PURPOSE: The aim of this study is to compare the generic and ostomy-specific quality of life (QoL) between cancer and non-cancer ostomy patients using a mixed-method design. METHODS: All patients with an ostomy participating in the Stomapanel of the Dutch Ostomy Association were asked to complete a generic (RAND-36) and ostomy-specific (Stoma-QoL) QoL questionnaire. In addition, open-ended questions on symptoms, restrictions or adaptations influencing daily life were included. The generic and ostomy-specific QoL between cancer and non-cancer ostomy patients were compared using linear regression analyses. Qualitative responses were analysed using content analysis. RESULTS: In total, 668 patients were included: 379 cancer patients (80 % colorectal, 17 % bladder and 3 % other) and 289 non-cancer patients (38 % colitis ulcerosa, 22 % Crohn's disease and 40 % other) with a colostomy (55 %), ileostomy (31 %) and/or urostomy (16 %). Adjusted for gender, age, type of ostomy and time elapsed since ostomy surgery, cancer ostomy patients scored higher (better) on Stoma-QoL (β = 2.1) and all RAND-36 domains (9.1 < β ≤ 19.5) except on mental health compared to non-cancer ostomy patients. Of the 33 themes coded for in the content analysis, fatigue or sleeplessness, leakages, pain, bladder or bowel complaints, physical functioning or activity, travelling or being away from home, other daily activities (including work), clothing and diet were among the 10 most frequently reported themes, although ranking differed between both patient groups. Besides, cancer ostomy patients frequently reported on the impact on (engaging in a) relationship or sexual intimacy and non-cancer ostomy patients frequently reported to be relieved of symptoms and restrictions in daily life. CONCLUSIONS: Cancer patients reported better generic and ostomy-specific QoL than non-cancer ostomy patients. In both cancer and non-cancer ostomy patients, fatigue or sleeplessness, leakages, pain, bladder or bowel complaints, physical functioning or activity, travelling or being away from home, other daily activities (including work), clothing and diet were among the 10 most common reported themes influencing daily life. However, the ranking of these 10 most common themes was different in both patient groups.
PURPOSE: The aim of this study is to compare the generic and ostomy-specific quality of life (QoL) between cancer and non-cancer ostomypatients using a mixed-method design. METHODS: All patients with an ostomy participating in the Stomapanel of the Dutch Ostomy Association were asked to complete a generic (RAND-36) and ostomy-specific (Stoma-QoL) QoL questionnaire. In addition, open-ended questions on symptoms, restrictions or adaptations influencing daily life were included. The generic and ostomy-specific QoL between cancer and non-cancer ostomypatients were compared using linear regression analyses. Qualitative responses were analysed using content analysis. RESULTS: In total, 668 patients were included: 379 cancerpatients (80 % colorectal, 17 % bladder and 3 % other) and 289 non-cancerpatients (38 % colitis ulcerosa, 22 % Crohn's disease and 40 % other) with a colostomy (55 %), ileostomy (31 %) and/or urostomy (16 %). Adjusted for gender, age, type of ostomy and time elapsed since ostomy surgery, cancer ostomypatients scored higher (better) on Stoma-QoL (β = 2.1) and all RAND-36 domains (9.1 < β ≤ 19.5) except on mental health compared to non-cancer ostomypatients. Of the 33 themes coded for in the content analysis, fatigue or sleeplessness, leakages, pain, bladder or bowel complaints, physical functioning or activity, travelling or being away from home, other daily activities (including work), clothing and diet were among the 10 most frequently reported themes, although ranking differed between both patient groups. Besides, cancer ostomypatients frequently reported on the impact on (engaging in a) relationship or sexual intimacy and non-cancer ostomypatients frequently reported to be relieved of symptoms and restrictions in daily life. CONCLUSIONS:Cancerpatients reported better generic and ostomy-specific QoL than non-cancer ostomypatients. In both cancer and non-cancer ostomypatients, fatigue or sleeplessness, leakages, pain, bladder or bowel complaints, physical functioning or activity, travelling or being away from home, other daily activities (including work), clothing and diet were among the 10 most common reported themes influencing daily life. However, the ranking of these 10 most common themes was different in both patient groups.
Authors: Patrick Colquhoun; Roberto Kaiser; Eric G Weiss; Jonathan Efron; Anthony M Vernava; Juan J Nogueras; Steven D Wexner Journal: Ostomy Wound Manage Date: 2006-12 Impact factor: 2.629
Authors: Simon R Knowles; Jarrad Wilson; Annette Wilkinson; William Connell; Michael Salzberg; David Castle; Paul Desmond; Michael A Kamm Journal: J Wound Ostomy Continence Nurs Date: 2013 Nov-Dec Impact factor: 1.741
Authors: Yan Leykin; Seema M Thekdi; Dianne M Shumay; Ricardo F Muñoz; Michelle Riba; Laura B Dunn Journal: Psychooncology Date: 2011-05-24 Impact factor: 3.894
Authors: Virginia Sun; Marcia Grant; Carmit K McMullen; Andrea Altschuler; M Jane Mohler; Mark C Hornbrook; Lisa J Herrinton; Carol M Baldwin; Robert S Krouse Journal: J Wound Ostomy Continence Nurs Date: 2013 Jan-Feb Impact factor: 1.741
Authors: Robert S Krouse; Marcia Grant; Christopher S Wendel; M Jane Mohler; Susan M Rawl; Carol M Baldwin; Stephen Joel Coons; Ruth McCorkle; Clifford Y Ko; C Max Schmidt Journal: Dis Colon Rectum Date: 2007-12 Impact factor: 4.585
Authors: Robert S Krouse; Lisa J Herrinton; Marcia Grant; Christopher S Wendel; Sylvan B Green; M Jane Mohler; Carol M Baldwin; Carmit K McMullen; Susan M Rawl; Eric Matayoshi; Stephen Joel Coons; Mark C Hornbrook Journal: J Clin Oncol Date: 2009-08-31 Impact factor: 44.544
Authors: Aaron Yarlas; Stephen Maher; Martha Bayliss; Andrew Lovley; Joseph C Cappelleri; Andrew G Bushmakin; Marco D DiBonaventura Journal: J Patient Cent Res Rev Date: 2020-04-27
Authors: Julian Panés; Séverine Vermeire; James O Lindsay; Bruce E Sands; Chinyu Su; Gary Friedman; Haiying Zhang; Aaron Yarlas; Martha Bayliss; Stephen Maher; Joseph C Cappelleri; Andrew G Bushmakin; David T Rubin Journal: J Crohns Colitis Date: 2018-01-24 Impact factor: 9.071
Authors: Dara Rouholiman; Jamison G Gamble; Sylvie D Dobrota; Ellen M Encisco; Ashish G Shah; Francisco J Grajales Iii; Larry F Chu Journal: JMIR Res Protoc Date: 2018-03-26