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Clinical and Demographic Differences Among Cancer Survivors With Ostomies With and Without Informal Caregivers
Matthew Rock1, Jake M Kieserman1, Virginia Sun2
1Perelman School of Medicine, Department of Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Cancer survivors with ostomies who have caregivers often have more comorbidities and higher socioeconomic status. Encouraging social support for those without caregivers may improve quality of life.
Area of Science:
- Oncology
- Gerontology
- Public Health
Background:
- Informal caregivers play a vital role in the well-being of cancer survivors (CS).
- Significant clinical and demographic variations may exist among CS with ostomies based on caregiver involvement.
- Understanding these differences is crucial for developing targeted interventions.
Purpose of the Study:
- To identify factors associated with caregiver status in cancer survivors with ostomies.
- To explore clinical and demographic differences between CS with ostomies based on caregiver status.
- To inform future recommendations and interventions for this population.
Main Methods:
- Secondary analysis of 216 CS with ostomies from a clinical trial.
- Comparison of baseline demographics, clinical characteristics, and survey data (patient activation, self-efficacy, quality of life) based on caregiver status.
- Statistical analyses included chi-squared, t-tests, and logistic regression.
Main Results:
- Most participants (57%) had an identified caregiver.
- CS with caregivers reported higher prevalence of diabetes, heart disease, and mobility issues.
- CS with caregivers also had higher income and education levels, and were more successful in obtaining help when needed.
Conclusions:
- Caregiver status is associated with distinct demographic and clinical profiles in CS with ostomies.
- The higher prevalence of comorbidities and socioeconomic factors in those with caregivers warrants further investigation.
- Interventions promoting social support utilization for CS without ostomy caregivers may enhance their care and quality of life.
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