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Consistency between POLARS and LARS scores regarding the incidence of low anterior resection syndrome in a Chilean population undergoing rectal surgery secondary to cancer in a high-volume hospital.
Gaete, M I; Moreno, D; Iglesias, A; Navarro, F; Dreyse, J; Cerda, J; Durán, V; Molina, M E; Miguieles, R; Urrejola, G; Larach, J T; Bellolio, F.
Afiliação
  • Gaete MI; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Moreno D; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Iglesias A; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Navarro F; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Dreyse J; Department of Internal Medicine and Critical Patient Center, Clínica Las Condes, Santiago, Chile.
  • Cerda J; Department of Public Health, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Durán V; Department of Digestive Surgery, Experimental Surgery and Simulation Center, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Molina ME; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Miguieles R; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Urrejola G; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Larach JT; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
  • Bellolio F; Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
Colorectal Dis ; 26(2): 317-325, 2024 Feb.
Article em En | MEDLINE | ID: mdl-38182552
ABSTRACT

AIM:

The aim of this work was to evaluate the concordance between the low anterior resection syndrome (LARS) and preoperative LARS (POLARS) scores regarding the incidence of LARS in a Chilean population undergoing rectal surgery for cancer in a high-volume hospital.

METHOD:

The LARS score questionnaire, following telephone requests, was used to determine the presence and severity of LARS. The POLARS score was calculated based on variables described previously. Correlations and qualitative and quantitative concordance were evaluated using Spearman's correlation coefficient, the kappa coefficient and the Bland-Altman plot with Lin's concordance correlation coefficient.

RESULTS:

A total of 120 patients met the inclusion criteria 37.5% underwent neoadjuvant radiotherapy, 61% underwent total mesorectal excision (TME) and 51.6% underwent ostomy. A total of 49% of patients did not present with LARS, whereas 28% had major LARS. The correlation between scales was poor, with a fair qualitative concordance to determine the presence/absence of LARS and a slight qualitative concordance to determine the degree of the intensity. The quantitative concordance was poor.

CONCLUSION:

In the Chilean population, concordance between the LARS and POLARS scores was qualitatively fair to determine the presence/absence of the disease and qualitatively slight to determine the degree of intensity. We do not suggest using the POLARS score in the perioperative period in the Chilean population deliberately, as the score may help to determine the presence/absence of LARS but cannot determine its degree of intensity. Additional evaluations are required to determine the factors contributing to the degree of agreement between the scales.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Retais Tipo de estudo: Incidence_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Humans País/Região como assunto: America do sul / Chile Idioma: En Revista: Colorectal Dis Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Retais Tipo de estudo: Incidence_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Humans País/Região como assunto: America do sul / Chile Idioma: En Revista: Colorectal Dis Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido