Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy

Sushma Jain, Marcia L. McGory, Clifford Y. Ko, Alla Sverdlik, James S. Tomlinson, Christopher S. Wendel, Stephen Joel Coons, Susan M. Rawl, C. Max Schmidt, Marcia Grant, Ruth McCorkle, M. Jane Mohler, Carol M. Baldwin, Robert S. Krouse

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Previous research suggests an ostomy worsens health-related quality of life (HR-QOL), but comorbidities also can affect HR-QOL. Methods: Eligible patients had abdominal operation with ostomy (cases) or similar procedure without ostomy (controls). Patients were recruited for this case-control study from 3 Veterans Affairs hospital medical and pharmacy records. Comorbidities were assessed with Charlson-Deyo Comorbidity Index. Multinomial logistic regression evaluated the impact of comorbidities and having an ostomy on HR-QOL, measured using the Medical Outcomes Study Short Form 36 for Veterans. Results: A total of 237 ostomates (cases) and 268 controls were studied. Average age was 69 years; 64% of cases had colostomy, 36% ileostomy. Twenty-nine percent of patients had a high level of comorbidities. Cases and controls were similar except for reasons for undergoing surgery. High comorbidity was a significant predictor of low HR-QOL in 6 domains of the Short Form 36 for Veterans; having an ostomy was a significant predictor in 4. Conclusions: High comorbidity significantly influences low HR-QOL and impacted more domains than having an ostomy.

Original languageEnglish (US)
Pages (from-to)774-779
Number of pages6
JournalAmerican Journal of Surgery
Volume194
Issue number6
DOIs
StatePublished - Dec 2007

Fingerprint

Ostomy
Comorbidity
Quality of Life
Veterans
Veterans Hospitals
Ileostomy
Colostomy
Medical Records
Case-Control Studies
Logistic Models
Outcome Assessment (Health Care)

Keywords

  • Comorbidites
  • Health-related quality of life
  • Ostomy

ASJC Scopus subject areas

  • Surgery

Cite this

Jain, S., McGory, M. L., Ko, C. Y., Sverdlik, A., Tomlinson, J. S., Wendel, C. S., ... Krouse, R. S. (2007). Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy. American Journal of Surgery, 194(6), 774-779. https://doi.org/10.1016/j.amjsurg.2007.08.020

Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy. / Jain, Sushma; McGory, Marcia L.; Ko, Clifford Y.; Sverdlik, Alla; Tomlinson, James S.; Wendel, Christopher S.; Coons, Stephen Joel; Rawl, Susan M.; Schmidt, C. Max; Grant, Marcia; McCorkle, Ruth; Mohler, M. Jane; Baldwin, Carol M.; Krouse, Robert S.

In: American Journal of Surgery, Vol. 194, No. 6, 12.2007, p. 774-779.

Research output: Contribution to journalArticle

Jain, S, McGory, ML, Ko, CY, Sverdlik, A, Tomlinson, JS, Wendel, CS, Coons, SJ, Rawl, SM, Schmidt, CM, Grant, M, McCorkle, R, Mohler, MJ, Baldwin, CM & Krouse, RS 2007, 'Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy', American Journal of Surgery, vol. 194, no. 6, pp. 774-779. https://doi.org/10.1016/j.amjsurg.2007.08.020
Jain, Sushma ; McGory, Marcia L. ; Ko, Clifford Y. ; Sverdlik, Alla ; Tomlinson, James S. ; Wendel, Christopher S. ; Coons, Stephen Joel ; Rawl, Susan M. ; Schmidt, C. Max ; Grant, Marcia ; McCorkle, Ruth ; Mohler, M. Jane ; Baldwin, Carol M. ; Krouse, Robert S. / Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy. In: American Journal of Surgery. 2007 ; Vol. 194, No. 6. pp. 774-779.
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