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Techniques in Coloproctology

, Volume 18, Issue 12, pp 1153–1159 | Cite as

One-third of patients fail to return to work 1 year after surgery for colorectal cancer

  • A. Bhalla
  • J. P. Williams
  • N. G. Hurst
  • W. J. Speake
  • G. M. Tierney
  • S. Tou
  • J. N. Lund
Original Article

Abstract

Background

Achieving full recovery after colorectal cancer surgery means a return to normal physical and psychological health and to a normal social life. Recovery data focusses on time to discharge rather than longer term functionality including return to work (RTW). We aim to assess return to normal holistic function at 1 year after colorectal cancer surgery.

Method

Questionnaires were created and dispatched to 204 patients who had undergone surgery with curative intent for colorectal cancer, in 2011–2012, in a single teaching hospital.

Results

Response rate was 75 % (153/204), 82 % (129/157) for open surgery (OS) and 51 % (24/47) for laparoscopic surgery (LS). Median age was 68 (48–91) years for OS and 65 (36–84) for LS. Eighty-four per cent of patients felt ‘ready’ and 95 % had adequate pain control upon discharge (no difference between groups). LS reported earlier ‘return to full fitness’ (1–3 months) than OS (>6 months; Mann–Whitney U, p < 0.05). Recovery from LS was ‘better than expected’ compared to OS ‘worse than expected’ (Mann–Whitney U test, p < 0.05). Forty-nine patients were employed preoperatively and 61 % (n = 30) returned to work. RTW was more frequent after LS (Chi-square test, p < 0.05). Length of time to RTW was significantly less after LS [44 (6–84) days] than OS [71 (14–252) days] (t test, p < 0.05). Levels of self-employment were equal between groups.

Conclusions

One-third of patients failed to RTW at 1 year post-surgery. Patients having LS returned to full fitness faster, felt recovery was shorter and returned to work earlier than OS. We must invest more in managing expectations and provide better post-discharge support to improve RTW.

Keywords

Laparoscopic surgery Return to work Recovery Colorectal cancer 

Notes

Acknowledgments

The authors would like to thank the research and Governance department, Royal Derby Hospitals NHS Trust for their support.

Conflict of interest

None.

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Copyright information

© Springer-Verlag Italia Srl 2014

Authors and Affiliations

  • A. Bhalla
    • 1
    • 2
  • J. P. Williams
    • 2
  • N. G. Hurst
    • 1
  • W. J. Speake
    • 1
  • G. M. Tierney
    • 1
  • S. Tou
    • 1
  • J. N. Lund
    • 1
    • 2
  1. 1.Department of SurgeryRoyal Derby Hospital, Royal Derby Hospitals NHS TrustDerbyUK
  2. 2.Division of Medical Sciences and Graduate Entry Medicine, School of MedicineUniversity of NottinghamNottinghamUK

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