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Cross-sectional comparative study of general and stoma-specific quality of life in patients with stoma in Addis Abeba, Ethiopia, and Stockholm, Sweden.
Objective: To evaluate the quality of life for patients with ostomy in Ethiopia and Sweden using a general and a specific assessment tool.
Design: Comparative descriptive cross-sectional study. Setting: Tikur Anbessa Specialized Hospital (TASH), Addis Abeba and South General Hospital, Stockholm.
Participants/Exposure: Patients with a permanent ostomy visiting the stoma center in Addis Abeba, patients waiting for ostomy reversal at TASH, and patients visiting the stoma clinic at South General Hospital.
Main outcomes and measure: Quality of life and stoma specific quality of life: EQ5D-5L and Stoma QoL.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ethioperm | All patients with a permanent ostomy visiting the stoma center in Addis Abeba |
| |
| EthioTemp | All patients waiting for ostomy reversal at Tikur Anbessa Specialized Hospital |
| |
| SweSto | All patients visiting the stoma clinic at South General Hospital |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quality of life assessment | Other | EQ5D-5L and Stoma QoL |
|
| Measure | Description | Time Frame |
|---|---|---|
| General quality of life | Overall health through visual analogue scale (VAS) from zero (the worst imaginable health) to 100 (the best imaginable health) from the European Quality of Life 5 Dimensions 5 Level Version (EQ5D-5L). | October 2022 to Jan 2023 |
| Stoma-specific quality of life | The Stoma Quality of life questionnaire consists of 20 questions about stoma-specific aspects of quality of life where each variable is valued equally. Answers are graded in a four-point scale; 1: always, 2: sometimes, 3: rarely, and 4: not at all, with a maximum score of 80. The higher score the better QoL. To get a comparable overall result, the total score (range 20-80) can be converted to a zero to 100 score. | October 2022 to Jan 2023 |
| Measure | Description | Time Frame |
|---|---|---|
| Stoma complications | Nipple necrosis, prolapse, parastomal hernia, leakage, itching, bleeding, pain | October 2022 to Jan 2023 |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients (≥ 18 years old) with ileostomy or colostomy for more than two months, with willingness and ability to give informed consent
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| Name | Affiliation | Role |
|---|---|---|
| Åsa Everhov, MD PhD | Karolinska Institutet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tikur Anbessa Specialized Hospital | Addis Ababa | Ethiopia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38743388 | Derived | Eklov K, Shiferaw A, Rosen A, Bekele S, Ayalew B; ACROSS Collaborative Group; Bringman S, Nygren J, Lofgren J, Everhov AH. Stoma-related complications and quality-of-life assessment: A cross-sectional study with patients from Ethiopia and Sweden. World J Surg. 2024 Jul;48(7):1739-1748. doi: 10.1002/wjs.12209. Epub 2024 May 14. |
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