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Stomas: ethnicity and quality of life
R E Soulsby1, J Masterman, M J Kelly
1Peterborough and Stamford NHS Trust, Peterborough, UK. rachel.soulsby@pbh-tr.nhs.uk
Aim:
Stoma formation is believed to have a more significant effect on quality of life in Asian patients than in non-Asian patients, but this has never been formally demonstrated. This study examined factors which may influence quality of life following stoma formation with particular reference to ethnicity.
Method:
Quality of life was measured (using an established questionnaire) in consecutive patients undergoing stoma formation under the care of two colorectal surgeons.
Results:
Quality of life is poorer in Asian than in non-Asian patients 46 ± 13 vs 60 ± 12 (P = 0.007). This difference is restricted to those born outside the UK and to those who cannot speak English (P = 0.0008 and P = 0.0001, respectively).
Conclusion:
The association between stoma formation and poor quality of life in Asian patients is more complicated than previously assumed. Selected patient groups can be targeted with information and support.
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