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The aim of this qualitative study was to identify the long\u2010term survivorship issues relevant to these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Adults who remained disease free &gt;3\u2009years following treatment for LRRC were invited to participate in an international multicentre study. Semistructured qualitative interviews were conducted either in person, via telephone or via Microsoft Teams and were analysed using a framework method of thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 26 participants were recruited from 11 sites in seven countries. Sixteen (61.5%) participants were male, the median age was 70.5 (33.0\u201385.0)\u2009years, participants were a median of 5.0 (3.0\u201317.0)\u2009years posttreatment, most had undergone surgery for LRRC (<jats:italic>n<\/jats:italic>\u2009=\u200924, 92.3%), two participants received neoadjuvant chemo\/radiation for LRRC with a complete response. Eight major survivorship themes were identified: (1) experience of long\u2010term follow\u2010up care, (2) unmet needs and areas for improvement, (3) long\u2010term physical effects of cancer and treatment, (4) living with a stoma, urostomy or other urinary device, (5) long\u2010term psychological impact, (6) impact on sexual function and intimate relationships, (7) impact on daily life and (8) feelings surrounding life now, adapting and the future.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Participants experienced a wide range of long\u2010term survivorship issues, reflecting the complexity of both LRRC and its treatment. Despite this, most had adapted well. Further work regarding survivorship care in LRRC is required to address the unmet needs and issues highlighted in this study, such as support regarding sexual function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.70051","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T10:11:28Z","timestamp":1742465488000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Survivorship issues in long\u2010term survivors of locally recurrent rectal cancer: A qualitative study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1599-5701","authenticated-orcid":false,"given":"Niamh","family":"McKigney","sequence":"first","affiliation":[{"name":"Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research University of Leeds  Leeds 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