"Life without an Anus": Experience of Cancer Patients Living with Colostomy in South West Nigeria.
Bibliographic record
Abstract
INTRODUCTION: As the incidence of colorectal cancer increases in Nigeria, more patients will get colostomies. Previous studies of patients with colostomies in other African countries have reported significant decreases in quality of life. Understanding the experiences of Nigerian patients is crucial for designing interventions that ensure patients can maintain a high quality of life after colostomy. This study aims to explore the impact of colostomy on the quality of life of Nigerian patients. METHODS: Between August and December 2022, 16 in-depth interviews were conducted with patients who had undergone a colostomy for at least six months. Patients were identified through an institutional database of colorectal cancer patients at Obafemi Awolowo University Teaching Hospital in Southwest Nigeria. RESULTS: Patients overwhelmingly reported life-altering challenges related to their colostomy. Some of the most commonly reported challenges included social isolation, financial constraints, sexual dissatisfaction, and altered self-image. Patients also reported that they did not understand until after surgery what it would be like to live with a colostomy. CONCLUSION: As the number of cancer patients with colostomies increases in Nigeria, it is important to address the social and financial barriers that patients face after having a colostomy.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".