{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T15:42:57Z","timestamp":1786203777423,"version":"build-2736575974"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1007\/s00520-026-10995-2","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:36:34Z","timestamp":1783665394000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Living with low anterior resection syndrome after rectal cancer surgery: challenges, self-management, and supportive care priorities"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8199-3774","authenticated-orcid":false,"given":"Sevcan Avc\u0131","family":"I\u015f\u0131k","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aysel","family":"Abbaso\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif Budak","family":"Ert\u00fcrk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azize","family":"Karahan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00fcseyin Onur","family":"Ayd\u0131n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"10995_CR1","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1016\/j.ejso.2018.11.001","volume":"45","author":"G Thomas","year":"2019","unstructured":"Thomas G, van Heinsbergen M, van der Heijden J, Slooter G, Konsten J, Maaskant S (2019) Awareness and management of low anterior resection syndrome: a Dutch national survey among colorectal surgeons and specialized nurses. Eur J Surg Oncol 45:174\u2013179. https:\/\/doi.org\/10.1016\/j.ejso.2018.11.001","journal-title":"Eur J Surg Oncol"},{"key":"10995_CR2","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/j.ijsu.2018.06.031","volume":"56","author":"AD Croese","year":"2018","unstructured":"Croese AD, Lonie JM, Trollope AF, Vangaveti VN, Ho YH (2018) A meta-analysis of the prevalence of low anterior resection syndrome and systematic review of risk factors. Int J Surg 56:234\u2013241. https:\/\/doi.org\/10.1016\/j.ijsu.2018.06.031","journal-title":"Int J Surg"},{"key":"10995_CR3","doi-asserted-by":"publisher","first-page":"7249","DOI":"10.1007\/s00520-021-06326-2","volume":"29","author":"R Sun","year":"2021","unstructured":"Sun R, Dai Z, Zhang Y, Lu J, Zhang Y, Xiao Y (2021) The incidence and risk factors of low anterior resection syndrome (LARS) after sphincter-preserving surgery of rectal cancer: a systematic review and meta-analysis. Support Care Cancer 29:7249\u20137258. https:\/\/doi.org\/10.1007\/s00520-021-06326-2","journal-title":"Support Care Cancer"},{"key":"10995_CR4","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1016\/j.jss.2025.07.057","volume":"314","author":"F Grou-Boileau","year":"2025","unstructured":"Grou-Boileau F, Wang A, Robitaille S, Joshua TG, Maalouf MF, Olivier AM, Liberman SA, Lee L (2025) Patient activation predicts postoperative quality of life following proctectomy better than low anterior resection syndrome: a retrospective cohort study. J Surg Res 314:574\u2013579. https:\/\/doi.org\/10.1016\/j.jss.2025.07.057","journal-title":"J Surg Res"},{"key":"10995_CR5","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1016\/j.asjsur.2015.07.003","volume":"39","author":"P Ekkarat","year":"2016","unstructured":"Ekkarat P, Boonpipattanapong T, Tantiphlachiva K, Sangkhathat S (2016) Factors determining low anterior resection syndrome after rectal cancer resection: a study in Thai patients. Asian J Surg 39:225\u2013231. https:\/\/doi.org\/10.1016\/j.asjsur.2015.07.003","journal-title":"Asian J Surg"},{"key":"10995_CR6","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15205011","volume":"15","author":"R Zhang","year":"2023","unstructured":"Zhang R, Luo W, Qiu Y, Chen F, Luo D, Yang Y, He W, Li Q, Li X (2023) Clinical management of low anterior resection syndrome: review of the current diagnosis and treatment. Cancers 15. https:\/\/doi.org\/10.3390\/cancers15205011","journal-title":"Cancers"},{"key":"10995_CR7","doi-asserted-by":"publisher","first-page":"E890","DOI":"10.1097\/NCC.0000000000001036","volume":"45","author":"H Tsui","year":"2022","unstructured":"Tsui H, Huang XY (2022) Experiences of losing bowel control after lower anterior resection with sphincter saving surgery for rectal cancer: a qualitative study. Cancer Nurs 45:E890\u2013E896. https:\/\/doi.org\/10.1097\/NCC.0000000000001036","journal-title":"Cancer Nurs"},{"key":"10995_CR8","doi-asserted-by":"publisher","first-page":"2123","DOI":"10.4240\/wjgs.v15.i10.2123","volume":"15","author":"DA Jin","year":"2023","unstructured":"Jin DA, Gu FP, Meng TL, Zhang XX (2023) Effect of low anterior resection syndrome on quality of life in colorectal cancer patients: a retrospective observational study. World J Gastrointest Surg 15:2123\u20132132. https:\/\/doi.org\/10.4240\/wjgs.v15.i10.2123","journal-title":"World J Gastrointest Surg"},{"key":"10995_CR9","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1007\/s10151-025-03136-0","volume":"29","author":"S