title: Stomas: ethnicity and quality of life.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Peterborough and Stamford NHS Trust, Peterborough, UK. rachel.soulsby@pbh-tr.nhs.uk
authors.forename: R E
authors.initials: RE
authors.lastname: Soulsby
authors.forename: J
authors.initials: J
authors.lastname: Masterman
authors.forename: M J
authors.initials: MJ
authors.lastname: Kelly
authors.forename: W M
authors.initials: WM
authors.lastname: Thomas
mesh_terms: D044466:Asian People / Q000523:psychology*; D003125:Colostomy / Q000523:psychology*; D003469:Culture; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000523:psychology*; D007802:Language; D008297:Male; D011300:Preoperative Care; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires