Evidence map›Paper›PMID 28844086›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018

Caregiving and mutuality among long-term colorectal cancer survivors with ostomies: qualitative study.

Andrea Altschuler, Petra Liljestrand, Marcia Grant, Mark C Hornbrook, Robert S Krouse, Carmit K McMullen

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Interventions targeting quality of life in patients with colorectal cancer and a fecal ostomy: A systematic review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. The impact of ostomy on colorectal cancer patients and caregivers: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Defining Opportunities to Improve Perioperative Ostomy Care and Education.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  7. Article
  8. Experiences of mutuality between Chinese lung cancer patients and family caregivers during chemotherapy: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Enhancing the cancer caregiving experience: Building resilience through role adjustment and mutuality.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2019
    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

6 authors.

Andrea AltschulerKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, 94612, USA. Andrea.Altschuler@kp.org.ORCID 0000-0003-3880-0735
Petra LiljestrandKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, 94612, USA.
Marcia GrantCity of Hope, 1500 E Duarte Rd, Duarte, CA, 91010, USA.
Mark C HornbrookKaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR, 97227, USA.
Robert S KrousePerelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
Carmit K McMullenKaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR, 97227, USA.

Funding

Intestinal ostomies and informal caregiving for colorectal cancer survivorsR21CA129887 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI MCMULLEN, CARMIT KURN · 2008 to 2009
$391k
NCI NIH HHS 1R21 CA129887NCI NIH HHS R21 CA129887
6 · The paper itself

Abstract

purposeThe cancer caregiving literature focuses on the early phases of survivorship, but caregiving can continue for decades when cancer creates disability. Survivors with an ostomy following colorectal cancer (CRC) have caregiving needs that may last decades. Mutuality has been identified as a relationship component that can affect caregiving. This paper discusses how mutuality may affect long-term ostomy caregiving.

methodsWe conducted semi-structured, in-depth interviews with 31 long-term CRC survivors with ostomies and their primary informal caregivers. Interviewees were members of an integrated health care delivery system in the USA. We used inductive theme analysis techniques to analyze the interviews.

resultsMost survivors were 71 years of age or older (67%), female (55%), and with some college education (54%). Two thirds lived with and received care from spouses. Caregiving ranged from minimal support to intimate assistance with daily ostomy care. While some survivors received caregiving far beyond what was needed, others did not receive adequate caregiving for their health care needs. Low mutuality created challenges for ostomy caregiving.

conclusionsMutuality impacts the quality of caregiving, and this quality may change over time, depending on various factors. Emotional feedback and amplification is the proposed mechanism by which mutuality may shift over time. Survivorship care should include assessment and support of mutuality as a resource to enhance health outcomes and quality of life for survivors with long-term caregiving needs and their caregivers. Appropriate questionnaires can be identified or developed to assess mutuality over the survivorship trajectory.

Indexed as

Qualitative ResearchAgedAged, 80 and overCaregiversColorectal NeoplasmsFemaleHumansMaleMiddle AgedOstomyQuality of LifeSurveys and QuestionnairesSurvivorsCaregivingColorectal cancerEmotional amplificationMutualityOstomy

Identifiers

PMID28844086
PMCPMC5767474

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.