Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
Life with a stoma across five European countries—a cross-sectional study on long-term rectal cancer survivors. / Krogsgaard, Marianne; Kristensen, Helle Ø; Furnée, Edgar J.B. et al.
I: Supportive Care in Cancer, Bind 30, Nr. 11, 11.2022, s. 8969-8979.Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - Life with a stoma across five European countries—a cross-sectional study on long-term rectal cancer survivors
AU - Krogsgaard, Marianne
AU - Kristensen, Helle Ø
AU - Furnée, Edgar J.B.
AU - Verkuijl, Sanne J.
AU - Rama, Nuno José
AU - Domingos, Hugo
AU - Maciel, João
AU - Solis-Peña, Alejandro
AU - Espín-Basany, Eloy
AU - Hidalgo-Pujol, Marta
AU - Biondo, Sebastiano
AU - Sjövall, Annika
AU - Emmertsen, Katrine J.
AU - Thyø, Anne
AU - Christensen, Peter
PY - 2022/11
Y1 - 2022/11
N2 - 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.
AB - 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.
KW - Daily activities
KW - Long-term survivor
KW - Parastomal bulge
KW - Rectal cancer
KW - Stoma care
KW - Symptoms
KW - Cancer Survivors
KW - Cross-Sectional Studies
KW - Humans
KW - Surgical Stomas/adverse effects
KW - Colostomy
KW - Rectum
KW - Quality of Life
KW - Rectal Neoplasms/surgery
UR - http://www.scopus.com/inward/record.url?scp=85135461797&partnerID=8YFLogxK
U2 - 10.1007/s00520-022-07293-y
DO - 10.1007/s00520-022-07293-y
M3 - Journal article
C2 - 35930059
AN - SCOPUS:85135461797
VL - 30
SP - 8969
EP - 8979
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
SN - 0941-4355
IS - 11
ER -