Stoma location and ostomy-related quality of life among cancer survivors with ostomies: A pooled analysis

Julia Mo; Christopher S. Wendel; Jeff A. Sloan; Virginia Sun; Mark C. Hornbrook; Marcia Grant; Elizabeth Ercolano; S. Bruce Malkowicz; Nancy J. Tallman; Ruth C. McCorkle; Robert S. Krouse

doi:10.1016/j.amjsurg.2021.09.023

Stoma location and ostomy-related quality of life among cancer survivors with ostomies: A pooled analysis

Julia Mo, Christopher S. Wendel, Jeff A. Sloan, Virginia Sun, Mark C. Hornbrook, Marcia Grant, Elizabeth Ercolano, S. Bruce Malkowicz, Nancy J. Tallman, Ruth C. McCorkle, Robert S. Krouse

Aging, Arizona Center on

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Introduction: We sought to explore how stoma location may affect self-care events and health-related quality of life (HRQOL) in cancer survivors with ostomies. Methods: A pooled dataset was obtained from three multi-site studies that used the City of Hope Quality of Life-Ostomy questionnaire. Predicted means for HRQOL and individual items were generated adjusting for sex, ostomy type, and body mass index. Results: Among 607 cancer survivors, abdominal quadrant groups were: 138 (23%) upper left, 298 (49%) lower left, 51 (8%) upper right, and 120 (20%) lower right. Survivors with lower right side ostomies more frequently reported weight gain after ostomy surgery (p < 0.001). Stoma on the right side of the abdomen was associated with lower scores for issues with the skin surrounding the ostomy (p = 0.03) and satisfaction with appearance (p = 0.008). Discussion: Stoma location is associated with HRQOL and difficulties adjusting to the ostomy.

Original language	English (US)
Pages (from-to)	963-968
Number of pages	6
Journal	American journal of surgery
Volume	223
Issue number	5
DOIs	https://doi.org/10.1016/j.amjsurg.2021.09.023
State	Published - May 2022

Keywords

Colostomy
HRQOL
Ileostomy
Stoma location
Urostomy

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2021.09.023

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title = "Stoma location and ostomy-related quality of life among cancer survivors with ostomies: A pooled analysis",

abstract = "Introduction: We sought to explore how stoma location may affect self-care events and health-related quality of life (HRQOL) in cancer survivors with ostomies. Methods: A pooled dataset was obtained from three multi-site studies that used the City of Hope Quality of Life-Ostomy questionnaire. Predicted means for HRQOL and individual items were generated adjusting for sex, ostomy type, and body mass index. Results: Among 607 cancer survivors, abdominal quadrant groups were: 138 (23%) upper left, 298 (49%) lower left, 51 (8%) upper right, and 120 (20%) lower right. Survivors with lower right side ostomies more frequently reported weight gain after ostomy surgery (p < 0.001). Stoma on the right side of the abdomen was associated with lower scores for issues with the skin surrounding the ostomy (p = 0.03) and satisfaction with appearance (p = 0.008). Discussion: Stoma location is associated with HRQOL and difficulties adjusting to the ostomy.",

keywords = "Colostomy, HRQOL, Ileostomy, Stoma location, Urostomy",

author = "Julia Mo and Wendel, {Christopher S.} and Sloan, {Jeff A.} and Virginia Sun and Hornbrook, {Mark C.} and Marcia Grant and Elizabeth Ercolano and Malkowicz, {S. Bruce} and Tallman, {Nancy J.} and McCorkle, {Ruth C.} and Krouse, {Robert S.}",

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year = "2022",

month = may,

doi = "10.1016/j.amjsurg.2021.09.023",

language = "English (US)",

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T2 - A pooled analysis

AU - Mo, Julia

AU - Wendel, Christopher S.

AU - Sloan, Jeff A.

AU - Sun, Virginia

AU - Hornbrook, Mark C.

AU - Grant, Marcia

AU - Ercolano, Elizabeth

AU - Malkowicz, S. Bruce

AU - Tallman, Nancy J.

AU - McCorkle, Ruth C.

AU - Krouse, Robert S.

PY - 2022/5

Y1 - 2022/5

N2 - Introduction: We sought to explore how stoma location may affect self-care events and health-related quality of life (HRQOL) in cancer survivors with ostomies. Methods: A pooled dataset was obtained from three multi-site studies that used the City of Hope Quality of Life-Ostomy questionnaire. Predicted means for HRQOL and individual items were generated adjusting for sex, ostomy type, and body mass index. Results: Among 607 cancer survivors, abdominal quadrant groups were: 138 (23%) upper left, 298 (49%) lower left, 51 (8%) upper right, and 120 (20%) lower right. Survivors with lower right side ostomies more frequently reported weight gain after ostomy surgery (p < 0.001). Stoma on the right side of the abdomen was associated with lower scores for issues with the skin surrounding the ostomy (p = 0.03) and satisfaction with appearance (p = 0.008). Discussion: Stoma location is associated with HRQOL and difficulties adjusting to the ostomy.

AB - Introduction: We sought to explore how stoma location may affect self-care events and health-related quality of life (HRQOL) in cancer survivors with ostomies. Methods: A pooled dataset was obtained from three multi-site studies that used the City of Hope Quality of Life-Ostomy questionnaire. Predicted means for HRQOL and individual items were generated adjusting for sex, ostomy type, and body mass index. Results: Among 607 cancer survivors, abdominal quadrant groups were: 138 (23%) upper left, 298 (49%) lower left, 51 (8%) upper right, and 120 (20%) lower right. Survivors with lower right side ostomies more frequently reported weight gain after ostomy surgery (p < 0.001). Stoma on the right side of the abdomen was associated with lower scores for issues with the skin surrounding the ostomy (p = 0.03) and satisfaction with appearance (p = 0.008). Discussion: Stoma location is associated with HRQOL and difficulties adjusting to the ostomy.

KW - Colostomy

KW - HRQOL

KW - Ileostomy

KW - Stoma location

KW - Urostomy

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Stoma location and ostomy-related quality of life among cancer survivors with ostomies: A pooled analysis

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Keywords

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