ArticleWorld journal of surgery2025
Development of the "JPCC Barriers to Pediatric Colostomy Care Scoring System": A Modified Delphi Study.
Article in World journal of surgery, 2025. 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
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.
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.
Who cites it
2 citing papers in PubMed.
- An interim analysis of the standard care (stoma bags) and double-diapers in pediatric patients with stomas at a tertiary hospital in South Africa.Pediatric surgery international · 2026Trial
- Development of the "JPCC Barriers to Pediatric Colostomy Care Scoring System": A Modified Delphi Study.World journal of surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn low- and middle-income countries (LMICs), pediatric colostomy care is associated with significant clinical, social, and economic challenges that negatively impact patient outcomes. This study aimed to identify key barriers to pediatric colostomy care and to develop a scoring system for barriers to colostomy care.
methodsA modified Delphi study was conducted, involving caregivers of pediatric patients with colostomies and health care professionals managing such patients in Southern Africa. Forty individuals were invited to participate (20 caregivers and 20 health care professionals). In Round 1, participants were asked to list barriers to colostomy care via an online REDCap survey. Three authors (GB, CB, JS) thematically grouped identified barriers. In Round 2, participants rated the relevance of each statement: ≥ 75% agreement defined consensus. A virtual Round 3 refinement meeting was held with an expert panel to finalize the scoring system.
resultsOf the 40 invited individuals, 23 (57.5%) participated in Round 1: 12 health care professionals (9 doctors, 2 nurses, and 1 with an unknown profession) and 11 caregivers. Sixteen participants completed Round 2, with consensus reached on all barrier statements. In Round 3, 4 nurses and 4 doctors reviewed and refined the statements, resulting in a final 36-item JPCC barriers to colostomy care scoring system.
conclusionThis study presents the first scoring system specifically designed to measure barriers to pediatric colostomy care in Southern Africa. The scoring system offers a practical framework for research, clinical assessment, and advocacy. Further multicenter validation is recommended to assess its applicability across diverse settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.