Psychometric Evaluation of the Ostomy Complication Severity Index

Pittman, Joyce; Bakas, Tamilyn; Ellett, Marsha L.; Sloan, Richard G.; Rawl, Susan M.

doi:10.1097/won.0000000000000008

Cited by 32 publications

(26 citation statements)

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“…Approximately 800,000 people are currently living with an ostomy and about 120,000 new ostomies are created annually in the United States and Canada. 1 – 3 Up to 80% of patients experience ostomy complications 4 – 8 and these predominantly consist of peristomal skin complications (PSCs). Best practice in the prevention of PSCs includes preoperative stoma site marking, ongoing involvement of a stoma care nurse, and the correct use of well-fitting ostomy products.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial Determining Variances in Ostomy Skin Conditions and the Economic Impact (ADVOCATE Trial)

Colwell

Pittman

Raizman

et al. 2018

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE:To compare ostomy-related costs and incidence of peristomal skin complications (PSCs) for ceramide-infused ostomy skin barriers and control skin barriers.DESIGN:The ADVOCATE trial is a multi-centered randomized controlled trial, and double-blinded international study with an adaptive design.SUBJECTS AND SETTING:The sample comprised 153 adults from 25 sites from the United States, Canada, and Europe. Participants were seen in hospital and outpatient care settings.METHODS:Data were collected by investigators at each site during face-to-face visits and during telephone check-in calls between visits. Cost of care data were collected using a questionnaire developed specifically for the study. The peristomal skin was assessed using the Ostomy Skin Tool. Health-related quality of life was measured using the SF-12v2. Patient-reported outcomes were collected using a patient-centered study-specific questionnaire. Cost of care was analyzed via analysis of covariance comparing total cost of care for 12 weeks between the 2 groups. The incidence of PSC was analyzed via Barnard's exact test comparing the incidence of PSCs between the control and treatment groups. Tertiary outcomes were exploratory in nature and not statistically powered.RESULTS:Use of the ceramide-infused barrier significantly reduced stoma-related cost of care over a 12-week period, resulting in a $36.46 decrease in cost (14% relative decrease). The adjusted average costs were $223.73 in the treatment group and $260.19 in the control group (P = .017). The overall incidence of PSCs in the study was 47.7%; PSC incidence was 40.5% for the treatment group versus 55.4% for controls (P = .069, 95% confidence interval of the difference: −1.2 to 30.4). Significantly more participants using the ceramide-infused skin barrier were “very satisfied” with barrier performance (75% vs 55%; P = .033), prevention of leakage (63% vs 38%; P < .01), and prevention of itching (53% vs 31%; P = .016). General postoperative improvement in health-related quality of life was noted in both groups.CONCLUSIONS:The use of a ceramide-infused barrier significantly decreased cost and increased satisfaction with patient-reported outcomes.

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Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial Determining Variances in Ostomy Skin Conditions and the Economic Impact (ADVOCATE Trial)

Colwell

Pittman

Raizman

et al. 2018

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…The most commonly reported complications were leakage (60%), dermatitis (50%), subject pain (42%), retardation (39%), and bleeding (32%). 62 In the study by Meinener et al (2012), 3017 patients �rom 18 countries participated. The PUSH was used as an assess� ment tool.…”

Section: Discussionmentioning

confidence: 99%

Comparison of a novel herbal skin care ointment with regular ointments to treat skin around the abdominal stoma: A clinical trial study

2019

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Introduction The incidence of gastric ulcers in patients with abdominal stoma is high and affects the quality of patients’ life. Aim To evaluate the effect of Adib herbal ointment containing chamomile rose, black nightshade origin versus Comfeel and Conveen ointments on the skin of abdominal stoma. Material and methods This is a clinical study in which the volunteers were stoma patients. Study group consisted of 52 qualified subjects, 26 were included in the experimental group and 26 in the control group. A 2-part questionnaire was used for the data collection. The 1st part was demographic information. The 2nd part of the data collection was evaluated according to the pressure ulcer scale for healing (PUSH) tool, which used for examining skin ulcers around the stoma. P ≤ 0.05 was considered as a significant. Results and discussion The results of the Mann–Whitney test showed that between the mean score of the total score of the wound before intervention (P = 0.92) and on the 3rd day (P = 0.476), 6th (P = 0.222), 9th (P = 0.11) and 12th (P = 0.418), there was no significant difference between the control and test groups. Also, the Friedman test (intra-group) also showed that between the mean score of the total score of the wound before the intervention and the 3rd, 6th, 9th and 12th days in the control group (P = 0.0001) and in the experimental group (P = 0.0001) There was a significant statistical difference. Conclusions Based on the study, Adib herbal ointment could be recommended for the treatment of stoma to the skin as an herbal product as other common treatments.

