Evidence map›Paper›PMID 30267265›Full record

ArticleTechniques in coloproctology2018

Preoperative stoma site marking: a simple practice to reduce stoma-related complications.

Simone Arolfo, Carolina Borgiotto, Giovanna Bosio, Massimiliano Mistrangelo, Marco Ettore Allaix, Mario Morino

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Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
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  4. Observational
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  11. [Intestinal stomata].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020
    Article
  12. Ostomy and Continent Diversion Patient Bill of Rights: Research Validation of Standards of Care.Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Simone ArolfoDepartment of Surgical Sciences, University of Turin, Turin, Italy. simone.arolfo@unito.it.ORCID 0000-0002-7761-4487
Carolina BorgiottoDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Giovanna BosioDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Massimiliano MistrangeloDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Marco Ettore AllaixDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Mario MorinoDepartment of Surgical Sciences, University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the incidence and identify the risk factors of stoma-related complications in a consecutive series of patients treated at a single institution.

methodsFor this retrospective analysis, the medical records of patients followed up at the stoma care centre of our institution over the last 16 years were reviewed. The primary end point was the incidence of stoma-related complications. Risk factors were tested using univariate and multivariate Cox proportional hazards models.

resultsOf a total of 1076 patients, 604 received a colostomy and 472 an ileostomy. In all, 1055 stoma-related complications were recorded in 797 patients. Univariate analysis identified the following risk factors for stoma-related complications: male sex (p = 0.032), emergency surgery (p = 0.010), open surgery (p < 0.001), and ileostomy creation (p = 0.004). Preoperative stoma site marking was noted to play a protective role (hazard ratio 0.739; 95% confidence interval 0.576-0.947; p = 0.017). Multivariate analysis confirmed male sex and ileostomy creation as risk factors (p = 0.030 and p = 0.013, respectively) and preoperative stoma site marking as an independent protective factor (p = 0.001).

conclusionsStoma-related complications are quite common, especially when an ileostomy is present. Preoperative stoma site marking was noted to play a highly protective role not only in reducing the complication rate but also in improving the patients' quality of life.

Indexed as

Preoperative CareAdultAgedAged, 80 and overColostomyConstriction, PathologicElective Surgical ProceduresEmergency TreatmentFemaleHernia, AbdominalHumansIleostomyMaleMiddle AgedPostoperative ComplicationsProtective FactorsColorectal surgeryColostomyComplicationsIleostomyStoma site marking

Identifiers

PMID30267265

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.