Results of an audit of the Peristomal Body Profile Assessment Tool

Tonks, Nicola; Rolls, Natasha; Bain, Kimberly; Russell-Roberts, Paul; Bain, Mark

doi:10.12968/bjon.2022.31.22.s4

Cited by 4 publications

(1 citation statement)

References 12 publications

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“…Moreover, a recent scoping review suggests that strenghtening the role of stoma care nurses could impact the healthcare system positively by increasing the quality of healthcare services provided and the quality of life for the persons living with an ostomy [ 42 ]. Lastly, a proper fit between the peristomal body profile and the ostomy product(s) guided by a stoma care nurse has been shown to reduce the number of leakages and in turn reduce the incidence of PSCs [ 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Short- and long-term direct and indirect costs of illness after ostomy creation – a Swedish nationwide registry study

Carlsson

Forsmark

Sternhufvud³

et al. 2023

BMC Health Serv Res

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Background Despite advance in care of people with an ostomy, related complications remain prevalent. The objective of this study was to examine short- and long-term healthcare resource utilization and associated costs after ostomy creation. Methods This observational study was based on retrospectively collected data from national and regional Swedish registries. The population consisted of people living in Sweden, who had an ostomy created. The earliest index date was 1 January 2006, and people were followed for ten years, until death, reversal of temporary ostomy, termination of purchases of ostomy products, or end of study, which was 31 December 2019. Each person with an ostomy was matched with two controls from the general population based on age, gender, and region. Results In total, 40,988 persons were included: 19,645 with colostomy, 16,408 with ileostomy, and 4,935 with urostomy. The underlying diseases for colostomy and ileostomy creations were primarily bowel cancer, 50.0% and 55.8% respectively, and additionally inflammatory bowel disease for 20.6% of ileostomies. The underlying cause for urostomy creation was mainly bladder cancer (85.0%). In the first year after ostomy creation (excl. index admission), the total mean healthcare cost was 329,200 SEK per person with colostomy, 330,800 SEK for ileostomy, and 254,100 SEK for urostomy (100 SEK was equivalent to 9.58 EUR). Although the annual mean healthcare cost decreased over time, it remained significantly elevated compared to controls, even after 10 years, with hospitalization being the main cost driver. The artificial opening was responsible for 19.3–22.8% of 30-day readmissions after ostomy creation and for 19.7–21.4% of hospitalizations during the entire study period. For the ileostomy group, dehydration was responsible for 13.0% of 30-day readmissions and 4.5% of hospitalization during the study period. Conclusions This study reported a high disease burden for persons with an ostomy. This had a substantial impact on the healthcare cost for at least ten years after ostomy creation. Working ability seemed to be negatively impacted, indicated by increased cost of sickness absence and early retirement. This calls for improved management and support of ostomy care for the benefit of the affected persons and for the cost of society.

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Section: Discussionmentioning

confidence: 99%

Short- and long-term direct and indirect costs of illness after ostomy creation – a Swedish nationwide registry study

Carlsson

Forsmark

Sternhufvud³

et al. 2023

BMC Health Serv Res

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Importance of stoma care nurses in preparing patients for stoma surgery and adjustment to life with a stoma

Rolls,

Gotfredsen,

Vestergaard

et al. 2023

Br J Nurs

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Background: Stoma surgery is a life-changing event and patients must subsequently make significant adjustments to their lives. Aim: The study set out to understand the level of interaction between patients and stoma care nurses (SCNs) in relation to preparing patients for stoma surgery and in adjustment to life with a stoma. Methods: Retrospective, self-reported questionnaires for patients and SCNs. Findings: Most patients (98%) with planned stoma surgery had pre-operative consultations with health professionals in contrast to 36% of patients with unplanned surgery, who did not. One third of patients with unplanned surgery did not feel prepared for life with a stoma based on the information provided during their hospital stay. Two thirds of the nurses reported having sufficient time to prepare patients for stoma surgery and to life with a stoma. Conclusion: SCNs are key in preparing patients for surgery and for life with a stoma. Variations in care were experienced by patients having planned versus unplanned surgeries.

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Using peristomal body profile assessment to improve leakage-related quality of life for individuals with an ostomy

et al. 2023

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Background: Improper fitting between peristomal body profile and ostomy product(s) is one of the main reasons for leakage among individuals with an ostomy. Aim: To evaluate clinical usability of the Body Assessment Tool developed by Coloplast that is available free of charge. The aim was also to study how changing to product(s) that were best suited to an individual, guided by peristomal body profile, affected the number of leakages and individuals' quality of life. Methods: The study consisted of questionnaires administered before and after the study, which spanned 4–5 weeks. A total of 22 nurses and 68 individuals with an ostomy participated in four Nordic countries. Findings: Of the 22 nurses, 21 recommended use of the tool. A shift to best fitting ostomy product(s) resulted in a significant decrease in the number of leakages (from 5.9 to 1.8 per 7 days) and a substantial improvement in quality of life. Conclusion: The findings support the use of the Body Assessment Tool in clinical practice and the results showed that optimally fitting ostomy product(s) reduced the number of leakages and increased individuals' quality of life.

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Results of an audit of the Peristomal Body Profile Assessment Tool

Cited by 4 publications

References 12 publications

Short- and long-term direct and indirect costs of illness after ostomy creation – a Swedish nationwide registry study

Short- and long-term direct and indirect costs of illness after ostomy creation – a Swedish nationwide registry study

Importance of stoma care nurses in preparing patients for stoma surgery and adjustment to life with a stoma

Using peristomal body profile assessment to improve leakage-related quality of life for individuals with an ostomy

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