{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:37:37Z","timestamp":1790717857653,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T00:00:00Z","timestamp":1675900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to determine the views of people on their healthcare needs when managing their bowel symptoms following an anterior resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>One\u2010to\u2010one, semi\u2010structured interviews were undertaken, after consent and completion of three questionnaires. Results were analysed using a modified framework analysis and presented narratively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty three participants aged 38\u201375\u2009years were interviewed; 10 were men. Most had low anterior resection syndrome (LARS) scores indicating \u2018major LARS\u2019, Bowel Function Index scores ranged from 28 to 65. The two most bothersome symptoms were faecal incontinence and unpredictable bowel function. Data were grouped into three broad themes: \u2018treatment consequences\u2019, \u2018strategies and compromises\u2019 and \u2018healthcare needs.\u2019 Each theme had four subthemes, such as \u2018bowel dysfunction\u2019 in the theme \u2018treatment consequences\u2019. Bowel symptoms were common and persistent. Symptom management often required multiple interventions. Expressed healthcare needs included managing expectations through clinician\u2010led information. Participants needed knowledgeable clinicians to enquire about and assess symptoms, provide and reiterate information as well as making an onward referral to enable symptom management. Peers improved the adaptation process through support and advice. Our findings indicate that participants' needs are not being fully met.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>People with LARS have unmet healthcare requirements needed to meet their individual goals. We propose these are addressed by using the acronym \u2018LARS\u2019: a Learned clinician who Asks and assesses bowel symptoms, Revisiting the topic to address new or persisting symptoms as well as Signposting, advising or referring onwards as needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16475","type":"journal-article","created":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T10:34:15Z","timestamp":1673519655000},"page":"880-887","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["\u2018He's a surgeon, like I'm not going to waste his time\u2019: interviews to determine healthcare needs of people with low anterior resection syndrome after rectal cancer surgery"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1200-5688","authenticated-orcid":false,"given":"Jennie","family":"Burch","sequence":"first","affiliation":[{"name":"St Mark's the National Bowel Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanee","family":"Wright","sequence":"additional","affiliation":[{"name":"Exeter  New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Surgery London North West University Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Wilson","sequence":"additional","affiliation":[{"name":"Wolfson Unit for Endoscopy, St Mark's Hospital and Departments of Surgery and Cancer Imperial College London  London UK"},{"name":"Department of Surgery St Mark's Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Norton","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000495"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.06.031"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001583"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010019\u201004901\u20102"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2021.05.016"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31824f1c21"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000116"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304\u2010020\u201000919\u2010y"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102013\u2010003374"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002107"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/CODI.15517"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15825"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0942-z"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15515"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/135581960000500108"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12127"},{"key":"e_1_2_11_19_1","unstructured":"NICE(2020)Colorectal cancer (update) [E2] optimal management of low anterior resection syndrome NICE guideline. 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