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Validation of a stoma-specific quality of life questionnaire in a sample of patients with colostomy or ileostomy

Aim The aim of this study was to determine how socio‐demographic and clinical variables affect quality of life (QoL) and to assess the validity of a 20‐item scale in a sample of Italian subjects with colostomy, ileostomy and multiple stomata. Method A cross‐sectional multicentre survey was carried o...

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Published in:Colorectal disease 2013-11, Vol.15 (11), p.e692-e698
Main Authors: Canova, C., Giorato, E., Roveron, G., Turrini, P., Zanotti, R.
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Language:English
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container_issue 11
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container_title Colorectal disease
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creator Canova, C.
Giorato, E.
Roveron, G.
Turrini, P.
Zanotti, R.
description Aim The aim of this study was to determine how socio‐demographic and clinical variables affect quality of life (QoL) and to assess the validity of a 20‐item scale in a sample of Italian subjects with colostomy, ileostomy and multiple stomata. Method A cross‐sectional multicentre survey was carried out in Italy between 2009 and 2010 in 73 stoma centres coordinated by the University of Padova. Patients aged 18 years old and above with a history of nontemporary stoma were included in the study. The Stoma Care QoL scale was measured and validated using a Rasch model. Socio‐demographic and clinical characteristics were considered in the analyses. Results Two hundred and fifty‐one patients were recruited for the study; the mean age was 62 years, 58% were men, 72% had colostomy and 25% ileostomy; approximately 70% of patients had intestinal cancer requiring a stoma, 13% a complication and 10% an inflammatory disease. No significant differences were observed throughout strata in the Stoma Care QoL scale index, except for geographical area, where subjects from south Italy showed a significantly lower index than subjects living in other parts of Italy (P 
doi_str_mv 10.1111/codi.12324
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Method A cross‐sectional multicentre survey was carried out in Italy between 2009 and 2010 in 73 stoma centres coordinated by the University of Padova. Patients aged 18 years old and above with a history of nontemporary stoma were included in the study. The Stoma Care QoL scale was measured and validated using a Rasch model. Socio‐demographic and clinical characteristics were considered in the analyses. Results Two hundred and fifty‐one patients were recruited for the study; the mean age was 62 years, 58% were men, 72% had colostomy and 25% ileostomy; approximately 70% of patients had intestinal cancer requiring a stoma, 13% a complication and 10% an inflammatory disease. No significant differences were observed throughout strata in the Stoma Care QoL scale index, except for geographical area, where subjects from south Italy showed a significantly lower index than subjects living in other parts of Italy (P &lt; 0.01). Colostomy and ileostomy patients reported very similar QoL. Cronbach's alpha for the Stoma Care QoL scale was 0.90 (95% CI 0.88–0.92). Rasch analysis supported the viability of the Stoma Care QoL scale questionnaire and showed acceptable goodness‐of‐fit. Three under‐fitted items were observed. Conclusion The study confirms the validity of the 20‐item Stoma Care QoL scale questionnaire as a research tool for stoma patients but the number of items could be reduced.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.12324</identifier><identifier>PMID: 23800245</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Body Image - psychology ; colon cancer ; Colostomy - psychology ; Cross-Sectional Studies ; Female ; Humans ; Ileostomy - psychology ; Interpersonal Relations ; Italy ; Male ; Middle Aged ; ostomy ; quality of life ; Quality of Life - psychology ; Rasch analysis ; Reproducibility of Results ; Stoma ; Surveys and Questionnaires ; validation ; Young Adult</subject><ispartof>Colorectal disease, 2013-11, Vol.15 (11), p.e692-e698</ispartof><rights>Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland</rights><rights>Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3674-19dda4ba1f570dd53d21afb7321ed7740779eab9774251d7aa2c8c4eb3f135633</citedby><cites>FETCH-LOGICAL-c3674-19dda4ba1f570dd53d21afb7321ed7740779eab9774251d7aa2c8c4eb3f135633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23800245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Canova, C.</creatorcontrib><creatorcontrib>Giorato, E.</creatorcontrib><creatorcontrib>Roveron, G.</creatorcontrib><creatorcontrib>Turrini, P.</creatorcontrib><creatorcontrib>Zanotti, R.</creatorcontrib><title>Validation of a stoma-specific quality of life questionnaire in a sample of patients with colostomy or ileostomy</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim The aim of this study was to determine how socio‐demographic and clinical variables affect quality of life (QoL) and to assess the validity of a 20‐item scale in a sample of Italian subjects with colostomy, ileostomy and multiple stomata. Method A cross‐sectional multicentre survey was carried out in Italy between 2009 and 2010 in 73 stoma centres coordinated by the University of Padova. Patients aged 18 years old and above with a history of nontemporary stoma were included in the study. The Stoma Care QoL scale was measured and validated using a Rasch model. Socio‐demographic and clinical characteristics were considered in the analyses. Results Two hundred and fifty‐one patients were recruited for the study; the mean age was 62 years, 58% were men, 72% had colostomy and 25% ileostomy; approximately 70% of patients had intestinal cancer requiring a stoma, 13% a complication and 10% an inflammatory disease. No significant differences were observed throughout strata in the Stoma Care QoL scale index, except for geographical area, where subjects from south Italy showed a significantly lower index than subjects living in other parts of Italy (P &lt; 0.01). Colostomy and ileostomy patients reported very similar QoL. Cronbach's alpha for the Stoma Care QoL scale was 0.90 (95% CI 0.88–0.92). Rasch analysis supported the viability of the Stoma Care QoL scale questionnaire and showed acceptable goodness‐of‐fit. Three under‐fitted items were observed. Conclusion The study confirms the validity of the 20‐item Stoma Care QoL scale questionnaire as a research tool for stoma patients but the number of items could be reduced.