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Introduction <p>Stoma placement is a frequently performed procedure. Short- and long-term stoma-related complications affect up to 80% of patients and are known to reduce quality of life (QoL). Stoma revision surgery may be indicated, but its influences on QoL have not been studied.</p> Methods <p>The precursor to this study, the <b>ST</b>oma appl<b>I</b>an<b>C</b>e lea<b>K</b>age and its risk factors, consequences and preventive treatments (STICK-I) was a retrospective cohort study conducted across three hospitals between 2019 and 2022. Patients with a colostomy, ileostomy, or certain type of urostomy for at least 1 year were included. The data of the STICK-I study were used for this substudy. The stoma-QoL score was compared between a stoma revision surgery and a control group using propensity matching. Patients stoma-QoL scores before and after revision surgery were separately analyzed as their own controls.</p> Results <p>Out of 643 patients, 336 completed the questionnaire, of whom 65 were assigned to the revision group, 216 to the control group, and 10 to the own-control group. Matching resulted in comparable baseline parameters, except for sex. Other baseline characteristics were equally distributed among the groups. The stoma-QoL scores in patients who had undergone stoma revision (mean 56, 95% CI 52–60) did not significantly differ from those who did not undergo stoma revision (mean 59, 95% CI 57–61), (mean difference 2.61, <i>p</i> = 0.160). Patients in the own-control group scored significantly higher on the stoma-QoL after revision surgery (mean 62, 95% CI 52–71) compared with before (mean 55, 95% CI 45–65), (mean difference 6.90, <i>p</i> = 0.048).</p> Conclusions <p>Postoperative stoma-QoL scores were similar to controls who did not undergo revision. Furthermore, stoma-QoL scores significantly improved after stoma revision surgery. Postoperative stoma-QoL scores in the matched cohort did not differ significantly from controls; a small within-patient sample showed a clinically relevant increase after revision. These exploratory findings suggest that QoL improves after revision, but prospective studies with standardized pre- and postoperative assessment are required to confirm this.</p>

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Impact of stoma revision surgery on quality of life: the STICK-II retrospective cohort study

  • 期刊论文

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  • 发表日期：

    2026年5月26日

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  • R. D. A. T. van der Kolk,
  • R. van den Berg,
  • S. van Egmond,
  • P. J. Tanis,
  • E. B. Deerenberg

摘要

Introduction

Stoma placement is a frequently performed procedure. Short- and long-term stoma-related complications affect up to 80% of patients and are known to reduce quality of life (QoL). Stoma revision surgery may be indicated, but its influences on QoL have not been studied.

Methods

The precursor to this study, the SToma applIanCe leaKage and its risk factors, consequences and preventive treatments (STICK-I) was a retrospective cohort study conducted across three hospitals between 2019 and 2022. Patients with a colostomy, ileostomy, or certain type of urostomy for at least 1 year were included. The data of the STICK-I study were used for this substudy. The stoma-QoL score was compared between a stoma revision surgery and a control group using propensity matching. Patients stoma-QoL scores before and after revision surgery were separately analyzed as their own controls.

Results

Out of 643 patients, 336 completed the questionnaire, of whom 65 were assigned to the revision group, 216 to the control group, and 10 to the own-control group. Matching resulted in comparable baseline parameters, except for sex. Other baseline characteristics were equally distributed among the groups. The stoma-QoL scores in patients who had undergone stoma revision (mean 56, 95% CI 52–60) did not significantly differ from those who did not undergo stoma revision (mean 59, 95% CI 57–61), (mean difference 2.61, p = 0.160). Patients in the own-control group scored significantly higher on the stoma-QoL after revision surgery (mean 62, 95% CI 52–71) compared with before (mean 55, 95% CI 45–65), (mean difference 6.90, p = 0.048).

Conclusions

Postoperative stoma-QoL scores were similar to controls who did not undergo revision. Furthermore, stoma-QoL scores significantly improved after stoma revision surgery. Postoperative stoma-QoL scores in the matched cohort did not differ significantly from controls; a small within-patient sample showed a clinically relevant increase after revision. These exploratory findings suggest that QoL improves after revision, but prospective studies with standardized pre- and postoperative assessment are required to confirm this.