Evidence map›Paper›PMID 32940890›Full record

ArticleJournal of cancer survivorship : research and practice2021

Healthy behaviors are associated with positive outcomes for cancer survivors with ostomies: a cross-sectional study.

Julia Mo, Cynthia A Thomson, Virginia Sun, Christopher S Wendel, Mark C Hornbrook, Ronald S Weinstein, Elizabeth Ercolano, Marcia Grant, Zuleyha Cidav, Ruth C McCorkle and 1 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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
  4. Review
  5. Article
  6. Article
  7. 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

11 authors at 6 institutions in 1 country.

Julia MoDepartment of Surgery, University of Pennsylvania, 3400 Spruce St., 4 Silverstein, Philadelphia, PA, 19104, USA.
Cynthia A ThomsonMel & Enid Zuckerman College of Public Health and University of Arizona Cancer Center, Tucson, AZ, USA.
Virginia SunDivision of Nursing Research and Education, City of Hope, Duarte, CA, USA.
Christopher S WendelCollege of Medicine, University of Arizona, Tucson, AZ, USA.
Mark C HornbrookCenter for Health Research, Kaiser Permanente, Portland, OR, USA.
Ronald S WeinsteinArizona Telemedicine Program, University of Arizona, Tucson, AZ, USA.
Elizabeth ErcolanoSchool of Nursing, Yale University, West Haven, CT, USA.
Marcia GrantDivision of Nursing Research and Education, City of Hope, Duarte, CA, USA.
Zuleyha CidavCenter for Mental Health, University of Pennsylvania, Philadelphia, PA, USA.
Ruth C McCorkleSchool of Nursing, Yale University, West Haven, CT, USA.
Robert S KrouseDepartment of Surgery, University of Pennsylvania, 3400 Spruce St., 4 Silverstein, Philadelphia, PA, 19104, USA. robert.krouse@pennmedicine.upenn.edu.ORCID 0000-0002-7176-461X
University of Arizona · USCity of Hope · USUniversity of Pennsylvania · USYale University · USHospital of the University of Pennsylvania · USKaiser Permanente Center for Health Research · US

Funding

Patient-Centered Outcomes Research Institute CDR 1507-31690Patient-Centered Outcomes Research Institute CDR-1507-31690
6 · The paper itself

Abstract

backgroundCancer survivors (CS) with ostomies may face challenges in sustaining physical activity (PA) levels and maintaining healthy diets. This analysis describes lifestyle behaviors and their relationships with health-related quality of life (HRQOL) in CS with ostomies.

methodsThis is a cross-sectional, secondary analysis of a multisite randomized self-management education trial for CS with ostomies. The baseline self-reported measures were queried on aerobic PA and diet using the City of Hope Quality of Life Ostomy measure, and the Self-Efficacy to Perform Self-Management Behaviors questionnaire (SE). PA was compared against the American Cancer Society PA guidelines for CS. Relationships between PA and HRQOL were evaluated using multiple linear regression, stratified by BMI.

resultsAmong 200 responders, fewer than 20% met or exceeded the PA guideline for cancer survivors; overall, confidence in the ability to perform gentle or aerobic PA was moderate (6/10 on the SE). Overall HRQOL (p = 0.038), psychological well-being (p = 0.017), and physical strength (p = 0.025) were associated with increased PA. Almost half (48.7%) of CS reported a special diet. CS with urostomies were less likely to report diet adjustments after their ostomy surgeries (OR: 0.16, 95% CI [0.08-0.38]) than CS with fecal ostomies.

conclusionsBetter HRQOL is associated with PA guideline achievement among CS with ostomies. Additionally, diet adjustments were reported more frequently in CS with fecal ostomies. Our findings bear clinical relevance for designing ostomy self-management and lifestyle recommendations for CS with ostomies. IMPLICATIONS FOR CANCER SURVIVORS: The evaluation of lifestyle behaviors may be an especially important focus for CS with ostomies.

Indexed as

Cancer SurvivorsNeoplasmsOstomyCross-Sectional StudiesHealth BehaviorHumansQuality of LifeDietHRQOLOstomyPhysical activitySelf-efficacy

Identifiers

PMID32940890
PMCPMC7965775
OpenAlexW3087745553

What OpenQuestion holds

Textmetadata
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.