Evidence map›Paper›PMID 23222968›Full record

ArticleJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society

Surviving colorectal cancer: long-term, persistent ostomy-specific concerns and adaptations.

Virginia Sun, Marcia Grant, Carmit K McMullen, Andrea Altschuler, M Jane Mohler, Mark C Hornbrook, Lisa J Herrinton, Carol M Baldwin, Robert S Krouse

Open access · greenAbstract read
In one paragraph

Article in Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016
    Pooled it
  5. Self-management goals of cancer survivors with an ostomy.Journal of cancer survivorship : research and practice · 2023
    Trial
  6. Trial
  7. Cancer survivors' greatest challenges of living with an ostomy: findings from the Ostomy Self-Management Telehealth (OSMT) randomized trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Trial
  8. Trial
  9. Article
  10. Perceived Ostomy odor and body image disturbance in colorectal cancer survivors: differences by ostomy status and sex.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  11. Article
  12. Article
  13. Review
  14. Challenges faced by patients undergoing fecal ostomy surgery: a qualitative study of colorectal cancer patient perspectives.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Clinical and Demographic Differences Among Cancer Survivors With Ostomies With and Without Informal Caregivers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  19. Life with a stoma across five European countries-a cross-sectional study on long-term rectal cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Virginia SunDivision of Nursing Research & Education, Department of Population Sciences, City of Hope, Duarte, California 91010, USA. vsun@coh.org
Marcia Grant
Carmit K McMullen
Andrea Altschuler
M Jane Mohler
Mark C Hornbrook
Lisa J Herrinton
Carol M Baldwin
Robert S Krouse
City of Hope · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
HR-QOL in Colorectal Cancer Survivors with StomasR01CA106912 · NCI · UNIVERSITY OF ARIZONA · PI HERRINTON, LISA J, KROUSE, ROBERT SCOTT · 2004 to 2013
$3.4M
NCI NIH HHS P30 CA023074NCI NIH HHS P30 CA033572NCI NIH HHS P30 CA 23074NCI NIH HHS P30 CA 33572NCI NIH HHS R01 CA106912
6 · The paper itself

Abstract

purposeThe purpose of this article was to describe persistent ostomy-specific concerns and adaptations in long-term (>5 years) colorectal cancer survivors with ostomies. SUBJECTS AND SETTINGS: Thirty-three colorectal cancer survivors who participated in 8 gender- and health-related quality of life stratified focus groups and 130 colorectal cancer survivors who provided written comments to 2 open-ended questions on ostomy location and pouch problems participated in the study. Data were collected on health maintenance organization members in Oregon, southwestern Washington, and northern California.

methodsQualitative data were analyzed for the 8 focus groups and written comments from 2 open-ended survey questions. Discussions from the focu s groups were recorded, transcribed, and analyzed using content analysis. Written content from the open-ended questions was derived from a mailed questionnaire on health-related quality of life in survivors with ostomies and analyzed using content analysis.

resultsDiscussions related to persistent ostomy-related issues more than 5 years after formation were common. Persistent ostomy-related issues were focused on clothing restrictions and adaptations, dietary concerns, issues related to ostomy equipment and self-care, and the constant need to find solutions to adjust and readjust to living with an ostomy.

conclusionsOstomy-specific concerns persist 5 years and more for long-term colorectal cancer survivors after initial ostomy formation. Adaptations tend to be individualized and based on trial and error. Findings underscore the need to develop long-term support mechanisms that survivors can access to promote better coping and adjustment to living with an ostomy.

Indexed as

Colorectal NeoplasmsOstomyQuality of LifeSurvivorsAdaptation, PsychologicalAgedBody ImageFemaleFocus GroupsHumansLife StyleMaleMiddle AgedSelf Care

Identifiers

PMID23222968
PMCPMC3536890
OpenAlexW2050035147

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.