Predicting life with a permanent end colostomy : A prospective study on function, bother and acceptance
(2021) In Colorectal Disease 23(10). p.2681-2689- Abstract
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... (More)
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.
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- author
- Sandberg, Sofia ; Asplund, Dan ; Bock, David ; Ehrencrona, Carolina ; Ohlsson, Björn LU ; Park, Jennifer ; Rosenberg, Jacob ; Smedh, Kenneth ; Walming, Sofie LU and Angenete, Eva
- publishing date
- 2021-10
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cancer, colorectal, functional, surgery
- in
- Colorectal Disease
- volume
- 23
- issue
- 10
- pages
- 2681 - 2689
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85112279818
- pmid:34314553
- ISSN
- 1462-8910
- DOI
- 10.1111/codi.15842
- language
- English
- LU publication?
- no
- additional info
- 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
- 9354dfba-5c42-40b8-80e6-075b97331ed6
- date added to LUP
- 2024-06-19 12:23:38
- date last changed
- 2024-06-20 08:07:45
@article{9354dfba-5c42-40b8-80e6-075b97331ed6,
abstract = {{<p>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.</p>}},
author = {{Sandberg, Sofia and Asplund, Dan and Bock, David and Ehrencrona, Carolina and Ohlsson, Björn and Park, Jennifer and Rosenberg, Jacob and Smedh, Kenneth and Walming, Sofie and Angenete, Eva}},
issn = {{1462-8910}},
keywords = {{cancer; colorectal; functional; surgery}},
language = {{eng}},
number = {{10}},
pages = {{2681--2689}},
publisher = {{Wiley-Blackwell}},
series = {{Colorectal Disease}},
title = {{Predicting life with a permanent end colostomy : A prospective study on function, bother and acceptance}},
url = {{http://dx.doi.org/10.1111/codi.15842}},
doi = {{10.1111/codi.15842}},
volume = {{23}},
year = {{2021}},
}