Observational studyAnnals of surgery2026
Prospective Multicenter Study to Clarify the Frequency of Peristomal Skin Disorders and Appropriate Evaluation Time in Patients With Malignant Rectal Tumors.
Observational study in Annals of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Application and Efficacy Evaluation of a Modified Ostomy Appliance in Managing Peristomal Irritant Contact Dermatitis: A Randomised Controlled Trial.International wound journal · 2025Trial
- Association of chemotherapy and stoma features with peristomal skin disorders in rectal cancer patients.Scientific reports · 2025Observational
Corrections and comments
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Authors and funding
20 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to understand the effectiveness of regular care in reducing the incidence of severe peristomal skin disorders, as well as to identify their risk factors.
backgroundPeristomal skin disorders occur frequently in outpatient settings and require appropriate intervention. It remains, however, to be demonstrated when the need to follow up these patients decreases and whether assessing severity of peristomal skin disorders is useful.
methodsThis prospective, multicenter, observational cohort study was conducted in 6 regional high-volume Japanese hospitals. The primary endpoint of the study was the effectiveness of regular follow-up in reducing the incidence of severe peristomal skin disorders via a scoring system at a defined regular outpatient visit. Propensity score matching was performed to compare a control group and patients with severe peristomal skin disorders.
resultsIn total, 217 patients between December 2019 and December 2021 were enrolled, and 191 patients were analyzed. Multivariate analysis showed that loop stoma (odds ratio, 5.017; 95% CI: 1.350-18.639; P =0.016) and stoma height of <10 mm (odds ratio, 7.831; 95% CI: 1.760-34.838; P =0.007) were independent risk factors for all peristomal skin disorders. After propensity score matching, the incidence of the disorders was not significantly different between the specified evaluation timing and historical control groups (75.7% vs 77.2%, P =0.775), and the incidence of the severe disorders based on the ABCD and DET scores (5.9% vs 19.1%, P <0.001 and 1.5% vs 29.4%, P <0.001, respectively) was significantly lower in the specified evaluation timing group than in the historical control group.
conclusionsRegular peristomal skin disease follow-up and scoring, as well as appropriate stoma care at the stoma outpatient visit, did not change the frequency of peristomal skin disease, but severe peristomal skin disorders were prevented. In addition, risk factors for peristomal skin disorders were found to be height <10 mm and loop stoma.
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