Do Geographic and Educational Factors Influence the Quality of Life in Rectal Cancer Patients With a Permanent Colostomy?

Holzer, Brigitte; Matzel, Klaus E.; Schiedeck, Thomas; Christiansen, J; Christensen, Peter; Rius, Josep M. Font i; Richter, Piotr; Lehur, P.‐A.; Masin, Alessandra; Kuzu, Mehmet Ayhan; Hussein, Ahmed; Øresland, Tom; Roche, Bruno; Rosén, Harald

doi:10.1007/s10350-005-0194-6

Cited by 57 publications

(36 citation statements)

References 15 publications

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“…10 Although a colostomy is a well-accepted treatment for NBD, 14,15 it appears to be less well accepted in Korean culture. 11 As TAI has been suggested for disordered defecation before any irreversible surgery, 16 it could function in this way before conducting colostomy.…”

Section: Discussionmentioning

confidence: 99%

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Application of transanal irrigation for patients with spinal cord injury in South Korea: a 6-month follow-up study

Kim

Lee

Lee³

et al. 2013

Spinal Cord

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Study design: A 6-month follow-up study. Objectives: To investigate the outcome of transanal irrigation (TAI) in patients with spinal cord injury (SCI) and to identify factors significantly related to clinical success. Setting: Survey for community-dwelling patients with SCI in South Korea. Methods: Between December 2010 and March 2012, TAI was initiated with 52 patients (41 men; age: 44.5 ± 11.0 years) with neurogenic bowel dysfunction (NBD). At 1, 3 and 6 months after initiation, a telephone interview was conducted. Data were collected on patient-specific bowel management and TAI performance as a new procedure. Results: Only 18 patients (34%) used TAI for at least 6 months, which was a lower compliance rate than similar studies in some European countries. Relative to the compliant group, the noncompliant group contained a higher proportion of tetraplegia than paraplegia (P ¼ 0.031), and a higher proportion dependent on physical help (P ¼ 0.034). In all, 33 of the 52 patients (63.5%) complained of practical problems with the TAI procedure such as expulsion of the rectal catheter. Fifteen patients (28.8%) presented with adverse effects. The incidence of practical problems or adverse effects did not alter the frequency of patient-reported successful outcome. Conclusion: Korean participants showed a relatively lower compliance rate with TAI. We conclude that TAI, combined with adequate patient instruction and physical assistance, has potential as a management tool for NBD in Korea.

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Section: Discussionmentioning

confidence: 99%

“…10 It appears that for Korean SCIPs, bowel care habits are very individualized 10 and the choice of method is markedly influenced by the patient's sociocultural environment. 11 Moreover, as health-care systems vary widely between countries, this can be expected to influence the bowel care habits of SCIPs.…”

Section: Introductionmentioning

confidence: 99%

Application of transanal irrigation for patients with spinal cord injury in South Korea: a 6-month follow-up study

Kim

Lee

Lee³

et al. 2013

Spinal Cord

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“…Perspectives on colostomy might be different between countries. 19 Bowel management outcomes and QoL In a previous study in Korea, gastrointestinal problems in chronic SCIPs were reported to be as high as 62.5%, which included constipation, pain during defecation, fecal incontinence and urgency. 6 These problems resulted in the deterioration of QoL in 80% and unhappiness in 62%.…”

Section: Defecation Stimulation Methodsmentioning

confidence: 99%

Management of bowel dysfunction in the community after spinal cord injury: a postal survey in the Republic of Korea

et al. 2011

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Study design: A cross-sectional postal survey. Objectives: To describe defecation stimulation methods and their outcomes, and to investigate the impact of bowel dysfunction on the quality of life (QoL) in community-dwelling persons with spinal cord injury in South Korea. Setting: Community-based, Korea. Methods: A cross-sectional postal survey was conducted. Questionnaires were sent to 459 chronic spinal cord injury (SCI) patients who were registered as members of the Korean Spinal Cord Injury Association. Defecation stimulation methods and their outcomes, the impact of bowel dysfunction on the QoL were investigated. Results: A total of 388 subjects (44.5±10.8 year of age; men, 76.0%; duration of time since the onset of SCI, 14.2±9.5 years) responded. Bowel-related general, social and home QoL deterioration was found in 460%. Suppositories (Supp) were most frequently used, followed by digital rectal stimulation (DRS). The mini enema (ME), which is exclusively used in Korea, was utilized in 18.8%. A defecation time of 30 min was more frequently reported in patients who stimulated defecation with Supp than in those who used DRS. Conclusions: The use of MEs and warm-water irrigations were newly identified in Korea. Bowel care-related factors that greatly deteriorate the QoL were fecal incontinence, time in one defecation 460 min, perianal skin problem, flatus incontinence and hemorrhoids. Alleviating these factors might help to improve the QoL. In particular, stimulation methods to reduce time for defecation might be recommended to persons with chronic SCI.

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“…It is possible that these patients may have had problems managing their stoma due to lack of proper supportive care. In the prospective Study Group for QOL in Rectal Cancer trial, QOL for 253 APR patients from 13 institutions in 11 countries was evaluated [33]. The instrument used in this study was modified from the fecal incontinence QOL scale by Rockwood et al [34], composed of 29 items with four domains (lifestyle, coping/behavior, depression/ self-perception, and embarrassment).…”

Section: Sphincter Preservation Versus Permanent Colostomymentioning

confidence: 99%

Quality of life after rectal resection and multimodality therapy

Hassan

Cima

2007

Journal of Surgical Oncology

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Modern management of locally advanced rectal cancer requires a multimodality approach. This includes radical surgery, pelvic radiotherapy, and systemic chemotherapy. It can require a permanent colostomy and result in significant bowel, sexual, and urinary dysfunction. In order to determine the effectiveness of various multimodality regimens it is important to not only assess conventional oncologic outcomes but also the impact on patient's quality of life.

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Do Geographic and Educational Factors Influence the Quality of Life in Rectal Cancer Patients With a Permanent Colostomy?

Cited by 57 publications

References 15 publications

Application of transanal irrigation for patients with spinal cord injury in South Korea: a 6-month follow-up study

Application of transanal irrigation for patients with spinal cord injury in South Korea: a 6-month follow-up study

Management of bowel dysfunction in the community after spinal cord injury: a postal survey in the Republic of Korea

Quality of life after rectal resection and multimodality therapy

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