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

Article

Abstract

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.

Keywords

Colon cancer Knowledge about cancer Lifestyle 

Abbreviations

CLF1

Chemotherapy regiments with irinotecan and 5-florouracil

CRC

Colorectal cancer

ECOG

Performance status by Eastern Cooperative Oncology Group

FOLFOX4

Chemotherapy regiments with oxaliplatin and 5-florouracil

Qol

Quality of life

XELIRI

Chemotherapy regiments with irinotecan and capecitabine

XELOX

Chemotherapy regiments with oxaliplatin and capecitabine

Notes

Acknowledgments

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.

Declarations

-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.

References

  1. 1.
    Pasz-Walczak G. (2007) Prevention. In Kordek R. (red) Onkologia. Textbook for students and practitioners. Via Medica 52–57Google Scholar
  2. 2.
    Gniazdowski A. (red.) (1990) Health behaviors. Theoretical issues, attempt to characterize the behavior of the health of the Polish society. LodzGoogle Scholar
  3. 3.
    Milio N. (1986) Health through public policy. OttawaGoogle Scholar
  4. 4.
    Ferlay J, Soerjomataram I, Ervik M, et al. (2013) GLOBOCAN 2012 v1.0, Cancer incidence and mortality worldwide: IARC CancerBase No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer. Available at: http://globocan.iarc.fr.
  5. 5.
    Wojciechowska U, Didkowska J, Zatoński W (2010) Malignancies in Poland. Centrum Onkologii Instytut, WarszawaGoogle Scholar
  6. 6.
    De Angelis R, Sant M, Coleman MP et al (2014) Cancer survival in europe 1999-2007 by country and age: results of EUROCARE–5-a population-based study. Lancet Oncol 15:23–34CrossRefPubMedGoogle Scholar
  7. 7.
    Renehan AG, Tyson M, Egger M, Heller RF, Zwahlen M (2008) Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 371:569–578CrossRefPubMedGoogle Scholar
  8. 8.
    Terry P, Giovannucci E, Michels KB, Bergkvist L et al (2001) Fruit, vegetables, dietary fiber, and risk of colorectal cancer. J Natl Cancer Inst 93:525–533CrossRefPubMedGoogle Scholar
  9. 9.
    Adamowicz K, Zalewska M, Majkowicz M, Zaucha JM (2015) Evaluation of the impact of different types of health education on the adoption and preservation of Prohealth attitudes in preventing cancer in juveniles younger than 18 Years. J Cancer Educ 30:432–438CrossRefPubMedGoogle Scholar
  10. 10.
    Adamowicz K, Zaucha JM, Majkowicz M (2011) Assessment of the state of knowledge regarding cancer prevention among patients of the breast cancer prevention clinic Nowotwory. J Oncol 61:449–456Google Scholar
  11. 11.
    Preventive Services US (2008) Task force screening for colorectal cancer: U.S. preventive services task force recommendation statement. Ann Intern Med 149:627–637CrossRefGoogle Scholar
  12. 12.
    Ma Y, Yang Y, Wang F et al (2013) Obesity and risk of colorectal cancer: a systematic review of prospective studies. PLoS One 8:e53916CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Botteri E, Iodice S, Raimondi S, Maisonneuve P, Lowenfels AB (2008) Cigarette smoking and adenomatous polyps: a meta-analysis. Gastroenterology 134:388–395CrossRefPubMedGoogle Scholar
  14. 14.
    Botteri E, Iodice S, Bagnardi V, Raimondi S, Lowenfels AB, Maisonneuve P (2008) Smoking and colorectal cancer: a meta-analysis. JAMA 300:2765–2778CrossRefPubMedGoogle Scholar
  15. 15.
    Paskett ED, Reeves KW, Rohan TE, Allison MA et al (2007) Association between cigarette smoking and colorectal cancer in the Women’s Health Initiative. J Natl Cancer Inst 99:1729–1735CrossRefPubMedGoogle Scholar
  16. 16.
    The study “Social Diagnosis 2013”. Newsweek 08–05-2014Google Scholar
  17. 17.
    Verla-Tebit E, Lilla C, Hoffmeister M, Brenner H, Chang-Claude J (2006) Cigarette smoking and colorectal cancer risk in Germany: a population-based case-control study. Int J Cancer 119:630–635CrossRefPubMedGoogle Scholar
  18. 18.
    Terry P, Ekbom A, Lichtenstein P, Feychting M, Wolk A (2001) Long-term tobacco smoking and colorectal cancer in a prospective cohort study. Int J Cancer 91:585–587CrossRefPubMedGoogle Scholar
  19. 19.
