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Quality of Life Research
Published in: Quality of Life Research 1/2017

Open Access 01-01-2017

Quality of life in patients with a permanent stoma after rectal cancer surgery

Authors: Pia Näsvall, Ursula Dahlstrand, Thyra Löwenmark, Jörgen Rutegård, Ulf Gunnarsson, Karin Strigård

Published in: Quality of Life Research | Issue 1/2017

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Abstract

Aim

Health-related quality of life (HRQoL) assessment is important in understanding the patient’s perspective and for decision-making in health care. HRQoL is often impaired in patients with stoma. The aim was to evaluate HRQoL in rectal cancer patients with permanent stoma compared to patients without stoma.

Methods

711 patients operated for rectal cancer with abdomino-perineal resection or Hartman’s procedure and a control group (n = 275) operated with anterior resection were eligible. Four QoL questionnaires were sent by mail. Comparisons of mean values between groups were made by Student´s independent t test. Comparison was made to a Swedish background population.

Results

336 patients with a stoma and 117 without stoma replied (453/986; 46 %). A bulging or a hernia around the stoma was present in 31.5 %. Operation due to parastomal hernia had been performed in 11.7 % in the stoma group. Mental health (p = 0.007), body image (p < 0.001), and physical (p = 0.016) and emotional function (p = 0.003) were inferior in patients with stoma. Fatigue (p = 0.019) and loss of appetite (p = 0.027) were also more prominent in the stoma group. Sexual function was impaired in the non-stoma group (p = 0.034). However in the stoma group, patients with a bulge/hernia had more sexual problems (p = 0.004). Pain was associated with bulge/hernia (p < 0.001) and fear for leakage decreased QoL (p < 0.001). HRQoL was impaired compared to the Swedish background population.

Conclusion

Overall HRQoL in patients operated for rectal cancer with permanent stoma was inferior compared to patients without stoma. In the stoma group, a bulge or a hernia around the stoma further impaired HRQoL.
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Metadata
Title
Quality of life in patients with a permanent stoma after rectal cancer surgery
Authors
Pia Näsvall
Ursula Dahlstrand
Thyra Löwenmark
Jörgen Rutegård
Ulf Gunnarsson
Karin Strigård
Publication date
01-01-2017
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 1/2017
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1367-6

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