The impact of an ostomy on older colorectal cancer patients: a cross-sectional survey
Background Ostomies are being placed in 35 % of patients after colorectal cancer surgery. As decision-making regarding colorectal surgery is challenging in the older patients, it is important to have insight in the potential impact due to ostomies. Methods An internet-based survey was sent to all me...
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| Veröffentlicht in: | International journal of colorectal disease 2017, Vol.32 (1), p.89-94 |
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| container_title | International journal of colorectal disease |
| container_volume | 32 |
| creator | Verweij, N. M. Hamaker, M. E. Zimmerman, D. D. E. van Loon, Y. T. van den Bos, F. Pronk, A. Borel Rinkes, I. H. M. Schiphorst, A. H. W. |
| description | Background
Ostomies are being placed in 35 % of patients after colorectal cancer surgery. As decision-making regarding colorectal surgery is challenging in the older patients, it is important to have insight in the potential impact due to ostomies.
Methods
An internet-based survey was sent to all members with registered email addresses of the Dutch Ostomy Patient Association.
Results
The response rate was 49 %; 932 cases were included of whom 526 were aged |
| doi_str_mv | 10.1007/s00384-016-2665-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1859486253</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4295854231</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-153e05186ddc284fa8676dfeaed2b6c1b5b95cc99c545a79896f0f9faa89adf23</originalsourceid><addsrcrecordid>eNqNkUtLAzEUhYMotlZ_gBsJuHETTTKTlzspvkBw065Dmkl0ysykJjNC_71pqyKC4Co3ud894Z4DwCnBlwRjcZUwLmSJMOGIcs6Q3ANjUhYUEcrpPhhjIhQiiskROEppifOdi_IQjKgQlAqFx2A-e3WwblfG9jB4aDoYUh_aNQy5aioXoQ1NiM72poHWdDa_rExfu65P19BAG0NKKOV-HbqMpCG-u_UxOPCmSe7k85yA-d3tbPqAnp7vH6c3T8iWmPWIsMJhRiSvKktl6Y3kglfeGVfRBbdkwRaKWauUZSUzQknFPfbKGyOVqTwtJuBip7uK4W1wqddtnaxrGtO5MCRNJFOl5JQV_0ALVmY7Bcno-S90GYaYt9sKcko4y8ZPANlRWwui83oV69bEtSZYb-LRu3h0jkdv4tEyz5x9Kg-L1lXfE195ZIDugJRb3YuLP77-U_UD5I6aDg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1856216500</pqid></control><display><type>article</type><title>The impact of an ostomy on older colorectal cancer patients: a cross-sectional survey</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Verweij, N. M. ; Hamaker, M. E. ; Zimmerman, D. D. E. ; van Loon, Y. T. ; van den Bos, F. ; Pronk, A. ; Borel Rinkes, I. H. M. ; Schiphorst, A. H. W.</creator><creatorcontrib>Verweij, N. M. ; Hamaker, M. E. ; Zimmerman, D. D. E. ; van Loon, Y. T. ; van den Bos, F. ; Pronk, A. ; Borel Rinkes, I. H. M. ; Schiphorst, A. H. W.</creatorcontrib><description>Background
Ostomies are being placed in 35 % of patients after colorectal cancer surgery. As decision-making regarding colorectal surgery is challenging in the older patients, it is important to have insight in the potential impact due to ostomies.
Methods
An internet-based survey was sent to all members with registered email addresses of the Dutch Ostomy Patient Association.
Results
The response rate was 49 %; 932 cases were included of whom 526 were aged <70 years old (“younger respondents”), 301 were aged between 70 and 79 years old (“the elderly”), and 105 were aged ≥80 years old (“oldest old”). Ostomy-related limitations were similar in the different age groups, just as uncertainty (8–10 %) and dependency (18–22 %) due to the ostomy. A reduced quality of life was experienced least in the oldest old group (24 % vs 37 % of the elderly and 46 % of the younger respondents,
p
< 0.001). Over time, a decrease of limitations and impact due to the ostomy was observed.
