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Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors.
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| Zeitschriftentitel: | Journal of Clinical Oncology |
|---|---|
| Personen und Körperschaften: | , , , , , , , |
| In: | Journal of Clinical Oncology, 35, 2017, 5_suppl, S. 150-150 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Society of Clinical Oncology (ASCO)
|
| Schlagwörter: |
| author_facet |
Sun, Virginia Wendel, Christopher Grant, Marcia Bulkley, Joanna E McMullen, Carmit K. Hornbrook, Mark C. Herrinton, Lisa J. Krouse, Robert S. Sun, Virginia Wendel, Christopher Grant, Marcia Bulkley, Joanna E McMullen, Carmit K. Hornbrook, Mark C. Herrinton, Lisa J. Krouse, Robert S. |
|---|---|
| author |
Sun, Virginia Wendel, Christopher Grant, Marcia Bulkley, Joanna E McMullen, Carmit K. Hornbrook, Mark C. Herrinton, Lisa J. Krouse, Robert S. |
| spellingShingle |
Sun, Virginia Wendel, Christopher Grant, Marcia Bulkley, Joanna E McMullen, Carmit K. Hornbrook, Mark C. Herrinton, Lisa J. Krouse, Robert S. Journal of Clinical Oncology Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. Cancer Research Oncology |
| author_sort |
sun, virginia |
| spelling |
Sun, Virginia Wendel, Christopher Grant, Marcia Bulkley, Joanna E McMullen, Carmit K. Hornbrook, Mark C. Herrinton, Lisa J. Krouse, Robert S. 0732-183X 1527-7755 American Society of Clinical Oncology (ASCO) Cancer Research Oncology http://dx.doi.org/10.1200/jco.2017.35.5_suppl.150 <jats:p> 150 </jats:p><jats:p> Background: Bowel dysfunction is a common long-term treatment effect that adversely impacts the quality of life (QOL) of rectal cancer (RC) survivors. Research suggests that self-care strategies such as behavioral adjustments and supplements/medications are used to achieve bowel control. Evidence describing the specific types of self-care strategies is lacking. The purpose of this study is to describe behavioral adjustments and supplement/medications use in long-term ( ≥ 5 years) RC survivors for managing bowel dysfunction. Methods: Long-term RC survivors with or without permanent ostomies who were enrolled in two Kaiser Permanente Regions completed a survey that included questions eliciting behavioral adjustments and supplements/medications used for bowel control. Written comments from the questions were coded for content and themes. The themes were reviewed and agreed upon by the research team. Responses mentioned < 9 times were combined into broader categories; those mentioned ≥ 9 times were coded separately. Results: A total of 577 RC survivors responded to the survey. 118 survivors (20.4%) responded to the behavioral adjustment question, while 248 (43%) responded to the helpful supplements/medications question. Behavioral adjustments included controlling meal portions (38.9%), eating meals at regular times (19.4%), not eating late or before bedtime (10.1%), and grazing (8.4%); they mitigated constipation, obstruction, bloating, frequency, urgency, and improved bowel predictability. Other behavioral adjustments include not eating before or after activities (5.9%), not eating (5.1%), snacking at regular times (2.5%), and eating less when traveling (1.6%). Helpful supplements/medications include anti-diarrheals (23.6%), dietary fiber supplements (16.6%), stool softeners (15.0%), laxatives (12.6%), antacid (5.6%), probiotics (5.0%), and opioids (3.6%). Conclusions: RC survivors used multiple behavioral adjustments and supplements/medications to achieve bowel control. The specific adjustments and strategies varied greatly. Findings will aid in developing personalized strategies to manage bowel symptoms during survivorship. </jats:p> Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. Journal of Clinical Oncology |
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| title |
Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_unstemmed |
Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_full |
Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_fullStr |
Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_full_unstemmed |
Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_short |
Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_sort |
behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| topic |
Cancer Research Oncology |
| url |
