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 O.
AU - Furnee, Edgar J. B.
AU - Verkuijl, Sanne J.
AU - Rama, Nuno Jose
AU - Domingos, Hugo
AU - Maciel, Joao
AU - Solis-Pena, Alejandro
AU - Espin-Basany, Eloy
AU - Hidalgo-Pujol, Marta
AU - Biondo, Sebastiano
AU - Sjovall, Annika
AU - Emmertsen, Katrine J.
AU - Thyo, 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 - Rectal cancer
KW - Long-term survivor
KW - Stoma care
KW - Symptoms
KW - Parastomal bulge
KW - Daily activities
KW - QUALITY-OF-LIFE
KW - COLORECTAL-CANCER
KW - OSTOMY SURGERY
KW - COMPLICATIONS
KW - PATIENT
KW - IMPACT
KW - EXPERIENCES
U2 - 10.1007/s00520-022-07293-y
DO - 10.1007/s00520-022-07293-y
M3 - Article
VL - 30
SP - 8969
EP - 8979
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
SN - 0941-4355
ER -