Validation of the colostomy impact score in patients ostomized for a benign condition.
colostomy
health-related quality of life
stoma dysfunction
the colostomy impact score
validation
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
09
06
2020
accepted:
17
07
2020
pubmed:
3
8
2020
medline:
20
8
2021
entrez:
3
8
2020
Statut:
ppublish
Résumé
The colostomy impact (CI) score is a patient-reported outcome measure assessing reduction in health-related quality of life (HRQL) due to a stoma. The score was originally developed and validated in a cohort of rectal cancer survivors with a permanent colostomy. For the CI score to be applied to patients with a colostomy after surgery for a benign condition it must be validated in this patient group. The aim of this study was to assess construct validity and known groups validity of the CI score in patients with a colostomy after surgery for a benign condition. In a cross-sectional survey among ostomates in the Capital Region of Denmark, patients completed the CI score and the SF-36 v2 questionnaires. Construct validity was assessed by Pearson's correlation coefficients and known groups validity was assessed by t-test when dividing patients into groups of minor or major CI. The CI score showed a moderate negative correlation with the Physical Component Summary (PCS) of -0.41 and a weak negative correlation with the Mental Component Summary (MCS) of -0.39. The strength of the correlation depended on the underlying condition leading to stoma formation. Differences were significant between the minor and major CI groups in mean PSC and MCS with t-values of 5.32 and 3.86, respectively. The CI score is a valid instrument for assessing stoma-related impact on HRQL regardless of the underlying condition leading to stoma formation, and the CI score discriminates meaningfully between groups with known differences in stoma-related reduced HRQL.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2270-2277Informations de copyright
© 2020 The Association of Coloproctology of Great Britain and Ireland.
Références
Sunheds og Forebyggelsesudvalget 2014-2015. Kort om stomi--- området i Danmark. 2015; http://www.ft.dk/samling/20141/almdel/suu/bilag/1410/1532897.pdf (accessed 9 June 2020).
Claessens I, Probert R, Tielemans C et al. The Ostomy Life Study: the everyday challenges faced by people living with a stoma in a snapshot. Gastrointest Nurs 2015; 13: 18-25.
Jansen F, van Uden-Kraan CF, Braakman JA, van Keizerswaard PM, Witte BI, Verdonck-de Leeuw IM. A mixed-method study on the generic and ostomy-specific quality of life of cancer and non-cancer ostomy patients. Support Care Cancer. 2015; 23: 1689-97.
Fingren J, Lindholm E, Petersén C, Hallén AM, Carlsson E. A prospective, explorative study to assess adjustment 1 year after ostomy surgery among Swedish patients. Ostomy Wound Manag 2018; 64: 12-22.
Marinez AC, González E, Holm K et al. Stoma-related symptoms in patients operated for rectal cancer with abdominoperineal excision. Int J Colorectal Dis 2016; 31: 635-41.
Thyø A, Emmertsen KJ, Pinkney T, Christensen P, Laurberg S. The colostomy impact score: development and validation of a patient reported outcome measure for rectal cancer patients with a permanent colostomy. A population-based study. Colorectal Dis 2017; 19: O25-33.
Kasparek MS, Hassan I, Cima RR, Larson DR, Gullerud RE, Wolff BG. Long-term quality of life and sexual and urinary function after abdominoperineal resection for distal rectal cancer. Dis Colon Rectum 2012; 55: 147-54.
Braumann C, Müller V, Knies M, Aufmesser B, Schwenk W, Koplin G. Quality of life and need for care in patients with an ostomy: a survey of 2647 patients of the Berlin OStomy-Study (BOSS). Langenbeck’s Arch Surg 2016; 401: 1191-201.
Sjödahl R, Schulz C, Myrelid P, Andersson P. Long-term quality of life in patients with permanent sigmoid colostomy. Colorectal Dis 2012; 14: e335-e338.
Grant M, Ferrell B, Dean G, Uman G, Chu D, Krouse R. Revision and psychometric testing of the city of hope quality of life : ostomy questionnaire. Qual Life Res 2004; 13: 1445-57.
Baxter NN, Novotny PJ, Jacobson T, Maidl LJ, Sloan J, Young-Fadok TM. A stoma quality of life scale. Dis Colon Rectum 2006; 49: 205-12.
Krouse RS, Herrinton LJ, Grant M et al. Health-related quality of life among long-term rectal cancer survivors with an ostomy: manifestations by sex. J Clin Oncol 2009; 27: 4664-70.
Grant M, Ferrell B, Dean G, Uman G, Chu D, Krouse R. Revision and psychometric testing of the City of Hope Quality of Life-Ostomy Questionnaire. Qual Life Res 2004; 13: 1445-57.
Prieto L, Thorsen H, Juul K. Development and validation of a quality of life questionnaire for patients with colostomy or ileostomy. Health Qual Life Outcomes 2005; 3: 1-12.
Krogsgaard M, Watt T, Danielsen AK et al. Impact of a parastomal bulge on quality of life - a cross-sectional study of patients from the Danish stoma database. Ann Surg 2019. Epub ahead of print.
Danielsen AK, Christensen BM, Mortensen J, Voergaard LL, Herlufsen P, Balleby L. Establishment of a regional Danish database for patients with a stoma. Color Di. 2015; 17: O27-33.
Bjorner JB, Damsgaard MT, Watt T, Groenvold M. Tests of data quality, scaling assumptions, and reliability of the Danish SF-36. J Clin Epidemiol 1998; 51: 1001-11.
Bølling Hansen R, Staun M, Kalhauge A, Langholz E, Biering-Sørensen F. Bowel function and quality of life after colostomy in individuals with spinal cord injury. J Spinal Cord Med 2016; 39: 281-9.
Nichols TR. Quality of life in persons living with an ostomy assessed using the SF36v2. J Wound Ostomy Cont Nurs 2016; 43: 616-22.
Indrebø KL, Natvig GK, Andersen JR. A cross-sectional study to determine whether adjustment to an ostomy can predict health-related and/or overall quality of life. Ostomy Wound Manag 2016; 62: 50-9.
Schober P, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg 2018; 126: 1763-8.
Cooper EA, Bonne Lee B, Muhlmann M. Outcomes following stoma formation in patients with spinal cord injury. Color Dis 2019; 1415-20.