Stoma location and ostomy-related quality of life among cancer survivors with ostomies: A pooled analysis

Julia Mo; Christopher S Wendel; Jeff A Sloan; Virginia Sun; Mark C Hornbrook; Marcia Grant; Elizabeth Ercolano; S Bruce Malkowicz; Nancy J Tallman; Ruth C McCorkle; Robert S Krouse

doi:10.1016/j.amjsurg.2021.09.023

Stoma location and ostomy-related quality of life among cancer survivors with ostomies: A pooled analysis

Am J Surg. 2022 May;223(5):963-968. doi: 10.1016/j.amjsurg.2021.09.023. Epub 2021 Sep 25.

Authors

Affiliations

¹ University of Pennsylvania, Department of Surgery, Philadelphia, PA, 19104, USA.
² Mel & Enid Zuckerman College of Public Health and University of Arizona Cancer Center, Tucson, AZ, USA.
³ Mayo Clinic, Rochester, MN, USA.
⁴ City of Hope, Department Population Sciences, Division of Nursing Research and Education, Duarte, CA, 91010, USA; City of Hope, Department of Surgery, Duarte, CA, 91010, USA.
⁵ Kaiser Permanente Center for Health Research, Portland, OR, 97227, USA.
⁶ City of Hope, Department Population Sciences, Division of Nursing Research and Education, Duarte, CA, 91010, USA.
⁷ Yale University, School of Nursing, Orange, CT, 06477, USA.
⁸ University of Pennsylvania, Department of Surgery, Philadelphia, PA, 19104, USA; University of Pennsylvania, Department of Urology, Philadelphia, PA, 19104, USA.
⁹ Unaffiliated, Wound, Ostomy, and Continence Nurse, Tucson, AZ, USA.
¹⁰ University of Pennsylvania, Department of Surgery, Philadelphia, PA, 19104, USA. Electronic address: robert.krouse@pennmedicine.upenn.edu.

Abstract

Introduction: We sought to explore how stoma location may affect self-care events and health-related quality of life (HRQOL) in cancer survivors with ostomies.

Methods: A pooled dataset was obtained from three multi-site studies that used the City of Hope Quality of Life-Ostomy questionnaire. Predicted means for HRQOL and individual items were generated adjusting for sex, ostomy type, and body mass index.

Results: Among 607 cancer survivors, abdominal quadrant groups were: 138 (23%) upper left, 298 (49%) lower left, 51 (8%) upper right, and 120 (20%) lower right. Survivors with lower right side ostomies more frequently reported weight gain after ostomy surgery (p < 0.001). Stoma on the right side of the abdomen was associated with lower scores for issues with the skin surrounding the ostomy (p = 0.03) and satisfaction with appearance (p = 0.008).

Discussion: Stoma location is associated with HRQOL and difficulties adjusting to the ostomy.

Keywords: Colostomy; HRQOL; Ileostomy; Stoma location; Urostomy.

Publication types

Meta-Analysis

MeSH terms

Cancer Survivors*
Colostomy
Humans
Ileostomy
Neoplasms*
Ostomy*
Quality of Life
Surgical Stomas*
Surveys and Questionnaires

Abstract

Publication types

MeSH terms

Grants and funding