N M Verweij1, M E Hamaker2, D D E Zimmerman3, Y T van Loon3, F van den Bos4, A Pronk5, I H M Borel Rinkes6, A H W Schiphorst5. 1. Department of Geriatric Medicine/Department of Surgery, Diakonessenhuis, Bosboomstraat 1, 3582KE, Utrecht, The Netherlands. nverweij@diakhuis.nl. 2. Department of Geriatric Medicine, Diakonessenhuis, Utrecht, The Netherlands. 3. Department of Surgery, Elisabeth-Tweesteden Ziekenhuis, Tilburg, The Netherlands. 4. Department of Internal Medicine, Haga Hospital, The Hague, The Netherlands. 5. Department of Surgery, Diakonessenhuis, Utrecht, The Netherlands. 6. Department of Surgery, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.
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.
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 cancerpatients but ostomy placement should not be withheld based on age alone.
Authors: N M Verweij; A H W Schiphorst; H A Maas; D D E Zimmerman; F van den Bos; A Pronk; I H M Borel Rinkes; M E Hamaker Journal: Ann Surg Oncol Date: 2016-01-19 Impact factor: 5.344
Authors: Jita G Hoogerduijn; Marieke J Schuurmans; Mia S H Duijnstee; Sophia E de Rooij; Mieke F H Grypdonck Journal: J Clin Nurs Date: 2007-01 Impact factor: 3.036
Authors: Marije E Hamaker; Meike C Prins; Anandi H Schiphorst; Sebastiaan A C van Tuyl; Apollo Pronk; Frederiek van den Bos Journal: J Geriatr Oncol Date: 2014-11-06 Impact factor: 3.599
Authors: Ahmedin Jemal; Freddie Bray; Melissa M Center; Jacques Ferlay; Elizabeth Ward; David Forman Journal: CA Cancer J Clin Date: 2011-02-04 Impact factor: 508.702
Authors: Michel P Coleman; Manuela Quaresma; Franco Berrino; Jean-Michel Lutz; Roberta De Angelis; Riccardo Capocaccia; Paolo Baili; Bernard Rachet; Gemma Gatta; Timo Hakulinen; Andrea Micheli; Milena Sant; Hannah K Weir; J Mark Elwood; Hideaki Tsukuma; Sergio Koifman; Gulnar Azevedo E Silva; Silvia Francisci; Mariano Santaquilani; Arduino Verdecchia; Hans H Storm; John L Young Journal: Lancet Oncol Date: 2008-07-17 Impact factor: 41.316
Authors: N M Verweij; E T D Souwer; A H W Schiphorst; H A Maas; J E A Portielje; A Pronk; F van den Bos; M E Hamaker Journal: Int J Colorectal Dis Date: 2017-09-20 Impact factor: 2.571
Authors: Marianne Krogsgaard; Helle Ø Kristensen; Edgar J B Furnée; Sanne J Verkuijl; Nuno José Rama; Hugo Domingos; João Maciel; Alejandro Solis-Peña; Eloy Espín-Basany; Marta Hidalgo-Pujol; Sebastiano Biondo; Annika Sjövall; Katrine J Emmertsen; Anne Thyø; Peter Christensen Journal: Support Care Cancer Date: 2022-08-05 Impact factor: 3.359
Authors: Rebecca J Birch; John C Taylor; Amy Downing; Katie Spencer; Paul J Finan; Riccardo A Audisio; Christopher M Carrigan; Peter J Selby; Eva J A Morris Journal: Eur J Surg Oncol Date: 2019-01-07 Impact factor: 4.424
Authors: Y T van Loon; S H E M Clermonts; E H J Belgers; H Kurihara; A Spinelli; H M Joshi; K J Gorissen; D D E Zimmerman Journal: Surg Endosc Date: 2021-07-26 Impact factor: 4.584