Stoma‐related complications and quality‐of‐life assessment: A cross‐sectional study with patients from Ethiopia and Sweden

Background The situation for patients with ostomy can be challenging, probably more in a resource‐constrained environment. Our objective was to evaluate quality of life (QoL) (using EQ5D‐5L) and stoma‐specific QoL (using Stoma QoL) in a high‐ and low‐income setting. Methods In this cross‐sectional s...

Full description

Saved in:

Bibliographic Details
Published in:	World journal of surgery Vol. 48; no. 7; pp. 1739 - 1748
Main Authors:	Eklöv, Karolina, Shiferaw, Abel, Rosen, Alice, Bekele, Solomon, Ayalew, Bekin, Bringman, Sven, Nygren, Jonas, Löfgren, Jenny, Everhov, Åsa H., Hallqvist Everhov, Åsa, Solomon, Mesale, Kenea, Melka, Assefa, Zelalem, Sternbro, Nathalie, Prinz, Zandra
Format:	Journal Article
Language:	English
Published:	United States 01-07-2024
Subjects:	colorectal surgery QoL EQ 5D5L low‐income setting Medicin och hälsovetenskap quality of life stoma Stoma QoL EQ 5D5L stoma Stoma QoL colorectal surgery QoL quality of life low‐income setting
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Background The situation for patients with ostomy can be challenging, probably more in a resource‐constrained environment. Our objective was to evaluate quality of life (QoL) (using EQ5D‐5L) and stoma‐specific QoL (using Stoma QoL) in a high‐ and low‐income setting. Methods In this cross‐sectional study from the Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, and South General Hospital (SGH), Stockholm, patients with a permanent or temporary ostomy at TASH (EthioPerm), (EthioTemp), and patients with ostomy at SGH (SweSto) were included in October 2022–January 2023. Results Patients N = 66 were included in groups: EthioPerm N = 28, EthioTemp N = 17, and SweSto N = 21. In EthioTemp, 88% used homemade stoma bags. Although morbidity related to the nipple itself was similar in the groups, the overall score from Stoma QoL was significantly lower in EthioPerm, 48/100 than in SweSto, 74/100. Scores were significantly lower for pouch‐related problems and social interactions in Ethiopian patients. In EthioPerm, 71% of the patients worried that they were a burden to the people close to them compared to 14% in SweSto (p < 0.001). Leakage was over four times more common in EthioPerm than in SweSto. Mean overall EQ5D‐5L score was 18 percentage points lower than the national mean score in EthioPerm and 2 percentage points lower in SweSto. Conclusion QoL was more affected in the Ethiopian study participants than in the Swedish, even when commercial stoma bags were available. The largest problems were leakage, embarrassment with social interactions, and pouch‐related problems. Trial registration NCT05970458 Clinicaltrials.gov, https://clinicaltrials.gov/study/NCT05970458?locStr=Ethiopia&country=Ethiopia&distance=50&cond=Stoma%20Ileostomy&rank=1.
Bibliography:	The Across Collaborative Group: Solomon Bekele, Abel Shiferaw, Karolina Eklöv, Åsa Hallqvist Everhov, Jenny Löfgren, Jonas Nygren, Sven Bringman, Alice Rosen, Bekin Ayalew, Mesale Solomon, Melka Kenea, Zelalem Assefa (ZA), Nathalie Sternbro (NS), and Zandra Prinz (ZP). ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0364-2313 1432-2323 1432-2323
DOI:	10.1002/wjs.12209