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

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...

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Veröffentlicht in:Supportive care in cancer 2022-11, Vol.30 (11), p.8969-8979
Hauptverfasser: Krogsgaard, Marianne, Kristensen, Helle Ø, Furnée, Edgar J. B., Verkuijl, Sanne J., Rama, Nuno José, Domingos, Hugo, Maciel, João, Solis-Peña, Alejandro, Espín-Basany, Eloy, Hidalgo-Pujol, Marta, Biondo, Sebastiano, Sjövall, Annika, Emmertsen, Katrine J., Thyø, Anne, Christensen, Peter
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Sprache:eng
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Zusammenfassung: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.
ISSN:0941-4355
1433-7339
1433-7339
DOI:10.1007/s00520-022-07293-y