Conclusion
Older ostomates do not experience more limitations or psychosocial impact due to the ostomy compared to their younger counterparts. Over the years, impact becomes less distinct. Treatment decision-making is challenging in the older colorectal cancer patients but ostomy placement should not be withheld based on age alone.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-016-2665-8</identifier><identifier>PMID: 27722790</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Colorectal cancer ; Colorectal Neoplasms - psychology ; Colorectal Neoplasms - surgery ; Cross-Sectional Studies ; Female ; Gastroenterology ; Hepatology ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Ostomy ; Proctology ; Quality of Life ; Surgery ; Time Factors</subject><ispartof>International journal of colorectal disease, 2017, Vol.32 (1), p.89-94</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>International Journal of Colorectal Disease is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-153e05186ddc284fa8676dfeaed2b6c1b5b95cc99c545a79896f0f9faa89adf23</citedby><cites>FETCH-LOGICAL-c405t-153e05186ddc284fa8676dfeaed2b6c1b5b95cc99c545a79896f0f9faa89adf23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00384-016-2665-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00384-016-2665-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27722790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verweij, N. M.</creatorcontrib><creatorcontrib>Hamaker, M. E.</creatorcontrib><creatorcontrib>Zimmerman, D. D. E.</creatorcontrib><creatorcontrib>van Loon, Y. T.</creatorcontrib><creatorcontrib>van den Bos, F.</creatorcontrib><creatorcontrib>Pronk, A.</creatorcontrib><creatorcontrib>Borel Rinkes, I. H. M.</creatorcontrib><creatorcontrib>Schiphorst, A. H. W.</creatorcontrib><title>The impact of an ostomy on older colorectal cancer patients: a cross-sectional survey</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>Background
Ostomies are being placed in 35 % of patients after colorectal cancer surgery. As decision-making regarding colorectal surgery is challenging in the older patients, it is important to have insight in the potential impact due to ostomies.
Methods
An internet-based survey was sent to all members with registered email addresses of the Dutch Ostomy Patient Association.
Results
The response rate was 49 %; 932 cases were included of whom 526 were aged <70 years old (“younger respondents”), 301 were aged between 70 and 79 years old (“the elderly”), and 105 were aged ≥80 years old (“oldest old”). Ostomy-related limitations were similar in the different age groups, just as uncertainty (8–10 %) and dependency (18–22 %) due to the ostomy. A reduced quality of life was experienced least in the oldest old group (24 % vs 37 % of the elderly and 46 % of the younger respondents,
p
< 0.001). Over time, a decrease of limitations and impact due to the ostomy was observed.
Conclusion
Older ostomates do not experience more limitations or psychosocial impact due to the ostomy compared to their younger counterparts. Over the years, impact becomes less distinct. Treatment decision-making is challenging in the older colorectal cancer patients but ostomy placement should not be withheld based on age alone.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - psychology</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Proctology</subject><subject>Quality of Life</subject><subject>Surgery</subject><subject>Time Factors</subject><issn>0179-1958</issn><issn>1432-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUtLAzEUhYMotlZ_gBsJuHETTTKTlzspvkBw065Dmkl0ysykJjNC_71pqyKC4Co3ud894Z4DwCnBlwRjcZUwLmSJMOGIcs6Q3ANjUhYUEcrpPhhjIhQiiskROEppifOdi_IQjKgQlAqFx2A-e3WwblfG9jB4aDoYUh_aNQy5aioXoQ1NiM72poHWdDa_rExfu65P19BAG0NKKOV-HbqMpCG-u_UxOPCmSe7k85yA-d3tbPqAnp7vH6c3T8iWmPWIsMJhRiSvKktl6Y3kglfeGVfRBbdkwRaKWauUZSUzQknFPfbKGyOVqTwtJuBip7uK4W1wqddtnaxrGtO5MCRNJFOl5JQV_0ALVmY7Bcno-S90GYaYt9sKcko4y8ZPANlRWwui83oV69bEtSZYb-LRu3h0jkdv4tEyz5x9Kg-L1lXfE195ZIDugJRb3YuLP77-U_UD5I6aDg</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Verweij, N. M.</creator><creator>Hamaker, M. E.