Predicting life with a permanent end colostomy: A prospective study on function, bother and acceptance
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Dokumenter
- Fulltext
Forlagets udgivne version, 1,04 MB, PDF-dokument
Aim: The factors that influence a patient's experience of a colostomy are not known. The aim of this study was to characterise stoma function, stoma-related bother and acceptance among patients operated for rectal cancer and to investigate if there were any preoperative personal factors with predictive impact on long-term stoma-related bother. Methods: The QoLiRECT (Quality of Life in RECTal cancer) study is a prospective multicentre study of patients with rectal cancer. This was a subgroup analysis of patients with a permanent colostomy with a 2-year follow-up. Penalised regression models with shrinkage estimation were used to predict the 1-and 2-year bother using baseline data. The predictive value and the importance of the included variables were evaluated using bootstrap resampling techniques. Results: A total of 379 patients were included. Overall stoma acceptance was high and a majority of patients were not bothered by their stoma; 77% and 83% at 1 and 2 years, respectively. The subgroup of patients with stoma-related bother had a high prevalence of difficulties, especially fear of leakage, and a low stoma acceptance in daily life. Both clinical and personal factors were associated with stoma-related bother. The most important factors were quality of life and physical health, but the prediction accuracy was low. Conclusions: Stoma-related bother was associated with overall stoma dysfunction. As stoma-related bother is a multifactorial problem, it was not possible to predict which patients will experience stoma-related bother. It is therefore of importance to prevent stoma-related symptoms and optimise stoma function to reduce long-term bother and increase stoma acceptance.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Colorectal Disease |
| Vol/bind | 23 |
| Udgave nummer | 10 |
| Sider (fra-til) | 2681-2689 |
| Antal sider | 9 |
| ISSN | 1462-8910 |
| DOI | |
| Status | Udgivet - 2021 |
Bibliografisk note
Funding Information:
The?study received funding from the Swedish Research Council 2017-01103, the Swedish Cancer Society CAN 2016/509 and 19 0333 Pj, the Swedish?Society of?Medicine SLS693371, the Health-care sub-committee of Region V?stra G?taland VGFOUREG-308861, VGFOUREG-374491 and VGFOUREG-468731,?ALF grant??Agreement concerning research and education of doctors? ALFGBG- 426501, ALFGBG-716581 and ALFGBG-493341, Anna-Lisa?and Bror?Bj?rnssons Foundation, the Assar Gabrielsson Foundation, Lion's?Cancer Research?Foundation of Western Sweden, Mary von Sydow Foundation,?Ruth and Richard?Julin's Foundation, and the Gothenburg Medical Society. The authors gratefully acknowledge the work by the research nurses at the Scandinavian Surgical Outcomes Research Group (SSORG) and by all those involved at the participating hospitals: Sahlgrenska University Hospital/?stra, G?teborg; Skaraborg Hospital Sk?vde; NU Hospital Group, Trollh?ttan; Central Hospital of Karlstad; S?dra ?lvsborg Hospital, Bor?s; Karolinska University Hospital; ?rebro University Hospital; Sunderbyn Hospital; V?stmanland's Hospital V?ster?s, Blekinge Hospital, Karlskrona; Mora Hospital; Helsingborg Hospital; Hvidovre Hospital; Slagelse Hospital; Herlev Hospital and Roskilde Hospital.
Funding Information:
The study received funding from the Swedish Research Council 2017‐01103, the Swedish Cancer Society CAN 2016/509 and 19 0333 Pj, the Swedish Society of Medicine SLS693371, the Health‐care sub‐committee of Region Västra Götaland VGFOUREG‐308861, VGFOUREG‐374491 and VGFOUREG‐468731, ALF grant “Agreement concerning research and education of doctors” ALFGBG‐ 426501, ALFGBG‐716581 and ALFGBG‐493341, Anna‐Lisa and Bror Björnssons Foundation, the Assar Gabrielsson Foundation, Lion's Cancer Research Foundation of Western Sweden, Mary von Sydow Foundation, Ruth and Richard Julin's Foundation, and the Gothenburg Medical Society.
Publisher Copyright:
© 2021 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland
ID: 304154295