Evidence map›Paper›PMID 40347231›Full record

ArticleInternational journal of colorectal disease2025

Drug dissolution problems in ostomy patients: a chart review and patient interview analysis.

Yvonne Remane, Maria Astrid Stolz, Katrin Heinitz, Albrecht Hoffmeister, Matthias Mehdorn, Stefan Niebisch, Kirsten Lincke, Annett Huke, Daniel Seehofer, Thilo Bertsche

Abstract read
In one paragraph

Article in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

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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

2 citing papers in PubMed.

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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

10 authors.

Yvonne RemanePharmacy, Leipzig University Medical Center and Medical Faculty, Leipzig, Germany.
Maria Astrid StolzPharmacy, Leipzig University Medical Center and Medical Faculty, Leipzig, Germany.
Katrin HeinitzPharmacy, Leipzig University Medical Center and Medical Faculty, Leipzig, Germany.
Albrecht HoffmeisterMedical Department II - Gastroenterology, Hepatology, Infectious Diseases, Pulmonology, Leipzig University Medical Center, Leipzig, Germany.
Matthias MehdornDepartment of Visceral, Transplantation, Thoracic and Vascular Surgery, Leipzig University Medical Center, Leipzig, Germany.
Stefan NiebischDepartment of Visceral, Transplantation, Thoracic and Vascular Surgery, Leipzig University Medical Center, Leipzig, Germany.
Kirsten LinckeDepartment of Visceral, Transplantation, Thoracic and Vascular Surgery, Leipzig University Medical Center, Leipzig, Germany.
Annett HukeDepartment of Visceral, Transplantation, Thoracic and Vascular Surgery, Leipzig University Medical Center, Leipzig, Germany.
Daniel SeehoferDepartment of Visceral, Transplantation, Thoracic and Vascular Surgery, Leipzig University Medical Center, Leipzig, Germany.
Thilo BertscheDrug Safety Center, Leipzig University and Leipzig University Medical Center, Bruederstraße 32, 04103, Leipzig, Germany. thilo.bertsche@uni-leipzig.de.ORCID http://orcid.org/0000-0002-4930-6655

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe pharmacokinetic properties of peroral drugs, e.g. considering dissolution, release and absorption, can be influenced by a shortened transit time after ostomy placement. Its aim was to find unexpected undissolved drugs in stoma bags and establish a correlation with formulations using patient interviews and chart review analysis.

methods(i) A patient chart review was performed to assess prescribed drugs on the basis of their formulation and potential influence on pharmacokinetics. (ii) Subsequent to the chart review, the patient was interviewed to ascertain (ii.a) the appearance of indigested drugs in the stoma bag, (ii.b) observed changes in drug efficacy and therapy, and (ii.c) information status regarding indigestible and undissolved formulations.

results(i) 22.4% (134/598) of the prescribed formulations were assessed as critical concerning their pharmacokinetic release characteristics. (ii.a) A total of 22.0% (11/50) of the interviewed patients indicated that they had experienced this at least once. (ii.b) Of the patients, 14.0% (7/50) observed changes in drug efficacy, and 12% (6/50) experienced changes in their therapy regimens. (ii.c) More than 60% of the patients lacked information that indigestible and undissolved formulations could be found in their stoma bag.

conclusionsA considerable proportion of formulations investigated caused problems for patients with ostomy. Additional patient education and resources are needed to support ostomy patients by managing drug release-related problems.

Indexed as

Drug LiberationInterviews as TopicOstomyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedDrug absorptionGastrointestinal tractOstomyPharmaceutical formulation

Identifiers

PMID40347231
PMCPMC12065682

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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.