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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Cancer survivors' challenges with ostomy appliances and self-management: a qualitative analysis.

Virginia Sun, Octavio Bojorquez, Marcia Grant, Christopher S Wendel, Ronald Weinstein, Robert S Krouse

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02974634 (Ostomy Telehealth For Cancer Survivors), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

NCT02974634 nacompletednot on this map

Ostomy Telehealth For Cancer Survivors

TypeinterventionalSponsorUniversity of PennsylvaniaRan2016 to 2019Enrolled216ConditionsColostomy StomaArmsOstomy self management training
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Recruitment strategies for a multisite telehealth trial for rural cancer survivors with ostomies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  2. Trial
  3. Article
  4. Article
  5. Article
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  7. Defining Opportunities to Improve Perioperative Ostomy Care and Education.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  8. Article
  9. Self-care concept for people with elimination ostomy: a scoping review.Revista da Escola de Enfermagem da U S P · 2024
    Article
  10. Article
  11. 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
  12. Stakeholder engagement and participation in the design, delivery, and dissemination of the ostomy self-management telehealth (OSMT) program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  13. "Living with a Stoma": Exploring the Lived Experience of Patients with Permanent Colostomy.International journal of environmental research and public health · 2021
    Article
  14. Article
  15. 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.

Virginia SunDivision of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. vsun@coh.org.
Octavio BojorquezUniversity of Arizona, Tucson, AZ, USA.
Marcia GrantDivision of Nursing Research and Education, Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA.
Christopher S WendelUniversity of Arizona, Tucson, AZ, USA.
Ronald WeinsteinArizona Telemedicine Program, University of Arizona, Tucson, AZ, USA.
Robert S KrousePerelman School of Medicine, University of Pennsylvania and the Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, USA.

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
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 P30CA23074NCI NIH HHS R01CA106912Patient-Centered Outcomes Research Institute 1507-31690Patient-Centered Outcomes Research Institute CDR-1507-31690
6 · The paper itself

Abstract

purposeAn ostomy poses significant health-related quality of life (HRQOL) issues for cancer survivors. Survivors must learn to manage pouching appliances and adjust to the psychosocial consequences of living with an ostomy. We explored, through qualitative analysis, the challenges with self-management and ostomy appliances reported by cancer survivors.

methodsPooled data from two studies with a question on the greatest challenge of living with an ostomy and intervention session notes were analyzed using content analysis approach. The themes were reviewed and agreed upon by the research team, and counts were tallied for each theme based on the number of times they were mentioned by participants.

resultsOf the 928 greatest challenge responses and session notes, a total of 106 mentions (11%) were focused on ostomy appliances, associated repercussions, and time taken for ostomy care. Eight themes emerged: bleeding, pain, leakage, skin problems/irritation/rash, wafer-related issues, materials getting under the wafer, time to care for ostomy, and solutions to clean the stoma. Challenges described included poor wafer adherence, allergic reactions to adhesives, and pain around the stoma site. These challenges resulted in anxiety related to leakage, odor, and/or skin irritation, which negatively impacted on participation in social activities and self-confidence with ostomy care.

conclusionsCancer survivors living with an ostomy experience multiple obstacles with ostomy appliances and caring for their ostomy. Continued innovation in ostomy appliance design and technology is needed to help cancer survivors with successfully managing ostomy care.

Indexed as

Cancer SurvivorsHumansOstomyQuality of LifeRandomized Controlled Trials as TopicRectal NeoplasmsSelf-ManagementCancerOstomyOstomy applianceSelf-managementSurvivorship

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.