{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T02:58:18Z","timestamp":1781060298315,"version":"3.54.1"},"reference-count":29,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>There is growing interest in non-operative management (NOM) for rectal cancer patients who achieve a complete response to neoadjuvant therapy. The patients\u2019 perspectives of these approaches are limited. Here, we describe a qualitative study where we conducted semi-structured interviews with fourteen rectal cancer patients, including seven men and seven women, who were successfully treated by NOM at our center between 2020 and 2022. The responses were analyzed using the constant comparative method. Four major thematic categories emerged: impact of rectal cancer diagnosis, treatment values, decision-making factors, and the impact of NOM surveillance. Avoidance of a stoma was a major theme in both determining patient treatment values as well as ultimately driving their decision-making. Trust in the treating physician was also found to be a major theme in decision-making. While the psychological burden of surveillance did emerge as a major theme, patients who did not have recurrence were still quite satisfied with their decision to pursue NOM. Limitations of this study include selection bias, the single-center design, and the lack of patients who ultimately experienced recurrence following NOM. As NOM of rectal cancer becomes more commonplace, understanding the patients\u2019 perspectives will ensure appropriate counseling and shared decision-making.<\/jats:p>","DOI":"10.3390\/curroncol33060348","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:58:12Z","timestamp":1781053092000},"page":"348","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives of Rectal Cancer Patients Undergoing Non-Operative Management (NOM): A Qualitative Study"],"prefix":"10.3390","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9429-5118","authenticated-orcid":false,"given":"Armaghan","family":"Alam","sequence":"first","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Toronto, Toronto, ON M5T 1P5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameer","family":"Farooq","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, Queen\u2019s University, Kingston, ON K7L 2V7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9999-4217","authenticated-orcid":false,"given":"Farhad","family":"Udwadia","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9628-747X","authenticated-orcid":false,"given":"Manoj","family":"Raval","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, St. Paul\u2019s Hospital, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8682-6721","authenticated-orcid":false,"given":"Ahmer","family":"Karimuddin","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, St. Paul\u2019s Hospital, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6995-9285","authenticated-orcid":false,"given":"Terry","family":"Phang","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, St. Paul\u2019s Hospital, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amandeep","family":"Ghuman","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, St. Paul\u2019s Hospital, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, St. Paul\u2019s Hospital, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"ref_1","first-page":"7","article-title":"Cancer statistics, 2022","volume":"72","author":"Siegel","year":"2022","journal-title":"CA Cancer J. 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