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Background <p>This study explored the lived experience of patients with colorectal peritoneal metastases undergoing cytoreductive surgery and their carers, including the decision to undergo radical surgery, recovery, and long-term survivorship.</p> Methods <p>This qualitative study was conducted in a tertiary cytoreductive surgery center. Semi-structured interviews were conducted with an experienced researcher to explore participants’ experiences, challenges, and reflections during different treatment stages. In-depth thematic analysis was performed on interview transcripts using a phenomenological approach to identify key major and minor themes.</p> Results <p>Thirteen interviews were conducted, with 5 major themes and 11 minor themes identified<i>. Understanding diagnosis and treatment implications—</i>survival was a key driver in decision making, although many did not feel they had a choice or understood the magnitude of the intervention. <i>Adjustment to uncertainly—</i>uncertainties regarding surgical intervention, its impacts and long-term recurrence, led to significant burden. <i>Unmet supportive care needs—</i>psychology services and patient-led support groups have key roles in addressing long-term support needs. <i>A positive impact from multidisciplinary care teams—</i>allied health involvement pre- and postoperatively was associated with a positive experience. <i>Unexpected long-term physical effects—</i>unexpected physical effects impacted quality of life during long-term survivorship.</p> Conclusions <p>Patients and carers undergoing cytoreductive surgery for colorectal peritoneal metastases endure a difficult journey and decision-making process; an understanding of their lived experience can improve the informed consent process and target supportive care endeavors to areas of need.</p>

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Undergoing Cytoreductive Surgery for Colorectal Peritoneal Metastases: A Qualitative Exploration of the Lived Experiences of Patients and Carers

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月28日

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  • Pratik Raichurkar,
  • Kilian G. M. Brown,
  • Kate White,
  • Cherry E. Koh,
  • Nabila Ansari,
  • Nima Ahmadi,
  • Michael J. Solomon,
  • Daniel Steffens

摘要

Background

This study explored the lived experience of patients with colorectal peritoneal metastases undergoing cytoreductive surgery and their carers, including the decision to undergo radical surgery, recovery, and long-term survivorship.

Methods

This qualitative study was conducted in a tertiary cytoreductive surgery center. Semi-structured interviews were conducted with an experienced researcher to explore participants’ experiences, challenges, and reflections during different treatment stages. In-depth thematic analysis was performed on interview transcripts using a phenomenological approach to identify key major and minor themes.

Results

Thirteen interviews were conducted, with 5 major themes and 11 minor themes identified. Understanding diagnosis and treatment implications—survival was a key driver in decision making, although many did not feel they had a choice or understood the magnitude of the intervention. Adjustment to uncertainly—uncertainties regarding surgical intervention, its impacts and long-term recurrence, led to significant burden. Unmet supportive care needs—psychology services and patient-led support groups have key roles in addressing long-term support needs. A positive impact from multidisciplinary care teams—allied health involvement pre- and postoperatively was associated with a positive experience. Unexpected long-term physical effects—unexpected physical effects impacted quality of life during long-term survivorship.

Conclusions

Patients and carers undergoing cytoreductive surgery for colorectal peritoneal metastases endure a difficult journey and decision-making process; an understanding of their lived experience can improve the informed consent process and target supportive care endeavors to areas of need.