Głowacka-Mrotek Iwona, Jankowski Michał, Skonieczny Bartosz, Tarkowska Magdalena, Ratuszek-Sadowska Dorota, Lewandowska Anna, Nowikiewicz Tomasz, Ogurkowski Karol, Zegarski Wojciech, Mackiewicz-Milewska Magdalena
Department of Rehabilitation, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, Poland.
Department of Surgical Oncology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, 85-094 Bydgoszcz, Poland.
Cancers (Basel). 2023 Apr 14;15(8):2298. doi: 10.3390/cancers15082298.
Low back pain presents a serious challenge for numerous medical specialties. The purpose of this study was to assess disability due to low back pain in patients operated on due to colorectal cancer depending on the type of surgery performed.
This prospective observational study was carried out in the period of July 2019 through March 2020. Included in the study were patients with colorectal cancer for scheduled surgeries including anterior resection of rectum (AR), laparoscopic anterior resection of rectum (LAR), Hartmann's procedure (HART), or abdominoperineal resection of rectum (APR). The Oswestry Low Back Pain Disability Questionnaire was used as the research tool. The study patients were surveyed at three time points: before surgery, six months after surgery, and one year after surgery.
The analysis of study results revealed that an increase in the degree of disability and functioning impairment occurred in all groups between time points I and II, with the differences being statistically significant ( < 0.05). The inter-group comparative analysis of the total Oswestry questionnaire scores revealed statistically significant differences, with the impairment of function being most severe within the APR group and least severe within the LAR group.
The study results showed that low back pain contributes to impaired functioning of patients operated on due to colorectal cancer regardless of the type of procedure performed. A reduction in the degree of disability due to low back pain was observed one year after the procedure in patients having undergone LAR.
下背痛给众多医学专科带来了严峻挑战。本研究的目的是根据所施行的手术类型，评估因结直肠癌接受手术的患者中，下背痛所致的残疾情况。
这项前瞻性观察性研究于2019年7月至2020年3月期间进行。纳入研究的是计划接受手术的结直肠癌患者，包括直肠前切除术（AR）、腹腔镜直肠前切除术（LAR）、哈特曼手术（HART）或直肠腹会阴联合切除术（APR）。采用奥斯维斯特下背痛残疾问卷作为研究工具。对研究患者在三个时间点进行调查：手术前、手术后六个月和手术后一年。
研究结果分析显示，在所有组中，时间点I和II之间残疾程度和功能损害程度均有所增加，差异具有统计学意义（<0.05）。对奥斯维斯特问卷总分的组间比较分析显示，差异具有统计学意义，功能损害在APR组最为严重，在LAR组最轻微。
研究结果表明，无论施行何种手术，下背痛都会导致因结直肠癌接受手术的患者功能受损。接受LAR手术的患者在术后一年，因下背痛导致的残疾程度有所降低。