http://dx.doi.org/10.1200/jco.2017.35.5_suppl.150 |
| publishDate |
2017 |
| physical |
150-150 |
| description |
<jats:p> 150 </jats:p><jats:p> Background: Bowel dysfunction is a common long-term treatment effect that adversely impacts the quality of life (QOL) of rectal cancer (RC) survivors. Research suggests that self-care strategies such as behavioral adjustments and supplements/medications are used to achieve bowel control. Evidence describing the specific types of self-care strategies is lacking. The purpose of this study is to describe behavioral adjustments and supplement/medications use in long-term ( ≥ 5 years) RC survivors for managing bowel dysfunction. Methods: Long-term RC survivors with or without permanent ostomies who were enrolled in two Kaiser Permanente Regions completed a survey that included questions eliciting behavioral adjustments and supplements/medications used for bowel control. Written comments from the questions were coded for content and themes. The themes were reviewed and agreed upon by the research team. Responses mentioned < 9 times were combined into broader categories; those mentioned ≥ 9 times were coded separately. Results: A total of 577 RC survivors responded to the survey. 118 survivors (20.4%) responded to the behavioral adjustment question, while 248 (43%) responded to the helpful supplements/medications question. Behavioral adjustments included controlling meal portions (38.9%), eating meals at regular times (19.4%), not eating late or before bedtime (10.1%), and grazing (8.4%); they mitigated constipation, obstruction, bloating, frequency, urgency, and improved bowel predictability. Other behavioral adjustments include not eating before or after activities (5.9%), not eating (5.1%), snacking at regular times (2.5%), and eating less when traveling (1.6%). Helpful supplements/medications include anti-diarrheals (23.6%), dietary fiber supplements (16.6%), stool softeners (15.0%), laxatives (12.6%), antacid (5.6%), probiotics (5.0%), and opioids (3.6%). Conclusions: RC survivors used multiple behavioral adjustments and supplements/medications to achieve bowel control. The specific adjustments and strategies varied greatly. Findings will aid in developing personalized strategies to manage bowel symptoms during survivorship. </jats:p> |
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| author | Sun, Virginia, Wendel, Christopher, Grant, Marcia, Bulkley, Joanna E, McMullen, Carmit K., Hornbrook, Mark C., Herrinton, Lisa J., Krouse, Robert S. |
| author_facet | Sun, Virginia, Wendel, Christopher, Grant, Marcia, Bulkley, Joanna E, McMullen, Carmit K., Hornbrook, Mark C., Herrinton, Lisa J., Krouse, Robert S., Sun, Virginia, Wendel, Christopher, Grant, Marcia, Bulkley, Joanna E, McMullen, Carmit K., Hornbrook, Mark C., Herrinton, Lisa J., Krouse, Robert S. |
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| container_title | Journal of Clinical Oncology |
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| description | <jats:p> 150 </jats:p><jats:p> Background: Bowel dysfunction is a common long-term treatment effect that adversely impacts the quality of life (QOL) of rectal cancer (RC) survivors. Research suggests that self-care strategies such as behavioral adjustments and supplements/medications are used to achieve bowel control. Evidence describing the specific types of self-care strategies is lacking. The purpose of this study is to describe behavioral adjustments and supplement/medications use in long-term ( ≥ 5 years) RC survivors for managing bowel dysfunction. Methods: Long-term RC survivors with or without permanent ostomies who were enrolled in two Kaiser Permanente Regions completed a survey that included questions eliciting behavioral adjustments and supplements/medications used for bowel control. Written comments from the questions were coded for content and themes. The themes were reviewed and agreed upon by the research team. Responses mentioned < 9 times were combined into broader categories; those mentioned ≥ 9 times were coded separately. Results: A total of 577 RC survivors responded to the survey. 