A Survey Detailing Early Onset Colorectal Cancer Patient and Caregiver Experiences in Canada
Abstract
:1. Introduction
2. Materials and Methods
2.1. Survey Design and Questionnaire
2.2. Study Population and Participant Recruitment
2.3. Data Collection
2.4. Data Analysis
2.5. Ethics Approval
3. Results
3.1. Respondent Demographics
3.2. EOCRC Awareness
3.3. Diagnosis and Patient Experiences towards Receiving a Diagnosis
3.4. Health History and Behavioral Risk Factors for Colorectal Cancer
3.5. Treatment Experiences of Early Age Onset Colorectal Cancer Patients
3.6. Sexuality and Fertility Experiences of Early Age Onset Colorectal Cancer Patients
3.7. Patient Mental Health Experiences
3.8. Caregiver Mental Health Experiences
3.9. Financial Health
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Correction Statement
References
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Variable. | Total N | % |
---|---|---|
Doctor seen at symptom onset | ||
Primary care provider | 93 | 56.2 |
Pediatrician | 1 | 0.6 |
Gastroenterologist | 16 | 9.9 |
Emergency room doctor | 28 | 17.3 |
OBGYN | 3 | 1.9 |
Urologist | 1 | 0.6 |
Urgent care | 9 | 5.6 |
Surgeon | 6 | 3.7 |
Other | 7 | 4.3 |
Time between symptoms onset and seeking medical attention | ||
<1 month | 22 | 21.8 |
1–3 months | 30 | 29.7 |
3–6 months | 15 | 14.9 |
6+ months | 34 | 33.7 |
Received a rectal exam prior to diagnosis | ||
Yes | 45 | 43.3 |
No | 55 | 52.9 |
N/A | 4 | 3.8 |
Doctor that led to colonoscopy | ||
Family/primary care provider | 54 | 45.0 |
Gastroenterologist | 21 | 17.5 |
Emergency room doctor | 16 | 13.3 |
OBGYN | 1 | 0.8 |
Urgent care with ER | 1 | 0.8 |
Pediatrician | 1 | 0.8 |
Surgeon | 21 | 17.5 |
Other (please specify) | 5 | 4.2 |
Level of concern by doctors following description of symptoms | ||
They did not seem concerned | 47 | 45.2 |
They seemed slightly concerned | 22 | 21.2 |
They seemed moderately concerned | 23 | 22.1 |
They seemed very concerned | 12 | 11.5 |
Felt that doctors dismissed the signs and symptoms of colorectal cancer due to patient age | ||
Yes | 63 | 51.2 |
No | 52 | 42.3 |
I do not know | 7 | 5.7 |
Yes, but for a reason other than age | 1 | 0.8 |
Mistaken diagnosis | ||
None of the below | 56 | 32.6 |
Hemorrhoids | 38 | 22.1 |
Symptoms of childbirth | 8 | 4.7 |
Appendicitis | 3 | 1.7 |
Gynecological issues | 7 | 4.1 |
IBS | 10 | 5.8 |
IBD | 3 | 1.7 |
Mental health issues | 7 | 4.1 |
Crohn’s/Colitis | 11 | 6.4 |
Other | 29 | 16.9 |
Variable | Colon Cancer | Rectal Cancer | ||
---|---|---|---|---|
Total N | % | Total N | % | |
Did any of your providers discuss sexual side effects due to radiation and surgery before treatment? | ||||
Painful sex | 1 | 1% | >10 | 15% |
Decrease in sex drive | 3–10 | 7% | >10 | 17% |
Loss of sexual function | 3–10 | 9% | >10 | 19% |
Infertility | >10 | 16% | >10 | 28% |
I do not remember | >10 | 16% | 1 | 1% |
Providers did not discuss any of the above | >10 | 49% | >10 | 20% |
Did you experience any of the following after treatment? | ||||
Painful sex | 3–10 | 13% | >10 | 22% |
Decrease in sex drive | >10 | 49% | >10 | 33% |
Loss of sexual function | 3–10 | 13% | >10 | 20% |
Infertility | 2 | 3% | >10 | 17% |
I do not remember | 3–10 | 16% | 3 | 3% |
