Abstract
Late complications following colorectal cancer surgery are prevalent, with over 50% of patients experiencing bowel and stool symptoms, up to 70% facing urinary dysfunction, and sexual dysfunction affecting 76% of men and 56% of women. Additionally, 24-39% of patients report depressive symptoms within the first year post-surgery. Traditional physician-led outpatient care models often fail to address the multifaceted needs of these patients, focusing primarily on recurrence detection. In contrast, nurse-led clinics, which are gaining popularity in various areas of cancer care, offer a holistic approach that encompasses both physiological and psychosocial support. We established a specialized nurse-led outpatient clinic for managing late complications after colorectal and anal cancer surgeries. Our model empowers specialized nurses to diagnose and treat a wide range of symptoms independently, involving physicians only when necessary. This nurse-led approach leverages the unique strengths of nursing practice, including empathy, patient education, and comprehensive symptom management, to support patients' transition to a "new normal" post-surgery. Nurses in our clinic follow treatment algorithms for common symptoms and consult with medical specialists for complex or unresponsive cases. The nurse-led clinic model enhances patient satisfaction, quality of life, and healthcare resource efficiency. However, challenges such as defining the scope of practice, ensuring adequate training, and integrating this model into existing healthcare systems must be addressed. Our experience suggests that this model can be broadly adopted across other healthcare areas. Future research should focus on evaluating long-term outcomes and strategies for broader implementation. In conclusion, integrating nurse-led consultations within a collaborative framework that includes doctors for specialized interventions represents a progressive approach to postoperative care for colorectal and anal cancer patients. This model promises to improve patient outcomes, satisfaction, and healthcare resource optimization by leveraging the holistic care approach of nurses alongside the specialized expertise of doctors.