This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Awareness and Knowledge of Low Anterior Resection Syndrome (Lars) in Colorectal Surgeons: A Cross-sectional Survey
Yingjiang Ye
Department of Gastrointestinal Surgery, Peking University People’s Hospital, Beijing 100044, PR China 2: Laboratory of Surgical Oncology, Peking University People’s Hospital, Beijing 100044, PR China 3: Beijing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research, Peking University People’s Hospital, Beijing 100044, PR China
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background More than 50% patients suffered from low anterior resection syndrome (LARS) after low anterior resection, and their quality of life is predominantly determined by colorectal surgeons’ awareness and knowledge of LARS. We conducted the survey to find out the weakness in the management of patients' functional recovery after surgery and explore targeted training pathways to improve doctor’s ability to deal with LARS.
Methods An anonymous paper-based survey among colorectal surgeons was performed across the country.
Results 252 questionnaires were collected and analyzed with the effective rate of 86.6%. Most of the respondents were highly educated and experienced in gastroenterology. The mean age was 39.9 ± 9.20 years. In multivariate Logistic regression analysis, surgeons with MD, PhD degree (OR: 2.843, 95%CI: 1.441-5.609, p = 0.003) and national academic membership (OR: 2.063, 95%CI: 1.010-4.214, p = 0.047) were associated with surgeons’ emphasis on follow-up. 65.1% of respondents underestimated the prevalence of LARS. Chief/deputy chief, national academic membership and annual surgeries ≥ 50 (42.7% vs 29.4%, p=0.033; 46.4% vs 30.0%, p=0.007; 46.0% vs 31.6%, p=0.021) were associated with high diagnostic rate of LARS but none of these factors were statistically significant in multivariate analysis. LARS score was the most popular scale in the evaluation of LARS severity. The feedback of the most common postoperative anorectal disorders by colorectal surgeons was significantly different from the items listed in the LARS score. 48.4% of respondents use drugs to treat LARS but therapies varied from surgeons to surgeons. C
onclusions There is a lack of knowledge relating to LARS in colorectal surgeons. Clinical guidelines should be developed to guide medical staff in effective management of patients with LARS.
Keywords
rectal cancer, low anterior resection syndrome, defecation dysfunction, surgeons, survey
Figure 1
Figure 2
Figure 3
Figure 4
This is a list of supplementary files associated with this preprint. Click to download.
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 19 Aug, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Oncology
Learn more about our company.
This is a preprint. It has not completed peer review.
Research
Awareness and Knowledge of Low Anterior Resection Syndrome (Lars) in Colorectal Surgeons: A Cross-sectional Survey
Yingjiang Ye
Department of Gastrointestinal Surgery, Peking University People’s Hospital, Beijing 100044, PR China 2: Laboratory of Surgical Oncology, Peking University People’s Hospital, Beijing 100044, PR China 3: Beijing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research, Peking University People’s Hospital, Beijing 100044, PR China
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 19 Aug, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Oncology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background More than 50% patients suffered from low anterior resection syndrome (LARS) after low anterior resection, and their quality of life is predominantly determined by colorectal surgeons’ awareness and knowledge of LARS. We conducted the survey to find out the weakness in the management of patients' functional recovery after surgery and explore targeted training pathways to improve doctor’s ability to deal with LARS.
Methods An anonymous paper-based survey among colorectal surgeons was performed across the country.
Results 252 questionnaires were collected and analyzed with the effective rate of 86.6%. Most of the respondents were highly educated and experienced in gastroenterology. The mean age was 39.9 ± 9.20 years. In multivariate Logistic regression analysis, surgeons with MD, PhD degree (OR: 2.843, 95%CI: 1.441-5.609, p = 0.003) and national academic membership (OR: 2.063, 95%CI: 1.010-4.214, p = 0.047) were associated with surgeons’ emphasis on follow-up. 65.1% of respondents underestimated the prevalence of LARS. Chief/deputy chief, national academic membership and annual surgeries ≥ 50 (42.7% vs 29.4%, p=0.033; 46.4% vs 30.0%, p=0.007; 46.0% vs 31.6%, p=0.021) were associated with high diagnostic rate of LARS but none of these factors were statistically significant in multivariate analysis. LARS score was the most popular scale in the evaluation of LARS severity. The feedback of the most common postoperative anorectal disorders by colorectal surgeons was significantly different from the items listed in the LARS score. 48.4% of respondents use drugs to treat LARS but therapies varied from surgeons to surgeons. C
onclusions There is a lack of knowledge relating to LARS in colorectal surgeons. Clinical guidelines should be developed to guide medical staff in effective management of patients with LARS.
Figure 1
Figure 2
Figure 3
Figure 4