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“…The OCSI demonstrated acceptable evidence of content validity index [(CVI)=0.9)], interrater reliability for individual items (k=0.71-1.0), and almost perfect agreement for total scores among raters (ICC=0.991, p≤.001). 4 This index evaluates leakage, peristomal irritant dermatitis, pain, bleeding in or around the stoma, stomal necrosis, stenosis, retraction, mucocutaneous separation, and hyperplasia. All complications are scored 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe) with a Likert-like scale.…”

Section: Data Collection Toolsmentioning

confidence: 99%

“…Complications of the stoma may occur due to surgical intervention, underlying pathology, insufficient preoperative, and postoperative treatment and care. 2,3,4 Complications related to stoma can be a dull discomfort or a severe life-threatening problem. Complications are classified as early and late complications depending on the time of occurrence.…”

Section: Introductionmentioning

confidence: 99%

“…3 The Pittman Ostomy Complicity Severity index (OCSI) was developed by Joyce Pittman to identify and assess the severity of complications during the follow-up period (30 days postoperatively) of patients with a stoma. 4 This study aimed to evaluate the validity and reliability of the Turkish version of OCSI, which was prepared originally in English for patients with a stoma.…”

Section: Introductionmentioning

confidence: 99%

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Validity and Reliability of the Turkish Version of Pittman Ostomy Complication Severity Index

Arslantaş¹,

Karahan²,

Büyükuysal³

2020

tjcd

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Amaç: Bu çalışma Pittman Ostomi Komplikasyon Şiddet indeksinin Türkçe geçerliliğini ve güvenilirliğinin incelenmesi amacı ile yapıldı. Yöntem: Metodolojik tipte olan bu araştırma, Batı Karadeniz Bölgesi'nde yer alan bir sağlık uygulama ve araştırma merkezinin stomaterapi ünitesinde 1 Ocak 2017-1 Ocak 2018 tarihleri arasında yürütüldü. Araştırmanın örneklemini en az bir aydır kolostomi ve ileostomiye sahip olan 90 ostomili birey oluşturdu. Araştırmada Stomalı Birey İzlem Formu ve Pittman Ostomi Komplikasyon Şiddet indeksi formu kullanıldı. Ameliyat öncesinde hastaların demografik özellikleri, ameliyattan sonraki ilk 24 saat içerisinde stoma ile ilgili özellikleri, ameliyattan 30 gün sonra ostomi bölgesi "Pittman Ostomi Komplikasyon Şiddet indeksi'ne" göre değerlendirildi. İstatistiksel analizlerinde SPSS 19,0 ve Excel 2016 paket programları kullanıldı. Bulgular: Ostomili bireylerin yaş ortalamasının 60,22±13,23; %44,4'ü kadın, %55,6'sı erkek, %90'ının evli, %71,1'inin ilkokul mezunu, %41,1'inin ev hanımı olduğu belirlendi. İndeksin dil geçerliliği için çeviri-geri çevirisi yapıldı. Kapsam geçerliliği için 11 uzmandan görüş alındı ve kapsam geçerlilik indeksinin 0,95 olduğu belirlendi. İndeksin yapı geçerliliği için komplikasyonla ilişkili parametreler Pittman Ostomi Komplikasyon Şiddet indeksi toplam puan arasındaki anlamlılık hesaplandı. Pittman Ostomi Komplikasyon Şiddet indeksinin güvenilirliği bağımsız gözlemciler arası uyum ile değerlendirildi. Uzman görüşlerinde gözlemciler arasındaki uyum incelendiğinde dil bakımından uyum olduğu görüldü (p<0,001; Kendall's Aim: This study aimed to investigate the reliability and validity of the Turkish version of the Pittman Ostomy Complication Severity index.

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Psychometric Evaluation of the Ostomy Complication Severity Index

Abstract: Background: Almost one million individuals are estimated to be currently living with an ostomy

Cited by 32 publications

References 20 publications

A Randomized Controlled Trial Determining Variances in Ostomy Skin Conditions and the Economic Impact (ADVOCATE Trial)

A Randomized Controlled Trial Determining Variances in Ostomy Skin Conditions and the Economic Impact (ADVOCATE Trial)

Comparison of a novel herbal skin care ointment with regular ointments to treat skin around the abdominal stoma: A clinical trial study

Validity and Reliability of the Turkish Version of Pittman Ostomy Complication Severity Index

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