Rectal cancer care is increasingly complex and may include systemic therapy, radiation therapy, surgery, or nonoperative watch-and-wait surveillance. These treatments can have both short- and long-term effects on bowel, urinary, sexual, and stoma-related function. Prior studies have often assessed quality of life and treatment decision experiences at a single time point or after one type of treatment, resulting in limited information about how patients' experiences change throughout their course of care. This study will evaluate health-related quality of life and experiences with treatment decisions among patients with non-metastatic rectal cancer using validated patient-reported outcome measures over the course of treatment.
PRIMARY OBJECTIVES:
- Evaluate feasibility and adherence of participant-reported outcomes through UCSF MyChart.
- Evaluate changes in health-related quality of life over the course of rectal cancer treatment.
SECONDARY OBJECTIVES:
- Evaluate longitudinal changes in decisional regret over the course of rectal cancer treatment.
- Evaluate the association between health-related quality of life and decisional regret over the course of rectal cancer treatment.
- Evaluate differences in health-related quality of life and decisional regret trajectories by treatment stage and modality.
- Evaluate patterns of survey completion and adherence to the MyChart survey workflow.
OUTLINE: This is a prospective observational study of adults with non-metastatic rectal cancer receiving care at University of California, San Francisco (UCSF). Participants will complete patient-reported outcome measures through UCSF MyChart during the course of their treatment and will be follow up to 24 month post treatment.