The first Dutch experience with a nurse-led outpatient clinic for the prevention and treatment of LARS after colorectal surgery: promising results of a standardized treatment protocol - Summary - MDSpire

The first Dutch experience with a nurse-led outpatient clinic for the prevention and treatment of LARS after colorectal surgery: promising results of a standardized treatment protocol

  • By

  • C. Smit

  • M. L. Janssen-Heijnen

  • F. van Osch

  • M. van Heinsbergen

  • J. L. M. Konsten

  • December 30, 2025

  • 0 min

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Objective:

To report the quality of life and functional outcomes in patients with colorectal disease treated specifically for LARS in a nurse-led outpatient clinic.

Key Findings:
  • Significant reduction in median LARS scores from 31 to 18 (p = 0.02) after protocol implementation.
  • Systematic screening for LARS in all colorectal surgery patients was established, enhancing early intervention.
  • The multidisciplinary team included colorectal care nurses, surgeons, dietitians, and psychologists, ensuring comprehensive patient management.
Interpretation:

The nurse-led outpatient clinic shows promising results in managing LARS, suggesting that a standardized approach can improve patient outcomes and should be considered for broader implementation.

Limitations:
  • Retrospective design may introduce bias, potentially affecting the reliability of the findings.
  • Limited generalizability due to single-center study, which may not reflect outcomes in diverse healthcare settings.
Conclusion:

The nurse-led LARS outpatient clinic demonstrates effective management of LARS, with potential for broader implementation in clinical practice and further research to validate these findings.

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