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

Autor: Marianne Krogsgaard, Helle Ø Kristensen, Edgar J. B. Furnée, Sanne J. Verkuijl, Nuno José Rama, Hugo Domingos, João Maciel, Alejandro Solis-Peña, Eloy Espín-Basany, Marta Hidalgo-Pujol, Sebastiano Biondo, Annika Sjövall, Katrine J. Emmertsen, Anne Thyø, Peter Christensen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Kristensen, H Ø, Krogsgaard, M, Furnée, E J B, Verkuijl, S J, Rama, N J, Domingos, H, Maciel, J, Solis-Peña, A, Espin, E, Hidalgo-Pujol, M, Biondo, S, Sjövall, A, Emmertsen, K J, Thyø, A V & Christensen, P 2022, ' Life with a stoma across five European countries-a cross-sectional study on long-term rectal cancer survivors ', Supportive Care in Cancer . https://doi.org/10.1007/s00520-022-07293-y
Supportive Care in Cancer, 30. SPRINGER
Krogsgaard, M, Kristensen, H Ø, Furnée, E J B, Verkuijl, S J, Rama, N J, Domingos, H, Maciel, J, Solis-Peña, A, Espín-Basany, E, Hidalgo-Pujol, M, Biondo, S, Sjövall, A, Emmertsen, K J, Thyø, A & Christensen, P 2022, ' Life with a stoma across five European countries—a cross-sectional study on long-term rectal cancer survivors ', Supportive Care in Cancer, vol. 30, no. 11, pp. 8969-8979 . https://doi.org/10.1007/s00520-022-07293-y
ISSN: 0941-4355
Popis: 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.
Databáze: OpenAIRE
Externí odkaz: