Journal of Cancer Education

, Volume 33, Issue 2, pp 309–316 | Cite as

Evaluation of the Impact of Cancer Treatment on the Adoption and Consolidation of Pro-Health Attitudes in the Field of Cancer in Treated Patients with Colon Cancer

  • Krzysztof AdamowiczEmail author
  • Renata Zaucha


Colorectal cancer is the second most common cause of cancer deaths worldwide. Although progress in the development of new drugs over the last two decades has expanded treatment options for this disease, many significant problems relating to their optimization remain to be solved. Data on the cancer knowledge and the healthy behavior and lifestyle in patients with colorectal cancer in Poland is missing. We analyzed the course and results of treatment of first-line chemotherapy in 165 patients diagnosed with colorectal cancer treated between May 2010 and December 2013. The respondent’s knowledge in the field of cancer and their lifestyle before and after the treatment were rated. The results were compared with a control group. Mean age was 60.89 ± 8.69 years, median 59 years. The general knowledge about cancer and the level of healthy lifestyle before treatment were low. After treatment, both the knowledge about cancer and the level of healthy lifestyle increased compared to the control group. There was a clear relationship between the level of knowledge about cancer and the willingness to adopt attitudes and healthy behavior by patients. In our analysis, the overall quality of life in patients treated with first-line palliative chemotherapy of colorectal cancer did not change during treatment. Our results indicate the need to implement an educational program on cancer prevention in treated patients, and the analysis of quality of life and other factors than treatment effect remains controversial.


Colon cancer Knowledge about cancer Lifestyle 



Chemotherapy regiments with irinotecan and 5-florouracil


Colorectal cancer


Performance status by Eastern Cooperative Oncology Group


Chemotherapy regiments with oxaliplatin and 5-florouracil


Quality of life


Chemotherapy regiments with irinotecan and capecitabine


Chemotherapy regiments with oxaliplatin and capecitabine



The authors declare no acknowledgments.

Availability of Data and Materials

The data supporting our findings can be found in Clininet system on the server in Regional Hospital in Wejherowo (in the section of Oncology Department) Excel format and in the attachment to this file.

There were no sources of funding for the research.

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflict of Interest.


-Ethics: The Bioethics Committee of the Regional Medical Chamber in Gdansk is in attachment.

Consent to Publish

The authors agree to publication in BMC Public Health.

Our manuscript does not contain any individual person’s data in any form (including individual details, images, or videos).

Author Contributions

KA conceived the study, designed the study, collected data in a single center, performed the statistical analysis, and drafted the manuscript. RZ participated in the design of the study and collected data in a single center. All authors read and approved the final manuscript.


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Copyright information

© American Association for Cancer Education 2016

Authors and Affiliations

  1. 1.Regional Hospital in WejherowoWejherowoPoland
  2. 2.Depatment of Oncology and RadiotherapyMedical University of GdanskGdansk,Poland

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