Evidence map›Paper›PMID 35613718›Full record

ReviewCanadian journal of surgery. Journal canadien de chirurgie

Preoperative stoma site marking for fecal diversions (ileostomy and colostomy): position statement of the Canadian Society of Colon and Rectal Surgeons and Nurses Specialized in Wound, Ostomy and Continence Canada.

Terry M Zwiep, Ramzi M Helewa, Reagan Robertson, Husein Moloo, Rosemary Hill, Valerie Chaplain, Cathy Harley, Canadian Society of Colon and Rectal Surgeons and Nurses Specialized in Wound, Ostomy and Continence Canada preoperative stoma marking position statement task force

Open access · diamondAbstract readReviewConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Review in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
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 3 institutions in 1 country.

Terry M ZwiepFrom the Department of Surgery, Western University, London, Ont. (Zwiep); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Helewa, Robertson); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo); Lions Gate Hospital, Vancouver Coastal Health, Vancouver, BC (Hill); the Montfort Hospital, Ottawa, Ont. (Chaplain); and Nurses Specialized in Wound, Ostomy and Continence Canada, Ottawa, Ont. (Harley) terry.zwiep@lhsc.on.ca.
Ramzi M HelewaFrom the Department of Surgery, Western University, London, Ont. (Zwiep); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Helewa, Robertson); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo); Lions Gate Hospital, Vancouver Coastal Health, Vancouver, BC (Hill); the Montfort Hospital, Ottawa, Ont. (Chaplain); and Nurses Specialized in Wound, Ostomy and Continence Canada, Ottawa, Ont. (Harley).
Reagan RobertsonFrom the Department of Surgery, Western University, London, Ont. (Zwiep); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Helewa, Robertson); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo); Lions Gate Hospital, Vancouver Coastal Health, Vancouver, BC (Hill); the Montfort Hospital, Ottawa, Ont. (Chaplain); and Nurses Specialized in Wound, Ostomy and Continence Canada, Ottawa, Ont. (Harley).
Husein MolooFrom the Department of Surgery, Western University, London, Ont. (Zwiep); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Helewa, Robertson); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo); Lions Gate Hospital, Vancouver Coastal Health, Vancouver, BC (Hill); the Montfort Hospital, Ottawa, Ont. (Chaplain); and Nurses Specialized in Wound, Ostomy and Continence Canada, Ottawa, Ont. (Harley).
Rosemary HillFrom the Department of Surgery, Western University, London, Ont. (Zwiep); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Helewa, Robertson); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo); Lions Gate Hospital, Vancouver Coastal Health, Vancouver, BC (Hill); the Montfort Hospital, Ottawa, Ont. (Chaplain); and Nurses Specialized in Wound, Ostomy and Continence Canada, Ottawa, Ont. (Harley).
Valerie ChaplainFrom the Department of Surgery, Western University, London, Ont. (Zwiep); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Helewa, Robertson); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo); Lions Gate Hospital, Vancouver Coastal Health, Vancouver, BC (Hill); the Montfort Hospital, Ottawa, Ont. (Chaplain); and Nurses Specialized in Wound, Ostomy and Continence Canada, Ottawa, Ont. (Harley).
Cathy HarleyFrom the Department of Surgery, Western University, London, Ont. (Zwiep); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Helewa, Robertson); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo); Lions Gate Hospital, Vancouver Coastal Health, Vancouver, BC (Hill); the Montfort Hospital, Ottawa, Ont. (Chaplain); and Nurses Specialized in Wound, Ostomy and Continence Canada, Ottawa, Ont. (Harley).
Canadian Society of Colon and Rectal Surgeons and Nurses Specialized in Wound, Ostomy and Continence Canada preoperative stoma marking position statement task force
Western University · CAUniversity of Ottawa · CALions Gate Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvery year, about 13 000 Canadians undergo an ostomy procedure, which requires stoma site marking to create a well-constructed stoma and prevent stoma-related complications. The Canadian Society of Colon and Rectal Surgeons (CSCRS) and Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) created a position statement to provide evidence-based guidance and techniques for stoma site selection.

methodsA task force was formed comprising 20 health care professionals (7 colorectal surgeons from the CSCRS and 13 nurses from NSWOCC) with representation from across Canada. A literature review was performed, with the following databases searched from January 2009 to April 2019: MEDLINE, Embase, Cochrane, PubMed, CINAHL and Google Scholar. After the abstracts were screened, 6 task force members created a draft version of the position statement from the articles retained after full-text review. The draft was submitted to the entire task force for comments, and the ensuing modifications were incorporated. Peer reviewers were then recruited from the CSCRS and NSWOCC; a summary of their comments was reviewed by the task force, and modifications were incorporated to produce the final document.

resultsThe literature search identified 272 papers, of which 58 were reviewed after duplicates were excluded. After full-text review, 18 papers were included to guide the position statement. From these papers, we created a series of 17 steps for stoma site marking. Four general principles were found to be important for stoma site marking: obtain informed consent, identify important patient factors and landmarks, assess the abdomen and mark the most appropriate location. A 1-page enabler document and video were created as teaching aids and to help with dissemination of the information.

conclusionThis position statement, associated enabler document and video provide evidence-based guidance for stoma site marking in both emergency and elective settings, and should be used by surgeons and nurses specialized in wound, ostomy and continence to identify optimal stoma sites preoperatively.

Indexed as

OstomySurgeonsCanadaColonColostomyHumansIleostomy

Identifiers

PMID35613718
PMCPMC9202823
OpenAlexW4281491109

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.