Evidence map›Paper›PMID 35192122›Full record

SynthesisTechniques in coloproctology2022

Overall readmissions and readmissions related to dehydration after creation of an ileostomy: a systematic review and meta-analysis.

I Vogel, M Shinkwin, S L van der Storm, J Torkington, J A Cornish, P J Tanis, R Hompes, W A Bemelman

Open access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
12.2field-weighted citation impact, top 1% of its field
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

35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Telemedicine interventions after colorectal surgery: A systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
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  19. Defining Opportunities to Improve Perioperative Ostomy Care and Education.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
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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

8 authors at 2 institutions in 2 countries.

I VogelDepartment of Surgery, G4, University of Amsterdam, P.O. Box 22660, 1100DD, Amsterdam, The Netherlands. i.vogel@amsterdamumc.nl.ORCID 0000-0003-2530-6404
M ShinkwinDepartment of Colorectal Surgery, Cardiff & Vale University Health Board, Cardiff, UK.
S L van der StormDepartment of Surgery, G4, University of Amsterdam, P.O. Box 22660, 1100DD, Amsterdam, The Netherlands.
J TorkingtonDepartment of Colorectal Surgery, Cardiff & Vale University Health Board, Cardiff, UK.
J A CornishDepartment of Colorectal Surgery, Cardiff & Vale University Health Board, Cardiff, UK.
P J TanisDepartment of Surgery, G4, University of Amsterdam, P.O. Box 22660, 1100DD, Amsterdam, The Netherlands.
R HompesDepartment of Surgery, G4, University of Amsterdam, P.O. Box 22660, 1100DD, Amsterdam, The Netherlands.
W A BemelmanDepartment of Surgery, G4, University of Amsterdam, P.O. Box 22660, 1100DD, Amsterdam, The Netherlands.
Cardiff and Vale University Health Board · GBUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital readmissions after creation of an ileostomy are common and come with a high clinical and financial burden. The aim of this review with pooled analysis was to determine the incidence of dehydration-related and all-cause readmissions after formation of an ileostomy, and the associated costs.

methodsA systematic literature search was conducted for studies reporting on dehydration-related and overall readmission rates after formation of a loop or end ileostomy between January 1990 and April 2021. Analyses were performed using R Statistical Software Version 3.6.1.

resultsThe search yielded 71 studies (n = 82,451 patients). The pooled incidence of readmissions due to dehydration was 6% (95% CI 0.04-0.09) within 30 days, with an all-cause readmission rate of 20% (CI 95% 0.18-0.23). Duration of readmissions for dehydration ranged from 2.5 to 9 days. Average costs of dehydration-related readmission were between $2750 and $5924 per patient. Other indications for readmission within 30 days were specified in 15 studies, with a pooled incidence of 5% (95% CI 0.02-0.14) for dehydration, 4% (95% CI 0.02-0.08) for stoma outlet problems, and 4% (95% CI 0.02-0.09) for infections.

conclusionsOne in five patients are readmitted with a stoma-related complication within 30 days of creation of an ileostomy. Dehydration is the leading cause for these readmissions, occurring in 6% of all patients within 30 days. This comes with high health care cost for a potentially avoidable cause. Better monitoring, patient awareness and preventive measures are required.

Indexed as

IleostomyPatient ReadmissionDehydrationHumansPostoperative ComplicationsRetrospective StudiesRisk FactorsDehydrationHigh output stomaIleostomyReadmission

Identifiers

PMID35192122
PMCPMC9018644
OpenAlexW4213191240

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.