Shojaei-Zarghani","year":"2025","unstructured":"Shojaei-Zarghani S, Gorgi K, Bananzadeh A, Safarpour AR, Hosseini SV (2025) Effects of low anterior resection syndrome after colorectal cancer resections on health-related quality of life: a systematic review and meta-analysis. Tech Coloproctol 29:114. https:\/\/doi.org\/10.1007\/s10151-025-03136-0","journal-title":"Tech Coloproctol"},{"key":"10995_CR10","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-025-03092-0","author":"A Toyoshima","year":"2025","unstructured":"Toyoshima A, Nishizawa T, Toyoshima O, Akai R, Kaneko M, Sasaki S (2025) Impact of low anterior resection syndrome after rectal surgery on sleep quality. Surg Today. https:\/\/doi.org\/10.1007\/s00595-025-03092-0","journal-title":"Surg Today"},{"key":"10995_CR11","doi-asserted-by":"publisher","first-page":"4129","DOI":"10.1007\/s00520-020-05922-y","volume":"29","author":"J Hu","year":"2021","unstructured":"Hu J, Sun J, Wang Y, Sun X, Tong W, Hu H (2021) Knowledge, attitudes, practices, and related factors of low anterior resection syndrome management among colorectal surgery nurses: a multicenter cross-sectional study. Support Care Cancer 29:4129\u20134136. https:\/\/doi.org\/10.1007\/s00520-020-05922-y","journal-title":"Support Care Cancer"},{"key":"10995_CR12","doi-asserted-by":"publisher","first-page":"1240","DOI":"10.1111\/jocn.16277","volume":"32","author":"E Pape","year":"2023","unstructured":"Pape E, Decoene E, Debrauwere M, Van Nieuwenhove Y, Pattyn P, Feryn T, Pattyn PRL, Verhaeghe S, Van Hecke A (2023) Information and counselling needs of patients with major low anterior resection syndrome: a qualitative study. J Clin Nurs 32:1240\u20131250. https:\/\/doi.org\/10.1111\/jocn.16277","journal-title":"J Clin Nurs"},{"key":"10995_CR13","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1097\/WON.0000000000000958","volume":"50","author":"YM Kim","year":"2023","unstructured":"Kim YM, Oh EG (2023) Effectiveness of pelvic floor muscle training for patients following low anterior resection: a systematic review and meta-analysis. J Wound Ostomy Continence Nurs 50:142\u2013150. https:\/\/doi.org\/10.1097\/WON.0000000000000958","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"10995_CR14","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1007\/s13304-025-02184-3","volume":"77","author":"G Gravante","year":"2025","unstructured":"Gravante G, De Simone V, Gallo G et al (2025) A systematic review of preoperative radiological factors associated with the development of low anterior resection syndrome (LARS). Updates Surg 77:825\u2013833. https:\/\/doi.org\/10.1007\/s13304-025-02184-3","journal-title":"Updates Surg"},{"key":"10995_CR15","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-092612","volume":"15","author":"J Croft","year":"2025","unstructured":"Croft J, Farrow E, Coxon-Meggy AH et al (2025) Pathway of low anterior resection syndrome (LARS) relief after surgery (POLARiS): protocol for an international, open-label, multi-arm, phase 3 randomised superiority trial within a cohort, with economic evaluation, process evaluation and qualitative sub-study, to explore the natural history of LARS and compare transanal irrigation and sacral neuromodulation to optimised conservative management for people with major LARS following a high or low anterior resection for colorectal cancer. BMJ Open 15. https:\/\/doi.org\/10.1136\/bmjopen-2024-092612","journal-title":"BMJ Open"},{"key":"10995_CR16","doi-asserted-by":"publisher","unstructured":"Stanculea F, Ungureanu CO, Roca D et al (2025) The impact of low anterior resection syndrome (LARS) on the quality of life in rectal cancer survivors: a narrative review. Maedica (Bucur) 20:56\u201364. https:\/\/doi.org\/10.26574\/maedica.2025.20.1.56","DOI":"10.26574\/maedica.2025.20.1.56"},{"key":"10995_CR17","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15030778","volume":"15","author":"H Rosen","year":"2023","unstructured":"Rosen H, Sebesta CG, Sebesta C (2023) Management of low anterior resection syndrome (LARS) following resection for rectal cancer. Cancers 15. https:\/\/doi.org\/10.3390\/cancers15030778","journal-title":"Cancers"},{"key":"10995_CR18","doi-asserted-by":"publisher","first-page":"761","DOI":"10.1097\/SLA.0000000000005632","volume":"276","author":"A Asnong","year":"2022","unstructured":"Asnong A, D\u2019Hoore A, Van Kampen M et al (2022) The role of pelvic floor muscle training on low anterior resection syndrome: a multicenter randomized controlled trial. Ann Surg 276:761\u2013768. https:\/\/doi.org\/10.1097\/SLA.0000000000005632","journal-title":"Ann Surg"},{"key":"10995_CR19","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong A, Sainsbury P, Craig J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 