{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:56:05Z","timestamp":1789786565271,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T00:00:00Z","timestamp":1618358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008363","name":"Kr\u00e6ftens Bek\u00e6mpelse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008363","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009336","name":"Bengt Ihres Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009336","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008628","name":"Institut for Klinisk Medicin, Aarhus Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008628","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Optimal oncological resection in cancers of the lower rectum often requires a permanent colostomy. However, in some patients a colostomy may have a negative impact on health\u2010related quality of life (HRQoL). The Colostomy Impact (CI) score is a simple questionnaire that identifies patients with stoma dysfunction that impairs HRQoL by dividing patients into \u2018minor\u2019 and \u2018major\u2019 CI groups. This aim of this study is to evaluate construct and discriminative validity, sensitivity, specificity and reliability of the CI score internationally, making it applicable for screening and identification of patients with stoma\u2010related impaired HRQoL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The CI score was translated in agreement with WHO recommendations. Cross\u2010sectional cohorts of rectal cancer survivors with a colostomy in Australia, China, Denmark, the Netherlands, Portugal, Spain and Sweden were asked to complete the CI score, the European Organization for Research and Treatment of Cancer (EORTC) quality of life 30\u2010item core questionnaire, the stoma\u2010specific items of the EORTC quality of life 29\u2010item colorectal\u2010specific questionnaire and five anchor questions assessing the impact of colostomy on HRQoL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2470 patients participated (response rate 51%\u201393%). CI scores were significantly higher in patients reporting reduced HRQoL due to their colostomy than in patients reporting no reduction. Differences in EORTC scale scores between patients with minor and major CI were significant and clinically relevant. Sensitivity was high regarding dissatisfaction with a colostomy. Regarding evaluation of discriminative validity, the CI score relevantly identified groups with differences in HRQoL. The CI score proved reliable, with equal CI scores between test and retest and an intraclass correlation coefficient in the moderate to excellent range.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The CI score is internationally valid and reliable. We encourage its use in clinical practice to identify patients with stoma dysfunction who require further attention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15635","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T23:13:37Z","timestamp":1615936417000},"page":"1866-1877","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Translation and international validation of the Colostomy Impact score"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0153-7689","authenticated-orcid":false,"given":"Helle \u00d8","family":"Kristensen","sequence":"first","affiliation":[{"name":"Department of Surgery Danish Cancer Society Centre for Research on Survivorship and Late Adverse Effects After Cancer in the Pelvic Organs Aarhus University Hospital Aarhus N Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Thy\u00f8","sequence":"additional","affiliation":[{"name":"Department of Surgery Danish Cancer Society Centre for Research on Survivorship and Late Adverse Effects After Cancer in the Pelvic Organs Aarhus University Hospital Aarhus N Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrine","family":"J\u00f8ssing Emmertsen","sequence":"additional","affiliation":[{"name":"Department of Surgery Danish Cancer Society Centre for Research on Survivorship and Late Adverse Effects After Cancer in the Pelvic Organs Aarhus University Hospital Aarhus N Denmark"},{"name":"Surgical Department Randers Regional Hospital Aarhus N Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil J.","family":"Smart","sequence":"additional","affiliation":[{"name":"Royal Devon and Exeter NHS Foundation Trust Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Pinkney","sequence":"additional","affiliation":[{"name":"Academic Department of Surgery, University of Birmingham Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea M.","family":"Warwick","sequence":"additional","affiliation":[{"name":"Brisbane Academic Functional Colorectal Unit QEII Hospital Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"Pang","sequence":"additional","affiliation":[{"name":"Peking University School of Nursing Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgar J. B.","family":"Furn\u00e9e","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Abdominal Surgery University Medical Center University of Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanne J.","family":"Verkuijl","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Abdominal Surgery University Medical Center University of Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuno","family":"Jos\u00e9 Rama","sequence":"additional","affiliation":[{"name":"Surgery \u2013 Colorectal Unit Centro Hospitalar de Leiria Leiria Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Domingos","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Champalimaud Foundation Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2496-1642","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Maciel","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Instituto Portugu\u00eas de Oncologia\u2010 Lisbon Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Solis\u2010Pe\u00f1a","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit General Surgery Department Hospital Vall d'Hebron Universitat Autonoma de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eloy","family":"Esp\u00edn Basany","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit General Surgery Department Hospital Vall d'Hebron Universitat Autonoma de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Hidalgo\u2010Pujol","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Bellvitge University Hospital Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7374-0371","authenticated-orcid":false,"given":"Sebastian","family":"Biondo","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Bellvitge University Hospital Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika","family":"Sj\u00f6vall","sequence":"additional","affiliation":[{"name":"Division of Coloproctology Department of Pelvic Cancer Karolinska University Hospital Stockholm Sweden"},{"name":"Department of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Christensen","sequence":"additional","affiliation":[{"name":"Department of Surgery Danish Cancer Society Centre for Research on Survivorship and Late Adverse Effects After Cancer in the Pelvic Organs Aarhus University Hospital Aarhus N Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000552"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0523-1"},{"issue":"12","key":"e_1_2_11_4_1","first-page":"CD004323","article-title":"Quality of life after rectal resection for cancer, with or without permanent colostomy","author":"Pachler J","year":"2012","journal-title":"Cochrane Database of Syst Rev"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2010.02347.x"},{"issue":"6","key":"e_1_2_11_6_1","first-page":"1035","article-title":"Abdominoperineal resection does not decrease quality of life in patients with low rectal cancer","volume":"66","author":"Campos\u2010Lobato LF","year":"2011","journal-title":"Clin Sci"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13566"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31823d2606"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-3-62"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:QURE.0000040784.65830.9f"},{"issue":"1","key":"e_1_2_11_11_1","first-page":"12","article-title":"The Ostomy\u2010Q: development and psychometric validation of an instrument to evaluate outcomes associated with ostomy appliances","volume":"63","author":"Nafees B","year":"2017","journal-title":"Ostomy Wound Manag"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15290"},{"key":"e_1_2_11_13_1","unstructured":"FayersPM AaronsonNK BjordalK GroenvoldM CurranD BottomleyA et al.EORTC QLQ\u2010C30 Scoring Manual. 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