The Effects Of Colostomy On The Quality Of Life In Patients With Spinal Cord Injury: A Retrospective Analysis

Rosito, Olga; Nino-Murcia, Matilde; Wolfe, Vickie; Kiratli, B. Jenny; Perkash, Inder

doi:10.1080/10790268.2002.11753619

Cited by 60 publications

(48 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nine studies (aggregate N ¼ 590) examined the effect of colostomy after SCI (Table 11). [60][61][62][63][64][65][66][67][68] Given the ethical nature of this treatment (that is few safe options once they reach the point of [60][61][62][63][64] and Level 5 evidence (from one study) 68 that colostomy reduces the number of hours spent on bowel care. There is Level 4 evidence (from one retrospective pre-post study) 60 that colostomy greatly simplifies bowel care routines.…”

Section: Resultsmentioning

confidence: 99%

“…There is Level 4 evidence (from one retrospective pre-post study) 60 that colostomy greatly simplifies bowel care routines. There is also Level 4 evidence (from one case study) 63 that colostomy reduces the number of hospitalizations caused by GI problems and improves physical health, psychosocial adjustment, and self-efficacy areas within quality of life. Similarly, Levels 4 and 5 evidence exists (from a post-study and an observational study) that colostomy improves the independence, and thus quality of life, of SCI patients.…”

Section: Resultsmentioning

confidence: 99%

“…However, it is of importance to note that colostomy is a safe, effective method of managing severe and chronic GI problems, and perianal pressure ulcers in persons with SCI. Our systematic review shows that colostomies reduce the number of hours spent on bowel care, [60][61][62][63][64] reduce the number of hospitalizations caused by GI problems 63 and bowel care-related complaints, 60 simplify bowel care routine, 60 and improve quality of life. 62,63,67 In addition, many patients wished to have the colostomy performed earlier.…”

mentioning

confidence: 99%

“…Our systematic review shows that colostomies reduce the number of hours spent on bowel care, [60][61][62][63][64] reduce the number of hospitalizations caused by GI problems 63 and bowel care-related complaints, 60 simplify bowel care routine, 60 and improve quality of life. 62,63,67 In addition, many patients wished to have the colostomy performed earlier. 64 As described by Safadi et al, 68 the left colostomy may be preferred because it preserves colic surfaces to absorb water and prevent dehydration; thus, feces are less liquid and discharges less frequently than with right colostomies.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Neurogenic bowel management after spinal cord injury: a systematic review of the evidence

et al. 2010

View full text Add to dashboard Cite

Study design: Randomized-controlled trials (RCTs), prospective cohort, case-control, pre-post studies, and case reports that assessed pharmacological and non-pharmacological intervention for the management of the neurogenic bowel after spinal cord injury (SCI) were included. Objective: To systematically review the evidence for the management of neurogenic bowel in individuals with SCI. Setting: Literature searches were conducted for relevant articles, as well as practice guidelines, using numerous electronic databases. Manual searches of retrieved articles from 1950 to July 2009 were also conducted to identify literature. Methods: Two independent reviewers evaluated each study's quality, using Physiotherapy Evidence Database scale for RCTs and Downs and Black scale for all other studies. The results were tabulated and levels of evidence assigned. Results: A total of 2956 studies were found as a result of the literature search. On review of the titles and abstracts, 57 studies met the inclusion criteria. Multifaceted programs are the first approach to neurogenic bowel and are supported by lower levels of evidence. Of the non-pharmacological (conservative and non-surgical) interventions, transanal irrigation is a promising treatment to reduce constipation and fecal incontinence. When conservative management is not effective, pharmacological interventions (for example prokinetic agents) are supported by strong evidence for the treatment of chronic constipation. When conservative and pharmacological treatments are not effective, surgical interventions may be considered and are supported by lower levels of evidence in reducing complications. Conclusions: Often, more than one procedure is necessary to develop an effective bowel routine. Evidence is low for non-pharmacological approaches and high for pharmacological interventions.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Neurogenic bowel management after spinal cord injury: a systematic review of the evidence

et al. 2010

View full text Add to dashboard Cite

show abstract

“…In contrast, responses to body image questions suggest only minor concerns, as reported elsewhere. 17 However, concerns about change in appearance and odour were associated with reluctance to repeat surgery and should be addressed in counselling before surgery.…”

Section: Discussionmentioning

confidence: 99%

The impact of stoma for bowel management after spinal cord injury

et al. 2012

View full text Add to dashboard Cite

Study design: Multi-centre, retrospective self-report postal survey. Objectives: To characterise spinal cord injured (SCI) individuals with a stoma, their stoma management and outcomes, to identify sources of information and support for decision making and to explore the impact of a stoma on life satisfaction. Setting: Five UK spinal cord injury centres. Methods: A study-specific questionnaire accompanied by self-concept, life satisfaction and mood measures, and three simple rating scales for satisfaction, impact and restriction on life were sent to all known ostomates at five participating centres. Results: Respondents were 92 individuals, mean age 56 years, mean duration of injury 26 years, 91% with colostomy. Multiple sources of information were utilised in deciding on surgery; discussion with other SCI ostomates was important. Duration of bowel care, faecal incontinence, bowel-related autonomic dysreflexia, dietary manipulation and laxative use were all significantly reduced following surgery. Rectal mucous discharge was the most common and bothersome post-stoma problem. Satisfaction with stoma was high; provision of sufficient information preoperatively was important, those with ileostomy were more dependent and less satisfied. Life satisfaction and physical self-concept were both lower in this sample than in previously reported samples of SCI individuals without reported bowel difficulties or stoma. Conclusion: The findings of this study of self-selected respondents with a stoma for bowel management after SCI emphasised the benefits of stoma in selected individuals and the importance of timely intervention, the complexity of the associated decision-making and of preoperative counselling. The impact of bowel dysfunction on physical self-concept warrants investigation.

show abstract

Symptom Management

Stazzone

Brown

2012

Multiple Sclerosis

View full text Add to dashboard Cite

The Effects Of Colostomy On The Quality Of Life In Patients With Spinal Cord Injury: A Retrospective Analysis

Cited by 60 publications

References 0 publications

Neurogenic bowel management after spinal cord injury: a systematic review of the evidence

Neurogenic bowel management after spinal cord injury: a systematic review of the evidence

The impact of stoma for bowel management after spinal cord injury

Symptom Management

Contact Info

Product

Resources

About