PTOTRNSystematic ReviewNursing open2024

The unmet rehabilitation needs of colorectal cancer survivors after surgery: A qualitative meta-synthesis.

Yingying Yi, Yinhao Yang, Xixi Shi and 1 others

PMID 38268281

WHAT IT FOUND

Colorectal cancer survivors after surgery said they lacked clear help with diet, exercise, bowel symptoms, stoma care, work and emotional support.

These are reported needs, not tested interventions.

Key findings

01Survivors reported confusion about what, how much, and how to eat after surgery, and some refused dietary guidance because they believed changing their diet was unworthy.

02Some survivors feared postoperative exercise would worsen their condition, and the synthesis found missing information about exercise type, intensity, amount and duration.

03Survivors described unpredictable bowel symptoms, including faecal incontinence, and a lack of information on defecation management.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

The synthesis reports experiences and needs, not whether interventions work. Only English-language qualitative studies were included, and the authors note most included studies were from Europe, so findings may not apply to other languages or regions. Some original studies had Joanna Briggs Institute checklist items rated no, so methodological quality was not uniform. The included studies used different countries, settings, interview methods and sample sizes, so the themes are broad. The Discussion gives recommendations, but those are authors' suggestions, not tested findings.

Declared interests

The authors declared no competing interests. Funding came from a Hubei Province Colleges and Universities Outstanding Young and Middle aged Scientific and Technological Innovation Team Program, a Jingmen City Key Science and Technology Plan Project, and a Jingchu University of Technology Joint Training Graduate Research Special Fund Project.

The easy way to misread this

Do not read these themes as evidence that diet, exercise, stoma, or return-to-work interventions improve outcomes. The paper synthesises survivors' reported unmet needs from qualitative studies; it did not test an intervention or measure clinical outcomes.

Read it on PubMed →