{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:31:19Z","timestamp":1788870679075,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The impact of a permanent stoma, such as post\u2010abdominoperineal resection (APR), on quality of life (QoL) is well\u2010documented. While stoma\u2010related QoL tools exist, their relationship with stoma satisfaction is unclear. This study aimed to identify which aspects of QoL were most associated with stoma satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>A cross\u2010sectional study of consecutive patients who had an APR for rectal cancer at an Australian tertiary hospital (2012\u20132021), identified from a prospectively maintained database, was conducted. The Stoma\u2010QoL questionnaire was used. Overall patient satisfaction with stoma function, and whether healthcare advice was sought for stoma dysfunction, were explored. Linear regression assessed the association between individual issues examined in the Stoma\u2010QoL questionnaire and overall patient satisfaction with stoma function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 64 patients (62.5% male, mean 68.1\u2009years) participated. Stoma\u2010QoL score was associated with stoma satisfaction (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). QoL items impacting satisfaction were: needing to know nearest toilet location (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.04), pouch smell concerns (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.008), needing daytime rest (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02), clothing limitations (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02), sexual attractiveness concerns (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05), embarrassment (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05), difficulty hiding the pouch (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02), concerns about being burdensome (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.04) and difficulty with interpersonal interaction (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.03). Only 11 (17.2%) patients sought healthcare advice for stoma dysfunction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While stoma\u2010specific QoL is associated with stoma satisfaction, individual QoL aspects impact differently on satisfaction in permanent colostomy patients. These findings may help identify focus areas for peri\u2010operative counselling for clinicians and stomal therapists, highlight the importance of tailored multidisciplinary care in ostomates and suggests that a stoma type\u2010specific Stoma\u2010QoL questionnaire is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.19034","type":"journal-article","created":{"date-parts":[[2024,5,18]],"date-time":"2024-05-18T01:25:23Z","timestamp":1715995523000},"page":"1622-1626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Quality of life in permanent ostomates \u2013 what really matters to them?"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7977-4919","authenticated-orcid":false,"given":"Sireesha","family":"Koneru","sequence":"first","affiliation":[{"name":"Concord Institute of Academic Surgery Concord Repatriation General Hospital  Sydney New South Wales Australia"},{"name":"Division of Colorectal Surgery, Department of Surgery Concord Repatriation General Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Surgery, School of Medicine, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Patton","sequence":"additional","affiliation":[{"name":"Curtin School of Nursing, Faculty of Health Sciences Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kheng\u2010Seong","family":"Ng","sequence":"additional","affiliation":[{"name":"Concord Institute of Academic Surgery Concord Repatriation General Hospital  Sydney New South Wales Australia"},{"name":"Division of Colorectal Surgery, Department of Surgery Concord Repatriation General Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Surgery, School of Medicine, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2022-327736"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-016-1367-6"},{"key":"e_1_2_8_4_1","article-title":"Quality of life after rectal resection for cancer, with or without permanent colostomy","volume":"2","author":"Pachler J","year":"2005","journal-title":"Cochrane Database Syst. 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Stomal Ther. Aust."},{"key":"e_1_2_8_18_1","first-page":"35","article-title":"The correlation between ostomy knowledge and self\u2010care ability with psychosocial adjustment in Chinese patients with a permanent colostomy: a descriptive study","volume":"59","author":"Cheng F","year":"2013","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(96)00288-7"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15840"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2004.00945.x"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.1990.tb01745.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1598155"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.19034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T11:46:10Z","timestamp":1764503170000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.19034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,17]]},"references-count":22,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/ans.19034"],"URL":"https:\/\/doi.org\/10.1111\/ans.19034","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,17]]},"assertion":[{"value":"2024-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}