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Quality of Life Research
Published in: Quality of Life Research 1/2016

Open Access 01-01-2016 | Review Paper

Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review

Authors: Sylvia M. Vonk-Klaassen, Hilde M. de Vocht, Marjolein E. M. den Ouden, Eric Hans Eddes, Marieke J. Schuurmans

Published in: Quality of Life Research | Issue 1/2016

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Abstract

Aim

Many long-term ostomates are ‘out-of-sight’ of healthcare, and it is unknown how ostomates deal with ostomy-related problems and how these problems affect their quality of life (QOL). The aim is to examine patient-related studies describing ostomy-related problems and their impact on the perceived QOL of long-term colostomates.

Methods

The electronic databases PubMed (MEDLINE), CINAHL, Cochrane Library and PsycINFO were systematically searched. All studies were included in which ostomy-specific QOL was measured using validated multidimensional instruments.

Results

Of the 6447 citations identified, 14 prevailingly descriptive cross-sectional studies were included. Three different validated multidimensional instruments for measuring QOL in ostomates were used (EORTC C30/CR38, MCOHQOLQO, Stoma QOL Questionnaire). All studies demonstrated that living with a colostomy influences the overall QOL negatively. The ostomy-related problems described included sexual problems, depressive feelings, gas, constipation, dissatisfaction with appearance, change in clothing, travel difficulties, feeling tired and worry about noises.

Conclusion

In conclusion, all 14 studies gave an indication of the impact of ostomy-related problems on the perceived QOL and demonstrated that a colostomy influences the QOL negatively. There is a wide range of ostomy-specific QOL scores, and there seem to be higher QOL scores in the studies where the MCOHQOLQO instrument was used. The MCOHQOLQO and the Stoma QOL Questionnaire gave the most detailed information about which ostomy-related problems were experienced. This review adds knowledge about the impact of stoma-related problems on QOL of long-term ostomates, but more research has to be conducted, to detect ostomy-related problems and especially possible care needs.
Appendix
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Metadata
Title
Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review
Authors
Sylvia M. Vonk-Klaassen
Hilde M. de Vocht
Marjolein E. M. den Ouden
Eric Hans Eddes
Marieke J. Schuurmans
Publication date
01-01-2016
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 1/2016
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1050-3

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