A mixed-methods evaluation of health-related quality of life for male veterans with and without intestinal stomas

Robert S. Krouse, Marcia Grant, Christopher S. Wendel, M. Jane Mohler, Susan Rawl, Carol M. Baldwin, Stephen Joel Coons, Ruth McCorkle, Clifford Y. Ko, C. Schmidt

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

PURPOSE: Intestinal stomas have a major impact on Cases' lives. It is essential to better understand the areas in which interventions may help to minimize the negative consequences. METHODS: This was a case-control survey study using validated instruments (City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans). Cases were accrued from Veterans Affairs Medical Centers in Tucson, Indianapolis, and Los Angeles. Eligibility included a major intra-abdominal surgical procedure that led to an ostomy (cases), or a similar procedure that did not mandate a stoma (controls). Analysis included quantitative and qualitative responses. RESULTS: The response rate was 48 percent (511/1063). Cases and controls had relatively similar demographic characteristics. Because of low numbers of female respondents (13 cases and 11 controls), only results for males are reported. Based on both the City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans, cases reported significantly poorer scores on scales/domains reflecting psychologic and social functioning and well being. Additionally, cases reported poorer scores on Short Form 36 for Veterans scales reflecting physical functioning and significantly lower scores on multiple items in the social domain of the City of Hope Quality of Life-Ostomy compared with controls. Two-thirds of cases replied to an open-ended question on their "greatest challenge" related to their ostomy, which led to further clarification of major issues. CONCLUSIONS: Multiple health-related quality of life problems were reported by male veterans with intestinal stomas. The greatest differences between cases and controls were observed in the social and psychologic domains/scales. Findings from this study provide a greater understanding of the challenges faced by ostomates and will inform the development and evaluation of urgently needed intervention strategies.

Original languageEnglish
Pages (from-to)2054-2066
Number of pages13
JournalDiseases of the Colon and Rectum
Volume50
Issue number12
DOIs
StatePublished - Dec 2007

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Ostomy
Veterans
Quality of Life
Los Angeles
Case-Control Studies
Demography

Keywords

  • Focus groups
  • Ostomy
  • Quality of life
  • Stomas

ASJC Scopus subject areas

  • Gastroenterology

Cite this

A mixed-methods evaluation of health-related quality of life for male veterans with and without intestinal stomas. / Krouse, Robert S.; Grant, Marcia; Wendel, Christopher S.; Mohler, M. Jane; Rawl, Susan; Baldwin, Carol M.; Coons, Stephen Joel; McCorkle, Ruth; Ko, Clifford Y.; Schmidt, C.

In: Diseases of the Colon and Rectum, Vol. 50, No. 12, 12.2007, p. 2054-2066.

Research output: Contribution to journalArticle

Krouse, Robert S. ; Grant, Marcia ; Wendel, Christopher S. ; Mohler, M. Jane ; Rawl, Susan ; Baldwin, Carol M. ; Coons, Stephen Joel ; McCorkle, Ruth ; Ko, Clifford Y. ; Schmidt, C. / A mixed-methods evaluation of health-related quality of life for male veterans with and without intestinal stomas. In: Diseases of the Colon and Rectum. 2007 ; Vol. 50, No. 12. pp. 2054-2066.
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AU - Grant, Marcia

AU - Wendel, Christopher S.

AU - Mohler, M. Jane

AU - Rawl, Susan

AU - Baldwin, Carol M.

AU - Coons, Stephen Joel

AU - McCorkle, Ruth

AU - Ko, Clifford Y.

AU - Schmidt, C.

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N2 - PURPOSE: Intestinal stomas have a major impact on Cases' lives. It is essential to better understand the areas in which interventions may help to minimize the negative consequences. METHODS: This was a case-control survey study using validated instruments (City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans). Cases were accrued from Veterans Affairs Medical Centers in Tucson, Indianapolis, and Los Angeles. Eligibility included a major intra-abdominal surgical procedure that led to an ostomy (cases), or a similar procedure that did not mandate a stoma (controls). Analysis included quantitative and qualitative responses. RESULTS: The response rate was 48 percent (511/1063). Cases and controls had relatively similar demographic characteristics. Because of low numbers of female respondents (13 cases and 11 controls), only results for males are reported. Based on both the City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans, cases reported significantly poorer scores on scales/domains reflecting psychologic and social functioning and well being. Additionally, cases reported poorer scores on Short Form 36 for Veterans scales reflecting physical functioning and significantly lower scores on multiple items in the social domain of the City of Hope Quality of Life-Ostomy compared with controls. Two-thirds of cases replied to an open-ended question on their "greatest challenge" related to their ostomy, which led to further clarification of major issues. CONCLUSIONS: Multiple health-related quality of life problems were reported by male veterans with intestinal stomas. The greatest differences between cases and controls were observed in the social and psychologic domains/scales. Findings from this study provide a greater understanding of the challenges faced by ostomates and will inform the development and evaluation of urgently needed intervention strategies.

AB - PURPOSE: Intestinal stomas have a major impact on Cases' lives. It is essential to better understand the areas in which interventions may help to minimize the negative consequences. METHODS: This was a case-control survey study using validated instruments (City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans). Cases were accrued from Veterans Affairs Medical Centers in Tucson, Indianapolis, and Los Angeles. Eligibility included a major intra-abdominal surgical procedure that led to an ostomy (cases), or a similar procedure that did not mandate a stoma (controls). Analysis included quantitative and qualitative responses. RESULTS: The response rate was 48 percent (511/1063). Cases and controls had relatively similar demographic characteristics. Because of low numbers of female respondents (13 cases and 11 controls), only results for males are reported. Based on both the City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans, cases reported significantly poorer scores on scales/domains reflecting psychologic and social functioning and well being. Additionally, cases reported poorer scores on Short Form 36 for Veterans scales reflecting physical functioning and significantly lower scores on multiple items in the social domain of the City of Hope Quality of Life-Ostomy compared with controls. Two-thirds of cases replied to an open-ended question on their "greatest challenge" related to their ostomy, which led to further clarification of major issues. CONCLUSIONS: Multiple health-related quality of life problems were reported by male veterans with intestinal stomas. The greatest differences between cases and controls were observed in the social and psychologic domains/scales. Findings from this study provide a greater understanding of the challenges faced by ostomates and will inform the development and evaluation of urgently needed intervention strategies.

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