    Aune D, Lau R, Chan DS et al (2012) Dairy products and colorectal cancer risk: a systematic review and meta-analysis of cohort studies. Ann Oncol 23:37–45CrossRefPubMedGoogle Scholar
  20. 20.
    Vogel VG, McPherson RS (1989) Dietary epidemiology of colon cancer. Hematol Oncol Clin North Am 3:35–63PubMedGoogle Scholar
  21. 21.
    Shike M, Winawer SJ, Greenwald PH, Bloch A, Hill MJ, Swaroop SV (1990) Primary prevention of colorectal cancer. The WHO collaborating Centre for the Prevention of colorectal cancer. Bull World Health Organ 68:377–385PubMedPubMedCentralGoogle Scholar
  22. 22.
    Pericleous M, Mandair D, Caplin ME (2013) Diet and supplements and their impact on colorectal cancer. J Gastrointest Oncol 4:409–423PubMedPubMedCentralGoogle Scholar
  23. 23.
    Otto S (2009) Lin. Acquired risk factors for colorectal cancer. Methods Mol Biol 472:361–372CrossRefGoogle Scholar
  24. 24.
    Bernstein AM, Song M, Zhang X et al (2015) Processed and unprocessed red meat and risk of colorectal cancer: analysis by tumor location and modification by time. PLoS One 25:10Google Scholar
  25. 25.
    Alexander DD, Cushing CA, Lowe KA, Sceurman B, Roberts MA (2009) Meta-analysis of animal fat or animal protein intake and colorectal cancer. Am J Clin Nutr 89:1402–1409CrossRefPubMedGoogle Scholar
  26. 26.
    Norat T, Lukanova A, Ferrari P, Riboli E (2002) Meat consumption and colorectal cancer risk: dose-response meta-analysis of epidemiological studies. Int J Cancer 98:241–256CrossRefPubMedGoogle Scholar
  27. 27.
    Sandhu MS, White IR, McPherson K (2001) Systematic review of the prospective cohort studies on meat consumption and colorectal cancer risk: a meta-analytical approach. Cancer Epidemiol Biomark Prev 10:439–446Google Scholar
  28. 28.
    Sinha R, Chow WH, Kulldorff M, Denobile J et al (1999) Well-done, grilled red meat increases the risk of colorectal adenomas. Cancer Res 59:4320–4324PubMedGoogle Scholar
  29. 29.
    Probst-Hensch NM, Sinha R, Longnecker MP, Witte JS et al (1997) Meat preparation and colorectal adenomas in a large sigmoidoscopy-based case-control study in California (United States. Cancer Causes Control 8:175–183CrossRefPubMedGoogle Scholar
  30. 30.
    Alexander DD, Miller AJ, Cushing CA, Lowe KA (2010) Processed meat and colorectal cancer: a quantitative review of prospective epidemiologic studies. Eur J Cancer Prev 19:328–341CrossRefPubMedGoogle Scholar
  31. 31.
    Alexander DD, Cushing CA (2011) Red meat and colorectal cancer: a critical summary of prospective epidemiologic studies. Obes Rev 12:472–493CrossRefGoogle Scholar
  32. 32.
    Franceschi S, La Vecchia C, Russo A, Favero A et al (1998) Macronutrient intake and risk of colorectal cancer in Italy. Int J Cancer 76:321–324CrossRefPubMedGoogle Scholar
  33. 33.
    Fung TT, FB H, Wu K, Chiuve SE et al (2010) The Mediterranean and dietary approaches to stop hypertension (DASH) diets and colorectal cancer. Am J Clin Nutr 92:1429–1435CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Alexander DD, Cushing CA, Lowe KA, Sceurman B et al (2009) Meta-analysis of animal fat or animal protein intake and colorectal cancer. Am J Clin Nutr 89:1402–1409CrossRefPubMedGoogle Scholar
  35. 35.
    Liu L, Zhuang W, Wang RQ et al (2011) Is dietary fat associated with the risk of colorectal cancer? A meta-analysis of 13 prospective cohort studies. Eur J Nutr 50:173–184CrossRefPubMedGoogle Scholar
  36. 36.
    Conlon MA, Bird AR (2015) The impact of diet and lifestyle on gut microbiota and human health. Nutrients. 7:17–44CrossRefGoogle Scholar
  37. 37.
    de Godoy M, Kerr K, Fahey G (2013) Alternative dietary fiber sources in companion animal nutrition. Nutrients 5:3099–3117CrossRefPubMedPubMedCentralGoogle Scholar
  38. 38.
    Kashino I, Mizoue T, Tanaka K et al (2015) Vegetable consumption and colorectal cancer risk: an evaluation based on a systematic review and meta-analysis among the Japanese population. Jpn J Clin Oncol 45:973–979CrossRefPubMedGoogle Scholar
  39. 39.
    Williams MT, Hord NG (2005) The role of dietary factors in cancer prevention: beyond fruits and vegetables. Nutr Clin Pract 20:451–459CrossRefPubMedGoogle Scholar
