{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:54:13Z","timestamp":1791474853776,"version":"4.3.4"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004047","name":"Karolinska Institutet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The situation for patients with ostomy can be challenging, probably more in a resource\u2010constrained environment. Our objective was to evaluate quality of life (QoL) (using EQ5D\u20105L) and stoma\u2010specific QoL (using Stoma QoL) in a high\u2010 and low\u2010income setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional study from the Tikur Anbessa Specialized Hospital (TASH), Addis Ababa, and South General Hospital (SGH), Stockholm, patients with a permanent or temporary ostomy at TASH (<jats:italic>EthioPerm<\/jats:italic>), (<jats:italic>EthioTemp<\/jats:italic>), and patients with ostomy at SGH (<jats:italic>SweSto<\/jats:italic>) were included in October 2022\u2013January 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients <jats:italic>N<\/jats:italic>\u00a0=\u00a066 were included in groups: <jats:italic>EthioPerm N<\/jats:italic>\u00a0=\u00a028, <jats:italic>EthioTemp N<\/jats:italic>\u00a0=\u00a017, and <jats:italic>SweSto N<\/jats:italic>\u00a0=\u00a021. In <jats:italic>EthioTemp<\/jats:italic>, 88% used homemade stoma bags. Although morbidity related to the nipple itself was similar in the groups, the overall score from Stoma QoL was significantly lower in <jats:italic>EthioPerm,<\/jats:italic> 48\/100 than in <jats:italic>SweSto<\/jats:italic>, 74\/100. Scores were significantly lower for pouch\u2010related problems and social interactions in Ethiopian patients. In <jats:italic>EthioPerm<\/jats:italic>, 71% of the patients worried that they were a burden to the people close to them compared to 14% in <jats:italic>SweSto<\/jats:italic> (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Leakage was over four times more common in <jats:italic>EthioPerm<\/jats:italic> than in <jats:italic>SweSto.<\/jats:italic> Mean overall EQ5D\u20105L score was 18 percentage points lower than the national mean score in <jats:italic>EthioPerm<\/jats:italic> and 2 percentage points lower in <jats:italic>SweSto<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>QoL was more affected in the Ethiopian study participants than in the Swedish, even when commercial stoma bags were available. The largest problems were leakage, embarrassment with social interactions, and pouch\u2010related problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p>NCT05970458 <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/Clinicaltrials.gov\">Clinicaltrials.gov<\/jats:ext-link>, <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT05970458?locStr=Ethiopia%26country=Ethiopia%26distance=50%26cond=Stoma%20Ileostomy%26rank=1\">https:\/\/clinicaltrials.gov\/study\/NCT05970458?locStr=Ethiopia&amp;country=Ethiopia&amp;distance=50&amp;cond=Stoma%20Ileostomy&amp;rank=1<\/jats:ext-link>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12209","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T15:06:10Z","timestamp":1715699170000},"page":"1739-1748","source":"Crossref","is-referenced-by-count":6,"title":["Stoma\u2010related complications and quality\u2010of\u2010life assessment: A cross\u2010sectional study with patients from Ethiopia and Sweden"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5059-5856","authenticated-orcid":false,"given":"Karolina","family":"Ekl\u00f6v","sequence":"first","affiliation":[{"name":"Department of Clinical Science and Education S\u00f6dersjukhuset Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abel","family":"Shiferaw","sequence":"additional","affiliation":[{"name":"College of Health Science Tikur Anbessa Specialized Hospital  Addis Abeba Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Rosen","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education S\u00f6dersjukhuset Karolinska Institutet  Stockholm 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