Colorectal and Peritoneal Oncology Annual Service Report 2021 - 2022

Service Report 2022 Colorectal and Peritoneal Oncology Centre – The Christie NHS Foundation Trust

Approximately 170 patients have completed an ePROM and feedback has been positive. This process has also highlighted issues that may not have been brought up in a general consultation due to their sensitive nature. One example is that we have been able to indentify a number of women who are having symptoms from an early menopause symptoms brought about abruptly due to a removal of their ovaries. We are now able to identify this at a meach earlier stage and as a result direct patients to discuss options such as HRT. We have also asked a consultant gynocologist specialising in menopausal symptoms (Dr Kearney) to speak at our patient day in September.

The ePROMS the questionnaires are specific to male and female patients, with the following themes addressed:-

• GI symptoms - Bowel habit, appetite, nausea/vomiting

• Stoma issues - Leaking/hernias/psychological impact

• Gynaecology issues - including menopausal symptoms

• Sexual function - erectile dysfunction/vaginal drynesss/loss of libido

• Psychological - tiredness, anxiety/depression

Financial concerns

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Below are some examples of the results obtained for female patients: -

Tiredness

Grade 1 : I get better with a short rest

21 (78%)

Grade 2: I do not get better with a short rest which stops me from my daily activities (for example light housework or shopping) 6 (22%) Grade 3: As a result I struggle to care for myself (for example wash or shower) 0 (0%)

27 (42%)

Yes

Do you feel more tired than usual?

38 (58%)

No

Reduced libido

Blank/ Prefer not to say

22 (34%)

Has the disease or treatment affected your sex life (for the worst)? If yes, how much?

A little

1 (7%)

Quite a bit

8 (57%) 5 (36%)

Yes

14 (21%)

Very much

No

29 (45%)

10