  40. 40.
    van Duijnhoven FJ, Bueno-De-Mesquita HB, Ferrari P, Jenab M et al (2009) Fruit, vegetables, and colorectal cancer risk: the European prospective investigation into cancer and nutrition. Am J Clin Nutr 89:1441–1452CrossRefPubMedGoogle Scholar
  41. 41.
    Millen AE, Subar AF, Graubard BI, Peters U et al (2007) Fruit and vegetable intake and prevalence of colorectal adenoma in a cancer screening trial. Am J Clin Nutr 86:1754–1764CrossRefPubMedGoogle Scholar
  42. 42.
    Michels KB, Giovannucci E, Chan AT, Singhania R et al (2006) Fruit and vegetable consumption and colorectal adenomas in the nurses’ health study. Cancer Res 66:3942–3953CrossRefPubMedGoogle Scholar
  43. 43.
    Witte JS, Longnecker MP, Bird CL, Lee ER et al (1996) Relation of vegetable, fruit, and grain consumption to colorectal adenomatous polyps. Am J Epidemiol 144:1015–1025CrossRefPubMedGoogle Scholar
  44. 44.
    Chen GC, Pang Z, Liu QF (2012) Magnesium intake and risk of colorectal cancer: a meta-analysis of prospective studies. Eur J Clin Nutr 66:1182–1186CrossRefPubMedGoogle Scholar
  45. 45.
    Sasazuki S, Inoue M, Iwasaki M, Sawada N et al (2011) Intake of n-3 and n-6 polyunsaturated fatty acids and development of colorectal cancer by subsite: Japan public health center-based prospective study. Int J Cancer 129:1718–1729CrossRefPubMedGoogle Scholar
  46. 46.
    Kimura Y, Kono S, Toyomura K, Nagano J et al (2007) Meat, fish and fat intake in relation to subsite-specific risk of colorectal cancer: the Fukuoka colorectal cancer study. Cancer Sci 98:590–597CrossRefPubMedGoogle Scholar
  47. 47.
    Kim S, Sandler DP, Galanko J, Martin C et al (2009) Intake of polyunsaturated fatty acids and distal large bowel cancer risk in whites and African Americans. Am J Epidemiol 171:969–979CrossRefGoogle Scholar
  48. 48.
    Wu S, Feng B, Li K, Zhu X et al (2012) Fish consumption and colorectal cancer risk in humans: a systematic review and meta-analysis. Am J Med 125:551–559CrossRefPubMedGoogle Scholar
  49. 49.
    Daniel CR, McCullough ML, Patel RC, Jacobs EJ et al (2009) Dietary intake of omega-6 and omega-3 fatty acids and risk of colorectal cancer in a prospective cohort of U.S. men and women. Cancer Epidemiol Biomark Prev 18:516–525CrossRefGoogle Scholar
  50. 50.
    Shen XJ, Zhou JD, Dong JY, Ding WQ et al (2012) Dietary intake of n-3 fatty acids and colorectal cancer risk: a meta-analysis of data from 489 000 individuals. Br J Nutr 108:1550–1556CrossRefPubMedGoogle Scholar
  51. 51.
    MacLean CH, Newberry SJ, Mojica WA, Khanna P et al (2006) Effects of omega-3 fatty acids on cancer risk: a systematic review. JAMA 295:403–415CrossRefPubMedGoogle Scholar
  52. 52.
    Saad ED, Adamowicz K, Katz A, Jassem J (2012) Assessment of quality of life in advanced non-small-cell lung cancer: an overview of recent randomized trials. Cancer Treat Rev 38:807–814CrossRefPubMedGoogle Scholar
  53. 53.
    Adamowicz K, Jassem J, Katz A, Saad ED (2012) Assessment of quality of life in advanced breast cancer. An overview of randomized phase III trials. Cancer Treat Rev 38:554–558CrossRefPubMedGoogle Scholar
  54. 54.
    Engel J, Kerr J, Schlesinger-Raab A, Eckel R, Sauer H, Hölzel D (2003) Quality of life in rectal cancer patients: a four-year prospective study. Ann Surg 238:203–213PubMedPubMedCentralGoogle Scholar
  55. 55.
    Braun DP, Gupta D, Grutsch JF, Staren ED (2011) Can changes in health related quality of life scores predict survival in stages III and IV colorectal cancer? Health Qual Life Outcomes 9:62CrossRefPubMedPubMedCentralGoogle Scholar
  56. 56.
    Hoon LS, Chi Sally CW, Hong-Gu H (2013) Effect of psychosocial interventions on outcomes of patients with colorectal cancer: a review of the literature. Eur J Oncol Nurs 17:883–891CrossRefPubMedGoogle Scholar
  57. 57.
    Alacacioglu A, Binicier O, Gungor O et al (2010) Quality of life, anxiety, and depression in Turkish colorectal cancer patients. Support Care Cancer 18:417–421CrossRefPubMedGoogle Scholar

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

Personalised recommendations