Quality of life in elderly patients with an ostomy: A study from the population-based PROFILES registry

N. M. Verweij, C.S. Bonhof, A. H. W. Schiphorst, H. A. Maas, F. Mols, A. Pronk, M. E. Hamaker

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Abstract

AimOstomies are being placed frequently in surgically treated elderly patients with colorectal cancer (CRC). An insight into the (potential) impact of ostomies on quality of life (QoL) could be useful in patient counselling as well as in the challenging shared treatment decision-making.

MethodPatients with CRC diagnosed between 2000 and 2009 and registered in the population-based Eindhoven Cancer Registry received a QoL questionnaire (EORTC QLQ-C30) in 2010. In addition, QoL was compared with an age- and sex-matched normative population.

ResultsThe study included 2299 CRC patients, of whom 494 had an ostomy. No differences were found in reported ostomy-related problems between patients aged 65, 66-75 and 76years. Ostomy patients aged 66-75 and 76years reported significantly lower physical functioning compared with those without an ostomy. In the elderly (those aged 76years) ostomates reported a worse physical and social functioning compared with the normative population. All these differences were of small clinical relevance. The impact of an ostomy seems to be more prominent in younger (75years old) ostomates, as they experience more functional limitations and a decrease in global health status compared with younger nonostomy patients and the normative population.

ConclusionAlthough elderly (76years old) patients with an ostomy report significantly more limitations in functioning compared with a normative population and elderly CRC patients without an ostomy, the clinical relevance of this finding is limited. In contrast, the impact of an ostomy is more prominent in younger patients. Thus, age itself is not a reason for withholding an ostomy.

Original languageEnglish
Pages (from-to)92-102
JournalColorectal Disease
Volume20
Issue number4
DOIs
Publication statusPublished - 2018

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Neoplasms
Global Health
Surveys and Questionnaires

Keywords

  • ANASTOMOTIC LEAKAGE
  • ASSOCIATION
  • BREAST-CANCER
  • COLONIC-CANCER
  • COLORECTAL-CANCER PATIENTS
  • COMORBIDITY
  • Colorectal cancer
  • QUESTIONNAIRE
  • RESPONSE SHIFT THEORY
  • SURGERY
  • SURVIVORS
  • elderly patients
  • ostomy
  • quality of life

Cite this

Verweij, N. M. ; Bonhof, C.S. ; Schiphorst, A. H. W. ; Maas, H. A. ; Mols, F. ; Pronk, A. ; Hamaker, M. E. / Quality of life in elderly patients with an ostomy : A study from the population-based PROFILES registry. In: Colorectal Disease. 2018 ; Vol. 20, No. 4. pp. 92-102.
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abstract = "AimOstomies are being placed frequently in surgically treated elderly patients with colorectal cancer (CRC). An insight into the (potential) impact of ostomies on quality of life (QoL) could be useful in patient counselling as well as in the challenging shared treatment decision-making.MethodPatients with CRC diagnosed between 2000 and 2009 and registered in the population-based Eindhoven Cancer Registry received a QoL questionnaire (EORTC QLQ-C30) in 2010. In addition, QoL was compared with an age- and sex-matched normative population.ResultsThe study included 2299 CRC patients, of whom 494 had an ostomy. No differences were found in reported ostomy-related problems between patients aged 65, 66-75 and 76years. Ostomy patients aged 66-75 and 76years reported significantly lower physical functioning compared with those without an ostomy. In the elderly (those aged 76years) ostomates reported a worse physical and social functioning compared with the normative population. All these differences were of small clinical relevance. The impact of an ostomy seems to be more prominent in younger (75years old) ostomates, as they experience more functional limitations and a decrease in global health status compared with younger nonostomy patients and the normative population.ConclusionAlthough elderly (76years old) patients with an ostomy report significantly more limitations in functioning compared with a normative population and elderly CRC patients without an ostomy, the clinical relevance of this finding is limited. In contrast, the impact of an ostomy is more prominent in younger patients. Thus, age itself is not a reason for withholding an ostomy.",
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year = "2018",
doi = "10.1111/codi.13989",
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Quality of life in elderly patients with an ostomy : A study from the population-based PROFILES registry. / Verweij, N. M.; Bonhof, C.S.; Schiphorst, A. H. W.; Maas, H. A.; Mols, F.; Pronk, A.; Hamaker, M. E.