118 survivors (20.4%) responded to the behavioral adjustment question, while 248 (43%) responded to the helpful supplements/medications question. Behavioral adjustments included controlling meal portions (38.9%), eating meals at regular times (19.4%), not eating late or before bedtime (10.1%), and grazing (8.4%); they mitigated constipation, obstruction, bloating, frequency, urgency, and improved bowel predictability. Other behavioral adjustments include not eating before or after activities (5.9%), not eating (5.1%), snacking at regular times (2.5%), and eating less when traveling (1.6%). Helpful supplements/medications include anti-diarrheals (23.6%), dietary fiber supplements (16.6%), stool softeners (15.0%), laxatives (12.6%), antacid (5.6%), probiotics (5.0%), and opioids (3.6%). Conclusions: RC survivors used multiple behavioral adjustments and supplements/medications to achieve bowel control. The specific adjustments and strategies varied greatly. Findings will aid in developing personalized strategies to manage bowel symptoms during survivorship. </jats:p> |
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| spelling | Sun, Virginia Wendel, Christopher Grant, Marcia Bulkley, Joanna E McMullen, Carmit K. Hornbrook, Mark C. Herrinton, Lisa J. Krouse, Robert S. 0732-183X 1527-7755 American Society of Clinical Oncology (ASCO) Cancer Research Oncology http://dx.doi.org/10.1200/jco.2017.35.5_suppl.150 <jats:p> 150 </jats:p><jats:p> Background: Bowel dysfunction is a common long-term treatment effect that adversely impacts the quality of life (QOL) of rectal cancer (RC) survivors. Research suggests that self-care strategies such as behavioral adjustments and supplements/medications are used to achieve bowel control. Evidence describing the specific types of self-care strategies is lacking. The purpose of this study is to describe behavioral adjustments and supplement/medications use in long-term ( ≥ 5 years) RC survivors for managing bowel dysfunction. Methods: Long-term RC survivors with or without permanent ostomies who were enrolled in two Kaiser Permanente Regions completed a survey that included questions eliciting behavioral adjustments and supplements/medications used for bowel control. Written comments from the questions were coded for content and themes. The themes were reviewed and agreed upon by the research team. Responses mentioned < 9 times were combined into broader categories; those mentioned ≥ 9 times were coded separately. Results: A total of 577 RC survivors responded to the survey. 118 survivors (20.4%) responded to the behavioral adjustment question, while 248 (43%) responded to the helpful supplements/medications question. Behavioral adjustments included controlling meal portions (38.9%), eating meals at regular times (19.4%), not eating late or before bedtime (10.1%), and grazing (8.4%); they mitigated constipation, obstruction, bloating, frequency, urgency, and improved bowel predictability. Other behavioral adjustments include not eating before or after activities (5.9%), not eating (5.1%), snacking at regular times (2.5%), and eating less when traveling (1.6%). Helpful supplements/medications include anti-diarrheals (23.6%), dietary fiber supplements (16.6%), stool softeners (15.0%), laxatives (12.6%), antacid (5.6%), probiotics (5.0%), and opioids (3.6%). Conclusions: RC survivors used multiple behavioral adjustments and supplements/medications to achieve bowel control. The specific adjustments and strategies varied greatly. Findings will aid in developing personalized strategies to manage bowel symptoms during survivorship. </jats:p> Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. Journal of Clinical Oncology |
| spellingShingle | Sun, Virginia, Wendel, Christopher, Grant, Marcia, Bulkley, Joanna E, McMullen, Carmit K., Hornbrook, Mark C., Herrinton, Lisa J., Krouse, Robert S., Journal of Clinical Oncology, Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors., Cancer Research, Oncology |
| title | Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_full | Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_fullStr | Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_full_unstemmed | Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_short | Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_sort | behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| title_unstemmed | Behavioral adjustments, supplements, and medications to manage bowel dysfunction in rectal cancer survivors. |
| topic | Cancer Research, Oncology |
| url | http://dx.doi.org/10.1200/jco.2017.35.5_suppl.150 |