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. 2012 Dec 12;2012(12):CD004323. doi: 10.1002/14651858.CD004323.pub4

Hamashima 2002.

Methods Cohort 
 Retrospective 
 Cross‐sectional.
Participants 110 patients (65 men, 45 women), 38 APE, 72 AR. 
 Postal survey of surviving patients who had received surgery for rectal cancer between 1978 and 1997. Respons rate 67,1%. 
 Japan.
Interventions Quality of life assessment with EuroQol.
Outcomes Quality of life.
Notes Evidence level: 2B. 
 Not stated: Tumour distance from anal verge, level of anastomosis in AR group, pouch AR group, radio/chemotherapy.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) High risk Retrospective, cross‐sectional cohort study.  Patients identified from Kananga Cancer Registry were invited to participate. Not all eligible patients responded to questionnaire.
Blinding (performance bias and detection bias) 
 Anterior resection or abdominoperineal resection High risk Blinding not possible due to surgical therapy.
Incomplete outcome data (attrition bias) 
 Quality of life Low risk All included patients completed the study.
Selective reporting (reporting bias) Low risk All QoL data reported.