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Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery Cover

Validation of the Slovenian version of the low anterior resection syndrome score for rectal cancer patients after surgery

Open Access
|Oct 2019

Figures & Tables

Figure 1

Study flowchart. A total of 100 patients were included in the analysis. Of those, 51 were included in the test-retest analysis.
Study flowchart. A total of 100 patients were included in the analysis. Of those, 51 were included in the test-retest analysis.

Figure 2

Bland-Altman plot illustrating the difference between the numerical LARSS values at the first and second test (solid line denotes mean difference, dashed lines denote limits of agreement).
Bland-Altman plot illustrating the difference between the numerical LARSS values at the first and second test (solid line denotes mean difference, dashed lines denote limits of agreement).

Figure 3

Box plot showing the relationship between the LARSS and the QoL group.
Box plot showing the relationship between the LARSS and the QoL group.

Figure 4

The LARSS in clinical subgroups: radiotherapy, type of surgery and age.
The LARSS in clinical subgroups: radiotherapy, type of surgery and age.

Agreement between responses at the first and the second LARS test for each question of the LARSS_

PerfectModerateNo
Q178.4 (66.7–90.1)15.7 (5.4–26.0)5.9 (0–11.6)
Q272.5 (59.9–85.2)25.5 (13.1–37.9)2.0 (0–5.9)
Q378.4 (66.7–90.1)19.6 (8.3–30.9)2.0 (0–5.9)
Q476.5 (64.4–88.5)17.6 (6.8-28.5)5.9 (0-12.6)
Q578.4 (66.7–90.1)19.6 (8.3–30.9)2.0 (0–5.9)

Fit between the LARSS group and the QoL group_

Fitn% (95% CI)
No10.0 (4.0-16.0)
Moderate24.0 (14.5-32.5)
Perfect66.0 (56.5-75.4)

The Slovenian version of Low Anterior Resection Syndrome Score (LARSS) (11)_

1. Se vam kdaj zgodi, da ne morete zadržati uhajanje vetrov?
- Ne, nikoli0
- Da, manj kot enkrat na teden4
- Da, vsaj enkrat na teden7
2. Se vam kdaj zgodi, da vam po nesreči uide nekaj tekočega blata?
- Ne, nikoli0
- Da, manj kot enkrat na teden3
- Da, vsaj enkrat na teden3
3. Kako pogosto odvajate blato?
- Več kot 7-krat na dan (na 24 ur)4
- Od 4- do 7-krat na dan (na 24 ur)2
- Od 1- do 3-krat na dan (na 24 ur)0
- Manj kot enkrat na dan (na 24 ur)5
4. Se vam kdaj zgodi, da morate ponovno na blato v eni uri po zadnjem odvajanju blata?
- Ne, nikoli0
- Da, manj kot enkrat na teden - Da, vsaj enkrat na teden9 11
5. Ali kdaj občutite tako hudo siljenje na blato, da morate steči na stranišče?
- Ne, nikoli0
- Da, manj kot enkrat na teden11
- Da, vsaj enkrat na teden16

Fit between the QoL category and the LARSS category_

Impact of bowel function on QoLNo LARS (0-20 points)Minor LARS (21-29 points)Major LARS (30-42 points)
No3 (3%)2 (2%)0 (0%)
Minor8 (8%)8 (8%)3 (3%)
Some/major10 (10%)11 (11%)55 (55%)

Patient characteristics_

N=100
Males, n (%)69 (69)
Age in years at time of survey, mean (SD)73.5 (10.6)
Age in years at time of operation mean (SD)63.4 (10.5)
Tumour stage
T0-T2, n (%)52 (52)
T3-T4, n (%)48 (48)
Years since operation, mean (SD)9.7 (1.4)
Type of surgery
TME, n (%)69 (69)
PME, n (%)31 (31)
Tumour level in cm, mean (SD)9.4 (3.3)
Radiotherapy, n (%)57 (57)
Chemotherapy, n (%)69 (69)
DOI: https://doi.org/10.2478/sjph-2019-0019 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 148 - 154
Submitted on: Oct 12, 2018
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Accepted on: Jul 3, 2019
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Published on: Oct 1, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2019 Jan Grosek, Jurij Aleš Košir, Jerica Novak, Mirko Omejc, Aleš Tomažič, Gregor Norčič, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.