In: Colorectal Disease, Vol. 20, No. 4, 2018, p. 92-102.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Quality of life in elderly patients with an ostomy

T2 - A study from the population-based PROFILES registry

AU - Verweij, N. M.

AU - Bonhof, C.S.

AU - Schiphorst, A. H. W.

AU - Maas, H. A.

AU - Mols, F.

AU - Pronk, A.

AU - Hamaker, M. E.

PY - 2018

Y1 - 2018

N2 - AimOstomies are being placed frequently in surgically treated elderly patients with colorectal cancer (CRC). An insight into the (potential) impact of ostomies on quality of life (QoL) could be useful in patient counselling as well as in the challenging shared treatment decision-making.MethodPatients with CRC diagnosed between 2000 and 2009 and registered in the population-based Eindhoven Cancer Registry received a QoL questionnaire (EORTC QLQ-C30) in 2010. In addition, QoL was compared with an age- and sex-matched normative population.ResultsThe study included 2299 CRC patients, of whom 494 had an ostomy. No differences were found in reported ostomy-related problems between patients aged 65, 66-75 and 76years. Ostomy patients aged 66-75 and 76years reported significantly lower physical functioning compared with those without an ostomy. In the elderly (those aged 76years) ostomates reported a worse physical and social functioning compared with the normative population. All these differences were of small clinical relevance. The impact of an ostomy seems to be more prominent in younger (75years old) ostomates, as they experience more functional limitations and a decrease in global health status compared with younger nonostomy patients and the normative population.ConclusionAlthough elderly (76years old) patients with an ostomy report significantly more limitations in functioning compared with a normative population and elderly CRC patients without an ostomy, the clinical relevance of this finding is limited. In contrast, the impact of an ostomy is more prominent in younger patients. Thus, age itself is not a reason for withholding an ostomy.

AB - AimOstomies are being placed frequently in surgically treated elderly patients with colorectal cancer (CRC). An insight into the (potential) impact of ostomies on quality of life (QoL) could be useful in patient counselling as well as in the challenging shared treatment decision-making.MethodPatients with CRC diagnosed between 2000 and 2009 and registered in the population-based Eindhoven Cancer Registry received a QoL questionnaire (EORTC QLQ-C30) in 2010. In addition, QoL was compared with an age- and sex-matched normative population.ResultsThe study included 2299 CRC patients, of whom 494 had an ostomy. No differences were found in reported ostomy-related problems between patients aged 65, 66-75 and 76years. Ostomy patients aged 66-75 and 76years reported significantly lower physical functioning compared with those without an ostomy. In the elderly (those aged 76years) ostomates reported a worse physical and social functioning compared with the normative population. All these differences were of small clinical relevance. The impact of an ostomy seems to be more prominent in younger (75years old) ostomates, as they experience more functional limitations and a decrease in global health status compared with younger nonostomy patients and the normative population.ConclusionAlthough elderly (76years old) patients with an ostomy report significantly more limitations in functioning compared with a normative population and elderly CRC patients without an ostomy, the clinical relevance of this finding is limited. In contrast, the impact of an ostomy is more prominent in younger patients. Thus, age itself is not a reason for withholding an ostomy.

KW - ANASTOMOTIC LEAKAGE

KW - ASSOCIATION

KW - BREAST-CANCER

KW - COLONIC-CANCER

KW - COLORECTAL-CANCER PATIENTS

KW - COMORBIDITY

KW - Colorectal cancer

KW - QUESTIONNAIRE

KW - RESPONSE SHIFT THEORY

KW - SURGERY

KW - SURVIVORS

KW - elderly patients

KW - ostomy

KW - quality of life

U2 - 10.1111/codi.13989

DO - 10.1111/codi.13989

M3 - Article

VL - 20

SP - 92

EP - 102

JO - Colorectal Disease

JF - Colorectal Disease

SN - 1462-8910

IS - 4

ER -