{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T02:30:34Z","timestamp":1789871434569,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T00:00:00Z","timestamp":1483574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006258","name":"Livestrong Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006258","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2017,5,15]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>There is significant need for quality follow\u2010up care to optimize long\u2010term outcomes for the growing population of lower gastrointestinal (GI) cancer survivors. Patient\u2010reported outcomes (PROs) provide valuable information regarding late and long\u2010term effects (LLTEs).<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A convenience sample from 1129 colon, rectal, and anal cancer survivors (n\u2009=\u2009792; 218, and 119, respectively) who participated in an Internet\u2010based survivorship care plan (SCP) tool between May 2010 and October 2014 was used to examine patient\u2010reported demographics, treatment, and toxicity data. Responses from a follow\u2010up survey were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The median age of diagnosis was 51 years, and 81% of survivors were Caucasian. The most commonly reported LLTEs for all survivors were neuropathy, fatigue, cognitive changes, changes in GI function, urogenital and sexual dysfunction, and dermatologic effects. The prevalence of these effects varied with time since diagnosis, treatment modality, and treatment center. Individuals who had survived anal cancer reported a high prevalence of sexual dysfunction and radiation\u2010induced dermatologic effects. Over 87% of users reported satisfaction levels of <jats:italic>good<\/jats:italic> to <jats:italic>excellent<\/jats:italic> using the SCP tool, and 69% reported that they intend to share the SCP with their health care team.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>For lower GI cancer survivors, it is feasible to obtain PROs from an Internet\u2010based survivorship tool. Survivors report a wide spectrum of LLTEs, and these can be used to inform counseling at the time of diagnosis and to help anticipate and respond to disease\u2010related and treatment\u2010related sequelae during follow\u2010up. The authors are among the first to report on PROs in anal cancer survivors. Further investigation on the impact of SCPs on health care communication and use is needed. <jats:bold><jats:italic>Cancer<\/jats:italic> 2017;123:1860\u20131868<\/jats:bold>. \u00a9 <jats:italic>2017 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.30527","type":"journal-article","created":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T10:12:43Z","timestamp":1483611163000},"page":"1860-1868","source":"Crossref","is-referenced-by-count":43,"title":["Survivorship after lower gastrointestinal cancer: Patient\u2010reported outcomes and planning for care"],"prefix":"10.1002","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2402-2728","authenticated-orcid":false,"given":"Melissa A.","family":"Frick","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Perelman Center for Academic Medicine, University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn C.","family":"Vachani","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Perelman Center for Academic Medicine, University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret K.","family":"Hampshire","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Perelman Center for Academic Medicine, University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Bach","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Perelman Center for Academic Medicine, University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Arnold\u2010Korzeniowski","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Perelman Center for Academic Medicine, University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Metz","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Perelman Center for Academic Medicine, University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine E.","family":"Hill\u2010Kayser","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Perelman Center for Academic Medicine, University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,5]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"SEER Cancer Statistics Review, 1975\u20102013","author":"Howlader 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