Highlights
- •Stoma location is associated with significant differences in ostomy-related QOL.
- •Cancer survivors with ostomies reported low QOL scores on ability to be intimate.
- •Survivors with ostomies on the right side of the abdomen reported worse skin issues.
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
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Article info
Publication history
Published online: September 24, 2021
Accepted:
September 23,
2021
Received in revised form:
June 29,
2021
Received:
January 19,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
