  Aims Examine trajectories of quality of life (QoL), health status and personal wellbeing in the first two years following colorectal surgery.  Methods Cohort study of 872 UK colorectal cancer patients. Questionnaires at baseline (pre-surgery), 3, 9, 15, 24 months. QoL, health status, personal wellbeing, physical symptoms, anxiety, depression, self-efficacy, social support, socio-demographic and clinical/treatment characteristics were examined. Longitudinal analyses assessed change in QoL, health and wellbeing over time and predictors of trajectories. Results Four distinct trajectories (groups) were identified for each outcome measure. Group 1: consistently good QoL (31.3%), mild and improving health problems (20.9%), consistently good wellbeing (44.9%). Groups 2 and 3: intermediate and changing levels of QoL, health status and personal wellbeing. Group 4: consistently poor QoL (5.3%) and health status (7.4%), very poor/declining wellbeing (4.2%). 11.5% were in Group 4 for > 1 of the outcomes. Higher pre-surgery depression and lower self-efficacy were significantly associated with poorer trajectories for all three outcomes after adjusting for other important predictors including disease characteristics, stoma, anxiety and social support. Conclusions Distinct recovery trajectories following colorectal cancer treatment can be identified with risk factors. Different approaches to follow-up care are warranted and these results provide robust data regarding who is likely to need more intensive support, which will inform the development of risk-stratified follow-up management tailored to an individuals need.   Acknowledgements CREW is funded by Macmillan Cancer Support  

Trajectories of quality of life, health status and personal wellbeing up to two years after curative intent treatment for colorectal cancer: results from the UK ColoREctal Wellbeing (CREW) cohort study

Trajectories of quality of life, health status and personal wellbeing up to two years after curative intent treatment for colorectal cancer: results from the UK ColoREctal Wellbeing (CREW) cohort study

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