</creator><creator>Zimmerman, D. D. E.</creator><creator>van Loon, Y. T.</creator><creator>van den Bos, F.</creator><creator>Pronk, A.</creator><creator>Borel Rinkes, I. H. M.</creator><creator>Schiphorst, A. H. W.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2017</creationdate><title>The impact of an ostomy on older colorectal cancer patients: a cross-sectional survey</title><author>Verweij, N. M. ; Hamaker, M. E. ; Zimmerman, D. D. E. ; van Loon, Y. T. ; van den Bos, F. ; Pronk, A. ; Borel Rinkes, I. H. M. ; Schiphorst, A. H. W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-153e05186ddc284fa8676dfeaed2b6c1b5b95cc99c545a79896f0f9faa89adf23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - psychology</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Proctology</topic><topic>Quality of Life</topic><topic>Surgery</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Verweij, N. M.</creatorcontrib><creatorcontrib>Hamaker, M. E.</creatorcontrib><creatorcontrib>Zimmerman, D. D. E.</creatorcontrib><creatorcontrib>van Loon, Y. T.</creatorcontrib><creatorcontrib>van den Bos, F.</creatorcontrib><creatorcontrib>Pronk, A.</creatorcontrib><creatorcontrib>Borel Rinkes, I. H. M.</creatorcontrib><creatorcontrib>Schiphorst, A. H. W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verweij, N. M.</au><au>Hamaker, M. E.</au><au>Zimmerman, D. D. E.</au><au>van Loon, Y. T.</au><au>van den Bos, F.</au><au>Pronk, A.</au><au>Borel Rinkes, I. H. M.</au><au>Schiphorst, A. H. W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of an ostomy on older colorectal cancer patients: a cross-sectional survey</atitle><jtitle>International journal of colorectal disease</jtitle><stitle>Int J Colorectal Dis</stitle><addtitle>Int J Colorectal Dis</addtitle><date>2017</date><risdate>2017</risdate><volume>32</volume><issue>1</issue><spage>89</spage><epage>94</epage><pages>89-94</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><abstract>Background
Ostomies are being placed in 35 % of patients after colorectal cancer surgery. As decision-making regarding colorectal surgery is challenging in the older patients, it is important to have insight in the potential impact due to ostomies.
Methods
An internet-based survey was sent to all members with registered email addresses of the Dutch Ostomy Patient Association.
Results
The response rate was 49 %; 932 cases were included of whom 526 were aged <70 years old (“younger respondents”), 301 were aged between 70 and 79 years old (“the elderly”), and 105 were aged ≥80 years old (“oldest old”). Ostomy-related limitations were similar in the different age groups, just as uncertainty (8–10 %) and dependency (18–22 %) due to the ostomy. A reduced quality of life was experienced least in the oldest old group (24 % vs 37 % of the elderly and 46 % of the younger respondents,
p
< 0.001). Over time, a decrease of limitations and impact due to the ostomy was observed.
Conclusion
Older ostomates do not experience more limitations or psychosocial impact due to the ostomy compared to their younger counterparts. Over the years, impact becomes less distinct. Treatment decision-making is challenging in the older colorectal cancer patients but ostomy placement should not be withheld based on age alone.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27722790</pmid><doi>10.1007/s00384-016-2665-8</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0179-1958 |
| ispartof | International journal of colorectal disease, 2017, Vol.32 (1), p.89-94 |
| issn | 0179-1958 1432-1262 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1859486253 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Aged, 80 and over Colorectal cancer Colorectal Neoplasms - psychology Colorectal Neoplasms - surgery Cross-Sectional Studies Female Gastroenterology Hepatology Humans Internal Medicine Male Medicine Medicine & Public Health Middle Aged Original Article Ostomy Proctology Quality of Life Surgery Time Factors |
| title | The impact of an ostomy on older colorectal cancer patients: a cross-sectional survey |
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