Evidence map›Paper›PMID 41105284›Full record

SynthesisTechniques in coloproctology2025

The impact of preoperative stoma education on postoperative outcomes for patients with new stomas after colorectal surgery: a systematic review and meta-analysis.

V Shi, T McKechnie, S Anant, C M Pedroso, M Ahmed, J Patel, S Sharma, G Talwar, D Hong, C Eskicioglu

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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. Review
  2. Determinant of quality of life among colorectal cancer patients with a stoma: a single-center cross-sectional study in Egypt.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  3. Review
  4. Review
  5. Article
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.

V ShiMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
T McKechnieDepartment of Health Research Methodology, Evidence, and Impact, McMaster University, Hamilton, ON, Canada. tyler.mckechnie@medportal.ca.
S AnantMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
C M PedrosoDivision of General Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
M AhmedSchulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
J PatelCollege of Osteopathic Medicine, Kansas City University, Kansas City, MO, USA.
S SharmaDivision of General Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
G TalwarDivision of General Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
D HongDivision of General Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
C EskiciogluDivision of General Surgery, Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn accordance with Enhanced Recovery After Surgery (ERAS) principles, it has recently been suggested that preoperative stoma education protocols be routinely introduced in perioperative care. Potential benefits of such programs include shorter postoperative length of stay (LOS) and decreased readmission following discharge. We designed this systematic review and meta-analysis to further investigate the effect of preoperative stoma education on postoperative outcomes.

methodsA search in MEDLINE, Embase, and CENTRAL from inception to February 2024 was performed. We included randomized controlled trials or observational cohort studies evaluating patients who underwent stoma formation during colorectal surgery and compared those receiving and not receiving preoperative stoma education. Main outcomes included stoma-related morbidity, peristomal complications, overall morbidity, postoperative LOS, readmission, and quality of life (QoL). Meta-analyses were performed using inverse variance random effects models.

resultsNine studies (four randomized studies and five cohort studies) met inclusion criteria. Overall, 507 patients (mean age: 60.95 ± 12.86 years, 40.1% female) received preoperative stoma education prior to stoma formation, and 356 patients (mean age: 61.75 ± 12.31 years, 39.2% female) did not. Meta-analysis showed that peristomal skin complications were significantly reduced with preoperative stoma education (two studies, 9.5% versus 19.4%, risk ratio (RR) 0.45, 95% confidence interval (CI) 0.29-0.72, p < 0.01, I

conclusionsThis study presents very low-certainty evidence suggesting that preoperative stoma education may reduce peristomal skin complications, but otherwise no significant clinical benefits were identified. Future prospective studies are warranted to further investigate the impact of preoperative stoma education. PROSPERO REGISTRATION: CRD4202451323.

Indexed as

ColostomyPatient Education as TopicPostoperative ComplicationsPreoperative CareSurgical StomasAgedEnhanced Recovery After SurgeryFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeColorectal surgeryColostomyDigestive system surgical proceduresIleostomyWound, ostomy, continence nurse

Identifiers

PMID41105284
PMCPMC12534360

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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.