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Int J Colorectal Dis. 2017 Jan;32(1):89-94. doi: 10.1007/s00384-016-2665-8. Epub 2016 Oct 8.

The impact of an ostomy on older colorectal cancer patients: a cross-sectional survey.

Author information

1
Department of Geriatric Medicine/Department of Surgery, Diakonessenhuis, Bosboomstraat 1, 3582KE, Utrecht, The Netherlands. nverweij@diakhuis.nl.
2
Department of Geriatric Medicine, Diakonessenhuis, Utrecht, The Netherlands.
3
Department of Surgery, Elisabeth-Tweesteden Ziekenhuis, Tilburg, The Netherlands.
4
Department of Internal Medicine, Haga Hospital, The Hague, The Netherlands.
5
Department of Surgery, Diakonessenhuis, Utrecht, The Netherlands.
6
Department of Surgery, University Medical Center Utrecht, Cancer Center, Utrecht, The Netherlands.

Abstract

BACKGROUND:

Ostomies are being placed in 35 % of patients after colorectal cancer surgery. As decision-making regarding colorectal surgery is challenging in the older patients, it is important to have insight in the potential impact due to ostomies.

METHODS:

An internet-based survey was sent to all members with registered email addresses of the Dutch Ostomy Patient Association.

RESULTS:

The response rate was 49 %; 932 cases were included of whom 526 were aged <70 years old ("younger respondents"), 301 were aged between 70 and 79 years old ("the elderly"), and 105 were aged ≥80 years old ("oldest old"). Ostomy-related limitations were similar in the different age groups, just as uncertainty (8-10 %) and dependency (18-22 %) due to the ostomy. A reduced quality of life was experienced least in the oldest old group (24 % vs 37 % of the elderly and 46 % of the younger respondents, p < 0.001). Over time, a decrease of limitations and impact due to the ostomy was observed.

CONCLUSION:

Older ostomates do not experience more limitations or psychosocial impact due to the ostomy compared to their younger counterparts. Over the years, impact becomes less distinct. Treatment decision-making is challenging in the older colorectal cancer patients but ostomy placement should not be withheld based on age alone.

KEYWORDS:

Care-dependence; Colorectal cancer; Geriatrics; Ileostomy; Ostomy

PMID:
27722790
DOI:
10.1007/s00384-016-2665-8
[Indexed for MEDLINE]

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