IDDF2024-ABS-0379 A systematic review: critical appraisal of the importance of managing persistent pain for early-stage colorectal cancer (CRC) survivors

<h3>Background</h3> CRC is the third most common cancer worldwide, accounting for about 10% of all cancer cases, and it is also the second leading cause of cancer-related deaths worldwide. In the past 20 years, the standardized incidence rate and mortality rate of CRC in China have increased by 144.01% and 36.15%, respectively, exceeding the global average level. The treatment plan and prognosis differ between different stages, with a 5-year relative survival rate of 91% and 82% for stage I and stage IICRC, respectively, and only 12% for stage IV CRC. With the rapid development of medical technology combined with the screening of high-risk groups, early endoscopic diagnosis, and pathological diagnosis, there are a growing number of ECC survivors. Compared with end-stage patients, early-stage CRC survivors have a better prognosis and a longer lifetime. Pain is the fifth vital sign. Few studies have investigated the effects of chronic pain in early-stage CRC survivors. Chronic pain exists in 40% to 50% of cancer patients, and it may further lead to reduced immune function, fatigue, depression, anxiety, social impairment, and insomnia. <h3>Methods</h3> A qualitative systematic review of managing persistent pain for early-stage colorectal cancer (CRC) survivors is conducted with predefined PICO, search term and search strategies. <h3>Results</h3> Therefore, based on the exclusion and inclusion criteria, there are 15 articles been reviewed by student research. The keywords and search terms have been screened, and eligibility criteria applied, but a small number of articles remained. <h3>Conclusions</h3> Nurses participate in the whole process of patient treatment through diagnosis, surgery, rehabilitation, and review. They know the whole situation of the disease and accompany the patients’ disease process. Moreover, compared with doctors, nurses are the prominent follow-up people and health educators, providing professional health education knowledge to help patients better return to life.