Evidence map›Paper›PMID 37905783›Full record

Trial reportCancer2024

A randomized prospective trial of an ostomy telehealth intervention for cancer survivors.

Robert S Krouse, Siqi Zhang, Christopher S Wendel, Virginia Sun, Marcia Grant, Elizabeth Ercolano, Mark C Hornbrook, Zuleyha Cidav, Ariel Nehemiah, Matthew Rock and 3 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  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. 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
  3. Impact of Ostomy Self-Management Telehealth training for rural cancer survivors on health care utilization and economic outcomes in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Trial
  4. Review
  5. Review
  6. Article
  7. Survivorship preparedness and activation among survivors of lymphoma.Journal of cancer survivorship : research and practice · 2026
    Article
  8. Article
  9. 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

13 authors at 8 institutions in 1 country.

Robert S KrouseDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-7176-461X
Siqi ZhangBiostatistics Analysis Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Christopher S WendelCollege of Medicine, University of Arizona, Tucson, Arizona, USA.
Virginia SunDivision of Nursing Research and Education, Department of Population Sciences, City of Hope, Duarte, California, USA.
Marcia GrantDivision of Nursing Research and Education, Department of Population Sciences, City of Hope, Duarte, California, USA.
Elizabeth ErcolanoUnaffiliated, New Haven, Connecticut, USA.
Mark C HornbrookKaiser Permanente Center for Health Research, Portland, Oregon, USA.
Zuleyha CidavCenter for Mental Health, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ariel NehemiahDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Matthew RockDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Scott AppelBiostatistics Analysis Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Judith H HibbardDepartment of Planning, Public Policy & Management, University of Oregon, Eugene, Oregon, USA.
Michael J HolcombArizona Telemedicine Program, University of Arizona, Tucson, Arizona, USA.
University of Pennsylvania · USCity of Hope · USUniversity of Arizona · USKaiser Permanente Center for Health Research · USPhiladelphia VA Medical Center · USUniversity of New Haven · USUniversity of Oregon · USUniversity of Pennsylvania Health System · US

Funding

SURGICAL ONCOLOGY RESEARCH TRAINING PROGRAM AT PENNT32CA251063 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Ronald P. Dematteo · 2020 to 2026
$2.6M
NCI NIH HHS T32 CA251063Patient-Centered Outcomes Research Institute 1507-31690Patient-Centered Outcomes Research Institute CDR-1507-31690
6 · The paper itself

Abstract

backgroundCancer survivors with ostomies face complex challenges. This study compared the Ostomy Self-Management Telehealth program (OSMT) versus attention control usual care (UC).

methodsThree academic centers randomized participants. OSMT group sessions were led by ostomy nurses and peer ostomates (three for ostomates-only, one for support persons, and one review session for both). Surveys at baseline, OSMT completion, and 6 months were primary outcome patient activation (PAM), self-efficacy (SE), City of Hope quality of life-Ostomy (COH-O), and Hospital Anxiety and Depression Scale (HADS). Surveys were scored per guidelines for those completing at least two surveys. Linear mixed effects models were used to select potential covariates for the final model and to test the impact of OSMT within each timeframe.

resultsA total of 90 OSMT and 101 UC fulfilled analysis criteria. Arms were well-matched but types of tumors were unevenly distributed (p = .023). The OSMT arm had a nonsignificant improvement in PAM (confidence interval [CI], -3.65 to 5.3]; 4.0 vs. 2.9) at 6 months. There were no significant differences in other surveys. There was a significant OSMT benefit for urinary tumors (four SE domains). Higher OSMT session attendance was associated with post-session improvements in five SE domains (p < .05), two COH-O domains (p < .05), and HADS anxiety (p = .01). At 6 months, there remained improvements in one SE domain (p < .05), one COH-O domain (p < .05), and HADS anxiety (p < .01).

conclusionsNo clear benefit was seen for the OSMT intervention, although there may be an advantage based on type of tumor. Benefit with greater session attendance was also encouraging. PLAIN LANGUAGE SUMMARY: Cancer patients with ostomies have many challenges. We tested a telehealth curriculum compared to usual care. There are indications of benefit for the program for those that attend more sessions and those with urostomies.

Indexed as

Cancer SurvivorsNeoplasmsOstomyTelemedicineHumansProspective StudiesQuality of Lifecancer survivorsostomytelemedicine

Identifiers

PMID37905783
PMCPMC13463381
OpenAlexW4388034001

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.