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

doi:10.1016/j.amjsurg.2007.08.020

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

Nursing and Health Innovation, Edson College of (EDSON)

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

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 language	English (US)
Pages (from-to)	774-779
Number of pages	6
Journal	American Journal of Surgery
Volume	194
Issue number	6
DOIs	https://doi.org/10.1016/j.amjsurg.2007.08.020
State	Published - Dec 1 2007

Keywords

Comorbidites
Health-related quality of life
Ostomy

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2007.08.020

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Jain, S., McGory, M. L., Ko, C. Y., Sverdlik, A., Tomlinson, J. S., Wendel, C. S., Coons, S. J., Rawl, S. M., Schmidt, C. M., Grant, M., McCorkle, R., Mohler, M. J., Baldwin, C. M., & 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

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

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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.",

keywords = "Comorbidites, Health-related quality of life, Ostomy",

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

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AU - McGory, Marcia L.

AU - Ko, Clifford Y.

AU - Sverdlik, Alla

AU - Tomlinson, James S.

AU - Wendel, Christopher S.

AU - Coons, Stephen Joel

AU - Rawl, Susan M.

AU - Schmidt, C. Max

AU - Grant, Marcia

AU - McCorkle, Ruth

AU - Mohler, M. Jane

AU - Baldwin, Carol M.

AU - Krouse, Robert S.

PY - 2007/12/1

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N2 - 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.

AB - 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.

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KW - Health-related quality of life

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

Abstract

Keywords

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