Quality of life in elderly patients with an ostomy – a study from the population‐based PROFILES registry

Verweij, Norbert M.; Bonhof, Cynthia S; Schiphorst, A. H. W.; Maas, Huub; Mols, Floortje; Pronk, Apollo; Hamaker, Marije E.

doi:10.1111/codi.13989

Cited by 24 publications

(28 citation statements)

References 32 publications

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“…These age-differences were not observed in males, but more sexual enjoyment problems were observed in both older males and females compared to their younger counterparts. Verweij et al [11] compared ostomized and non-ostomized CRC survivors divided into three age groups 65 years, 66-75 years, and 76 years. They found no significant difference in HRQoL when comparing the age groups within the stoma cohort.…”

Section: Resultsmentioning

confidence: 99%

“…Two of the studies that found no correlation did, however, not describe any comparison to a control or normative population [12,15]. It is well known that the course of HRQoL changes over a lifetime in the normative population with a decline in most domains with an increasing age, therefore, HRQoL scores should be compared to a reference population within age groups [11]. Thus, we find it probable that the age difference found in the study by Verweij et al is tangible as the changes in HRQoL with age is taken into account and we find it probable that younger age is correlated with greater impact on HRQoL than is the case in older ostomates.…”

Section: Discussionmentioning

confidence: 99%

“…One study found correlation between short education and worse body image, 9-13 years of education, and more financial difficulties and more gastrointestinal symptoms in patients with a long education in an exploratory analysis [12]. Three of the included studies showed that ostomates experience an increased financial burden compared to non-ostomates [11,12,16], but if this perceived burden depends on educational level, employment status, or income is not known. Pittman et al investigated the impact of socioeconomic factors in their study of 239 ostomized veterans and found more stoma complications and more difficulty adjusting to having a stoma among employed patients, patients living alone and veterans with an income of less than $30,000 per year.…”

Section: Discussionmentioning

confidence: 99%

“…Subsequently full text reading led to the exclusion of 105 studies. As a result eight publications met the criteria [11][12][13][14][15][16][17][18]. All references of these publications were screened for further eligible studies and none were identified.…”

Section: Methodsmentioning

confidence: 99%

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Systematic review of the impact of demographic and socioeconomic factors on quality of life in ostomized colorectal cancer survivors

2019

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Background: Formation of a fecal stoma may be necessary to ensure radical resection in colorectal cancer (CRC) patients but will substantially impact the health-related quality of life (HRQoL) in about 20% of cases. Little is known about patient-related risk factors for reduced HRQoL in patients with a permanent stoma. We, therefore, reviewed the current literature on how demographic and socioeconomic factors affect HRQoL in CRC survivors with a stoma. Material and methods: The databases Pubmed, Embase, CINAHL, and PsycINFO were systematically searched. Two independent reviewers extracted and quality-assessed eligible publications. Studies assessing HRQoL using a validated questionnaire at least 6 months after surgery for CRC were included if data on the impact of demographic and/or socioeconomic, factors on HRQoL were analyzed and presented. Results: Eligible studies predominantly presented small cross-sectional cohorts. Age showed equivocal results; hence, some studies found younger patients had inferior HRQoL compared with older patients, and others found no difference. Subdivision into age groups differed widely. Several studies found that both generic and stoma-specific HRQoL was lower in females compared with males. Most studies found that socioeconomic factors did not affect HRQoL while one study found lower education correlated to reduced HRQoL. Categorization of these factors also varied widely. Conclusions: This is to our knowledge the first systematic review on the impact of patient-related factors on HRQoL in long-term CRC survivors. We found that a stoma had more impact in younger ostomates than older and that HRQoL in females was reduced more than in males. Conclusions regarding other factors were difficult due to few studies and contradictory results. Further research in this subject is much needed in order to target preventive measures when planning surgery in patients in high risk of reduced HRQoL.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Systematic review of the impact of demographic and socioeconomic factors on quality of life in ostomized colorectal cancer survivors

2019

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“…The second surgical step with the radical colon surgery was meant to provide a curative intent due to bowel continuity recanalization, the avoidance of the ostomies and its burdensome impact on quality of life [27].…”

Section: Discussionmentioning

confidence: 99%

A two-step surgery and a multidisciplinary approach in a centenarian patient with an acute presentation of right colon cancer

et al. 2020

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Background: As surgery remains the cornerstone of colorectal cancer (CRC) treatment, the number of older patients presented for colorectal resection is rapidly increasing. Nevertheless, the choice to operate an oldest-old patient still remain challenging and requires a careful assessment of risk to benefit ratio in order to guarantee appropriate surgical strategies and perioperative management. Case presentation: A centenarian patient, acutely admitted to the emergency department, was diagnosed with an ileus caused by stenosing ascending colon cancer with abnormal distension of the right colon at high risk of perforation. Facing with this complex clinical scenario, a lateral decompressive cecostomy as alternative surgical procedure, was performed in local anesthesia in order to avoid the stressful event of an emergency surgery. Thereafter, the patient was admitted to the surgical ward and followed by a geriatrician who performed a comprehensive geriatric assessment (CGA) and daily clinical evaluations. This integrated plan of care was mainly focused on rehabilitation, nutritional interventions and therapeutic reconciliation, maximizing patient's clinical conditions and performance status. Then, the second surgical step, the radical colon surgery with curative intent and bowel continuity reestablishment was performed, demonstrating to be feasible and safety also in a very advanced age patient in term of prolonged survival and preservation of an adequate quality of life. Conclusions: This is the first case-report that illustrates a successful two step surgery for CRC in a centenarian patient thanks to a multidisciplinary based approach, overwhelming the mere concept of chronological age.

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Intestinal Stomas in Elderly

Kurihara

Mei

2021

Emergency General Surgery in Geriatrics

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Quality of life in elderly patients with an ostomy – a study from the population‐based PROFILES registry

Cited by 24 publications

References 32 publications

Systematic review of the impact of demographic and socioeconomic factors on quality of life in ostomized colorectal cancer survivors

Systematic review of the impact of demographic and socioeconomic factors on quality of life in ostomized colorectal cancer survivors

A two-step surgery and a multidisciplinary approach in a centenarian patient with an acute presentation of right colon cancer

Intestinal Stomas in Elderly

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