Diseases of the Colon & Rectum

, Volume 50, Issue 12, pp 2054–2066 | Cite as

A Mixed-Methods Evaluation of Health-Related Quality of Life for Male Veterans with and without Intestinal Stomas

  • Robert S. KrouseEmail author
  • Marcia Grant
  • Christopher S. Wendel
  • M. Jane Mohler
  • Susan M. Rawl
  • Carol M. Baldwin
  • Stephen Joel Coons
  • Ruth McCorkle
  • Clifford Y. Ko
  • C. Max Schmidt
Original Contributions



Intestinal stomas have a major impact on Cases’ lives. It is essential to better understand the areas in which interventions may help to minimize the negative consequences.


This was a case-control survey study using validated instruments (City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans). Cases were accrued from Veterans Affairs Medical Centers in Tucson, Indianapolis, and Los Angeles. Eligibility included a major intra-abdominal surgical procedure that led to an ostomy (cases), or a similar procedure that did not mandate a stoma (controls). Analysis included quantitative and qualitative responses.


The response rate was 48 percent (511/1063). Cases and controls had relatively similar demographic characteristics. Because of low numbers of female respondents (13 cases and 11 controls), only results for males are reported. Based on both the City of Hope Quality of Life-Ostomy and Short Form 36 for Veterans, cases reported significantly poorer scores on scales/domains reflecting psychologic and social functioning and well being. Additionally, cases reported poorer scores on Short Form 36 for Veterans scales reflecting physical functioning and significantly lower scores on multiple items in the social domain of the City of Hope Quality of Life-Ostomy compared with controls. Two-thirds of cases replied to an open-ended question on their “greatest challenge” related to their ostomy, which led to further clarification of major issues.


Multiple health-related quality of life problems were reported by male veterans with intestinal stomas. The greatest differences between cases and controls were observed in the social and psychologic domains/scales. Findings from this study provide a greater understanding of the challenges faced by ostomates and will inform the development and evaluation of urgently needed intervention strategies.

Key words

Ostomy Focus groups Quality of life Stomas 


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Copyright information

© American Society of Colon and Rectal Surgeons 2007

Authors and Affiliations

  • Robert S. Krouse
    • 1
    Email author
  • Marcia Grant
    • 2
  • Christopher S. Wendel
    • 3
  • M. Jane Mohler
    • 3
    • 4
  • Susan M. Rawl
    • 5
  • Carol M. Baldwin
    • 6
  • Stephen Joel Coons
    • 7
  • Ruth McCorkle
    • 8
  • Clifford Y. Ko
    • 9
  • C. Max Schmidt
    • 10
  1. 1.Southern Arizona Veterans Affairs Health Care SystemUniversity of Arizona College of Medicine TucsonArizona
  2. 2.Department of Nursing Research and EducationCity of Hope National Medical CenterDuarteCalifornia
  3. 3.Southern Arizona Veterans Affairs Health Care SystemTucsonArizona
  4. 4.University of Arizona Colleges of Medicine, Public Health, and PharmacyTucsonArizona
  5. 5.Center for Nursing ResearchIndiana University School of NursingIndianapolisIndiana
  6. 6.Arizona State University College of Nursing, Southwest BorderlandsPhoenixArizona
  7. 7.Division of Social and Administrative SciencesUniversity of Arizona College of PharmacyTucsonArizona
  8. 8.Yale University School of NursingNew HavenConnecticut
  9. 9.VA Greater Los Angeles Healthcare System, UCLA Center for Health SciencesLos AngelesCalifornia
  10. 10.Richard L. Roudebush VA Medical Center, Department of SurgeryIndiana University School of MedicineIndianapolisIndiana

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