{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:08:52Z","timestamp":1781258932777,"version":"3.54.1"},"reference-count":117,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,3,21]],"date-time":"2016-03-21T00:00:00Z","timestamp":1458518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CA A Cancer J Clinicians"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:p>\n                    For some patients with low rectal cancer, ostomy (with elimination into a pouch) may be the only realistic surgical option. However, some patients have a choice between ostomy and sphincter\u2010sparing surgery. Sphincter\u2010sparing surgery has been preferred over ostomy because it offers preservation of normal bowel function. However, this surgery can cause incontinence and bowel dysfunction. Increasingly, it has become evident that certain patients who are eligible for sphincter\u2010sparing surgery may not be well served by the surgery, and construction of an ostomy may be better. No validated assessment tool or decision aid has been published to help newly diagnosed patients decide between the two surgeries or to help physicians elicit long\u2010term surgical outcomes. Furthermore, comparison of long\u2010term outcomes and late effects after the two surgeries has not been synthesized. Therefore, this systematic review summarizes controlled studies that compared long\u2010term survivorship outcomes between these two surgical groups. The goals are: 1) to improve understanding and shared decision\u2010making among surgeons, oncologists, primary care providers, patients, and caregivers; 2) to increase the patient's participation in the decision; 3) to alert the primary care provider to patient challenges that could be addressed by provider attention and intervention; and 4) ultimately, to improve patients' long\u2010term quality of life. This report includes discussion points for health care providers to use with their patients during initial discussions of ostomy and sphincter\u2010sparing surgery as well as questions to ask during follow\u2010up examinations to ascertain any long\u2010term challenges facing the patient.\n                    <jats:bold>CA Cancer J Clin 2016;66:387\u2013397. \u00a9 2016 American Cancer Society.<\/jats:bold>\n                  <\/jats:p>","DOI":"10.3322\/caac.21345","type":"journal-article","created":{"date-parts":[[2016,3,21]],"date-time":"2016-03-21T22:28:11Z","timestamp":1458599291000},"page":"387-397","source":"Crossref","is-referenced-by-count":21,"title":["Conversations for providers caring for patients with rectal cancer: Comparison of long\u2010term patient\u2010centered outcomes for patients with low rectal cancer facing ostomy or sphincter\u2010sparing surgery"],"prefix":"10.3322","volume":"66","author":[{"given":"Lisa J.","family":"Herrinton","sequence":"first","affiliation":[{"name":"Senior Research Scientist, Division of Research Kaiser Permanente Northern California Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Altschuler","sequence":"additional","affiliation":[{"name":"Senior Consultant, Division of Research Kaiser Permanente Northern California Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmit K.","family":"McMullen","sequence":"additional","affiliation":[{"name":"Investigator, Center for Health Research Kaiser Permanente Northwest Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna E.","family":"Bulkley","sequence":"additional","affiliation":[{"name":"Senior Research Associate, Center for Health Research Kaiser Permanente Northwest Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark C.","family":"Hornbrook","sequence":"additional","affiliation":[{"name":"Chief Scientist, Center for Health Research Kaiser Permanente Northwest Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Sun","sequence":"additional","affiliation":[{"name":"Assistant Professor, Division of Nursing Research and Education, Department of Population Sciences City of Hope Duarte CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Wendel","sequence":"additional","affiliation":[{"name":"Research Instructor, Arizona Center on Aging University of Arizona College of Medicine Tucson AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia","family":"Grant","sequence":"additional","affiliation":[{"name":"Distinguished Professor, Division of Nursing Research and Education, Department of Population Sciences City of Hope Duarte CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol M.","family":"Baldwin","sequence":"additional","affiliation":[{"name":"Professor Emerita and Southwest Borderlands Scholar, College of Nursing and Health Innovation Arizona State University Phoenix AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Demark\u2010Wahnefried","sequence":"additional","affiliation":[{"name":"Professor and Webb Endowed Chair of Nutrition Sciences, Nutrition Sciences University of Alabama at Birmingham Birmingham AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa K. 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