Prefer not to answer | 3–10 | 6% | 3–10 | 4% |
Sexual function issues after treatment and surgery | ||||
No loss of sexual function | 32 | 56% | 16 | 35% |
Partial loss of sexual function | 15 | 26% | 16 | 35% |
Total loss of sexual function | 0 | 0% | 6 | 13% |
Prefer not to answer | 3 | 5% | 4 | 9% |
Even with guidance from medical staff, I am still afraid to have sex | ||||
Always | 0 | 0% | 4 | 10% |
Often | 3 | 7% | 8 | 21% |
Sometimes | 4 | 9% | 9 | 23% |
Never | 33 | 73% | 15 | 38% |
Prefer not to say | 5 | 11% | 3 | 8% |
Sexual dysfunction puts a strain on relationships | ||||
Always | 2 | 5% | 4 | 10% |
Often | 2 | 5% | 7 | 18% |
Sometimes | 11 | 28% | 11 | 28% |
Never | 23 | 58% | 16 | 41% |
Prefer not to say | 2 | 5% | 1 | 3% |
Sexual dysfunction affects ability to become intimate with others | ||||
Always | 1 | 2% | 6 | 16% |
Often | 3 | 7% | 9 | 24% |
Sometimes | 12 | 29% | 11 | 30% |
Never | 22 | 54% | 10 | 27% |
Prefer not to say | 3 | 7% | 1 | 3% |
Feel awkward to receive guidance for sexual life | ||||
Always | 2 | 5% | 4 | 12% |
Often | 3 | 7% | 2 | 6% |
Sometimes | 12 | 28% | 11 | 33% |
Never | 22 | 51% | 15 | 45% |
Prefer not to say | 4 | 9% | 1 | 3% |
I believe that I am not a complete person due to sexual dysfunction | ||||
Always | 1 | 3% | 7 | 18% |
Often | 3 | 8% | 4 | 11% |
Sometimes | 4 | 10% | 11 | 29% |
Never | 29 | 73% | 15 | 39% |
Prefer not to say | 3 | 8% | 1 | 3% |
I worry that I am not enough for a significant other due to sexual dysfunction | ||||
Always | 2 | 5% | 7 | 18% |
Often | 2 | 5% | 10 | 26% |
Sometimes | 10 | 25% | 8 | 21% |
Never | 21 | 53% | 12 | 32% |
Prefer not to say | 5 | 13% | 1 | 3% |
Medical professional discussed fertility preservation during diagnosis or treatment | ||||
No | 27 | 43% | 22 | 47% |
Reproductive health issues prior to treatment | ||||
No | 39 | 62% | 33 | 69% |
Treatment resulted in sterility or infertility | ||||
No | 16 | 26% | 7 | 15% |
Gaps | Recommendations |
---|---|
Delayed diagnosis |
|
Misdiagnosis and Dismissal |
|
Lack of Mental Health Support |
|
Financial Toxicity |
|
Inadequate Communication |
|
Caregiver Support |
|
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Share and Cite
Auer, R.; Meszaros, C.; Fossouo, L.; Vandermeer, L.; Stein, B.D. A Survey Detailing Early Onset Colorectal Cancer Patient and Caregiver Experiences in Canada. Curr. Oncol. 2024, 31, 3149-3160. https://doi.org/10.3390/curroncol31060238
Auer R, Meszaros C, Fossouo L, Vandermeer L, Stein BD. A Survey Detailing Early Onset Colorectal Cancer Patient and Caregiver Experiences in Canada. Current Oncology. 2024; 31(6):3149-3160. https://doi.org/10.3390/curroncol31060238
Chicago/Turabian StyleAuer, Rebecca, Claudia Meszaros, Lucresse Fossouo, Lisa Vandermeer, and Barry D. Stein. 2024. "A Survey Detailing Early Onset Colorectal Cancer Patient and Caregiver Experiences in Canada" Current Oncology 31, no. 6: 3149-3160. https://doi.org/10.3390/curroncol31060238
APA StyleAuer, R., Meszaros, C., Fossouo, L., Vandermeer, L., & Stein, B. D. (2024). A Survey Detailing Early Onset Colorectal Cancer Patient and Caregiver Experiences in Canada. Current Oncology, 31(6), 3149-3160. https://doi.org/10.3390/curroncol31060238