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Image - psychology</subject><subject>colon cancer</subject><subject>Colostomy - psychology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Ileostomy - psychology</subject><subject>Interpersonal Relations</subject><subject>Italy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>ostomy</subject><subject>quality of life</subject><subject>Quality of Life - psychology</subject><subject>Rasch analysis</subject><subject>Reproducibility of Results</subject><subject>Stoma</subject><subject>Surveys and Questionnaires</subject><subject>validation</subject><subject>Young Adult</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPxCAUhYnR-Bjd-ANMl8akygVa2qWOOhofs_C1JBRoRNtSSyc6_146VZfezb039zsncBDaB3wMoU6U0_YYCCVsDW0DS2kMFLL11UziLAe8hXa8f8MYUg7ZJtoiNMOYsGQbtc-yslr21jWRKyMZ-d7VMvatUba0KvpYhHu_HG6VLU3YjR_gRtrORLYZFLJuKzMQbfAxTe-jT9u_RspVbnAL4i6ylRmXXbRRysqbvZ8-QU-XF4_Tq_h2Pruent7GiqacxZBrLVkhoUw41jqhmoAsC04JGM05w5znRhZ5GEkCmktJVKaYKWgJNEkpnaDD0bft3OrRorZemaqSjXELL4CxnPA8JVlAj0ZUdc77zpSi7Wwtu6UALIaExZCwWCUc4IMf30VRG_2H_kYaABiBz_Dn5T9WYjo_v_41jUeN9b35-tPI7l2knPJEvNzPxOzh-eYmvzsTM_oN-oaW4Q</recordid><startdate>201311</startdate><enddate>201311</enddate><creator>Canova, C.</creator><creator>Giorato, E.</creator><creator>Roveron, G.</creator><creator>Turrini, P.</creator><creator>Zanotti, R.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201311</creationdate><title>Validation of a stoma-specific quality of life questionnaire in a sample of patients with colostomy or ileostomy</title><author>Canova, C. ; Giorato, E. ; Roveron, G. ; Turrini, P. ; Zanotti, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3674-19dda4ba1f570dd53d21afb7321ed7740779eab9774251d7aa2c8c4eb3f135633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Image - psychology</topic><topic>colon cancer</topic><topic>Colostomy - psychology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Ileostomy - psychology</topic><topic>Interpersonal Relations</topic><topic>Italy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>ostomy</topic><topic>quality of life</topic><topic>Quality of Life - psychology</topic><topic>Rasch analysis</topic><topic>Reproducibility of Results</topic><topic>Stoma</topic><topic>Surveys and Questionnaires</topic><topic>validation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Canova, C.</creatorcontrib><creatorcontrib>Giorato, E.</creatorcontrib><creatorcontrib>Roveron, G.</creatorcontrib><creatorcontrib>Turrini, P.</creatorcontrib><creatorcontrib>Zanotti, R.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Canova, C.</au><au>Giorato, E.</au><au>Roveron, G.</au><au>Turrini, P.</au><au>Zanotti, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validation of a stoma-specific quality of life questionnaire in a sample of patients with colostomy or ileostomy</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2013-11</date><risdate>2013</risdate><volume>15</volume><issue>11</issue><spage>e692</spage><epage>e698</epage><pages>e692-e698</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim The aim of this study was to determine how socio‐demographic and clinical variables affect quality of life (QoL) and to assess the validity of a 20‐item scale in a sample of Italian subjects with colostomy, ileostomy and multiple stomata. Method A cross‐sectional multicentre survey was carried out in Italy between 2009 and 2010 in 73 stoma centres coordinated by the University of Padova. Patients aged 18 years old and above with a history of nontemporary stoma were included in the study. The Stoma Care QoL scale was measured and validated using a Rasch model. Socio‐demographic and clinical characteristics were considered in the analyses. Results Two hundred and fifty‐one patients were recruited for the study; the mean age was 62 years, 58% were men, 72% had colostomy and 25% ileostomy; approximately 70% of patients had intestinal cancer requiring a stoma, 13% a complication and 10% an inflammatory disease. No significant differences were observed throughout strata in the Stoma Care QoL scale index, except for geographical area, where subjects from south Italy showed a significantly lower index than subjects living in other parts of Italy (P &lt; 0.01). Colostomy and ileostomy patients reported very similar QoL. Cronbach's alpha for the Stoma Care QoL scale was 0.90 (95% CI 0.88–0.92). Rasch analysis supported the viability of the Stoma Care QoL scale questionnaire and showed acceptable goodness‐of‐fit. Three under‐fitted items were observed. Conclusion The study confirms the validity of the 20‐item Stoma Care QoL scale questionnaire as a research tool for stoma patients but the number of items could be reduced.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23800245</pmid><doi>10.1111/codi.12324</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Body Image - psychology
colon cancer
Colostomy - psychology
Cross-Sectional Studies
Female
Humans
Ileostomy - psychology
Interpersonal Relations
Italy
Male
Middle Aged
ostomy
quality of life
Quality of Life - psychology
Rasch analysis
Reproducibility of Results
Stoma
Surveys and Questionnaires
validation
Young Adult
title Validation of a stoma-specific quality of life questionnaire in a sample of patients with colostomy or ileostomy
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