19:349\u2013357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042","journal-title":"Int J Qual Health Care"},{"key":"10995_CR20","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1111\/codi.14957","volume":"22","author":"C Keane","year":"2020","unstructured":"Keane C, Fearnhead NS, Bordeianou L et al (2020) International consensus definition of low anterior resection syndrome. Colorectal Dis 22:331\u2013341. https:\/\/doi.org\/10.1111\/codi.14957","journal-title":"Colorectal Dis"},{"key":"10995_CR21","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8","volume-title":"Naturalistic inquiry","author":"YS Lincoln","year":"1985","unstructured":"Lincoln YS, Guba EG (1985) Naturalistic inquiry. Sage Publications, Beverly Hills"},{"key":"10995_CR22","doi-asserted-by":"publisher","first-page":"63","DOI":"10.3233\/EFI-2004-22201","volume":"22","author":"AK Shenton","year":"2004","unstructured":"Shenton AK (2004) Strategies for ensuring trustworthiness in qualitative research projects. Educ Inform 22:63\u201375. https:\/\/doi.org\/10.3233\/EFI-2004-22201","journal-title":"Educ Inform"},{"key":"10995_CR23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2025.102904","volume":"77","author":"F Serroyen","year":"2025","unstructured":"Serroyen F, Van Hecke A, Delforge L, van Ramshorst GH, Van Nieuwenhove Y, Geboes K, Lybaert W, Pattyn PHRL, Pape E (2025) Dynamics in experiences, information and counselling needs of patients without or with minor LARS after rectal cancer surgery. Eur J Oncol Nurs 77. https:\/\/doi.org\/10.1016\/j.ejon.2025.102904","journal-title":"Eur J Oncol Nurs"},{"key":"10995_CR24","doi-asserted-by":"publisher","first-page":"31","DOI":"10.32708\/uutfd.1081127","volume":"48","author":"E G\u00fcrluler","year":"2022","unstructured":"G\u00fcrluler E, \u015een M, Yal\u00e7\u0131n \u0130, K\u0131z\u0131laslan O, I\u015f\u0131k \u00d6, Y\u0131lmazlar T (2022) Quality of life in patients with low anterior resection. J Uludag Univ Med Fac 48:31\u201336. https:\/\/doi.org\/10.32708\/uutfd.1081127. ((in Turkish))","journal-title":"J Uludag Univ Med Fac"},{"key":"10995_CR25","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1007\/s00520-019-04901-2","volume":"28","author":"A Bohlok","year":"2020","unstructured":"Bohlok A, Mercier C, Bouazza F et al (2020) The burden of low anterior resection syndrome on quality of life in patients with mid or low rectal cancer. Support Care Cancer 28:1199\u20131206. https:\/\/doi.org\/10.1007\/s00520-019-04901-2","journal-title":"Support Care Cancer"},{"key":"10995_CR26","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001378","author":"A Solnica","year":"2024","unstructured":"Solnica A, Liebergall-Wischnitzer M, Shussman N (2024) Nursing recommendations for symptom-specific self-care of low anterior resection syndrome: a systematic, scoping review of the literature. Cancer Nurs. https:\/\/doi.org\/10.1097\/NCC.0000000000001378","journal-title":"Cancer Nurs"},{"key":"10995_CR27","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1007\/s10151-021-02436-5","volume":"25","author":"I Vogel","year":"2021","unstructured":"Vogel I, Reeves N, Tanis PJ, Bemelman WA, Torkington J, Hompes R, Cornish JA (2021) Impact of a defunctioning ileostomy and time to stoma closure on bowel function after low anterior resection for rectal cancer: a systematic review and meta-analysis. Tech Coloproctol 25:751\u2013760. https:\/\/doi.org\/10.1007\/s10151-021-02436-5","journal-title":"Tech Coloproctol"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10995-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-10995-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10995-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T14:55:53Z","timestamp":1786200953000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-026-10995-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,10]]},"references-count":27,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10995"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-10995-2","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,10]]},"assertion":[{"value":"5 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was conducted in accordance with the ethical principles of the Declaration of Helsinki\n                      .\n                      Ethical approval was obtained from the Ba\u015fkent University Medical and Health Sciences Research Ethics Committee (KA24\/401, 18\/12\/2024). Verbal and written informed consent were obtained from all participants, and confidentiality was strictly maintained through coded identifiers.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Verbal and written informed consent were obtained from all participants before participation in the study.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"751"}}