Life with a stoma across five European countries—a cross-sectional study on long-term rectal cancer survivors

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DOI

  • Marianne Krogsgaard, Sjællands Universitetshospital
  • ,
  • Helle Ø Kristensen
  • Edgar J.B. Furnée, University of Groningen
  • ,
  • Sanne J. Verkuijl, University of Groningen
  • ,
  • Nuno José Rama, Centro Hospitalar de Leiria
  • ,
  • Hugo Domingos, Champalimaud Foundation
  • ,
  • João Maciel, Instituto Portugues de Oncologia de Francisco Gentil Lisboa
  • ,
  • Alejandro Solis-Peña, Autonomous University of Barcelona
  • ,
  • Eloy Espín-Basany, Autonomous University of Barcelona
  • ,
  • Marta Hidalgo-Pujol, University of Barcelona
  • ,
  • Sebastiano Biondo, University of Barcelona
  • ,
  • Annika Sjövall, Karolinska Institutet
  • ,
  • Katrine J. Emmertsen
  • Anne Thyø
  • Peter Christensen

Purpose: Stoma-related problems are known to be important to patients and potentially affect everyday life. The prevalence of stoma-related problems in rectal cancer survivors remains undetermined. This study aimed to examine aspects of life with a long-term stoma, stoma management, and stoma-related problems and explore the impact of stoma-related problems on daily life. Methods: In total, 2262 patients from 5 European countries completed a multidimensional survey. Stoma-related problems were assessed using the Colostomy Impact score. Multivariable regression analysis, after adjusting for potential confounding factors, provided odds ratio (OR) and 95% confidence intervals (CI) for stoma-related problems’ association with restrictions in daily life. Results: The 2262 rectal cancer survivors completed the questionnaire at a median of 5.4 years (interquartile range 3.8–7.6) after stoma formation. In the total sample, leakage (58%) and troublesome odour (55%) were most prevalent followed by skin problems (27%) and pain (21%). Stoma-related problems were more prevalent in patients with parastomal bulging. A total of 431 (19%) reported feeling restricted in daily activities in life with a stoma. Leakage, odour, skin problems, stool consistency, and frequent appliance changes were significantly associated with restrictions in daily life. The highest risk of experiencing restrictions was seen for patients having odour (OR 2.74 [95% CI: 1.99–3.78]) more than once a week and skin problems (OR 1.77 [95% CI: 1.38–2.27]). Conclusion: In this large cohort with rectal cancer, stoma-related problems were highly prevalent and impacted daily life. Supportive care strategies should entail outreach to patients with a long-term stoma.

OriginalsprogEngelsk
TidsskriftSupportive Care in Cancer
Vol/bind30
Nummer11
Sider (fra-til)8969-8979
Antal sider11
ISSN0941-4355
DOI
StatusUdgivet - nov. 2022

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