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

Vendelbo, Grethe; Carlsson, Eva; Tøndel, Lise Toril; Myller, Elena; Sternhufvud, Catarina; Simonsen, Kenneth Starup; Munch, Philip; Petersen, B.

doi:10.12968/bjon.2023.32.4.173

Cited by 8 publications

(9 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Proper assessment of the peristomal body profile is important for the selection of the most suitable pouching system for the individual needs. 13,16 For example, the Peristomal Body Profile Assessment Tool is a multistep guide helping with the selection of pouching systems that in part is based on patient's abdominal topography. When a group of nurses used this tool for selection of pouching systems, patients experienced significantly fewer leakage incidents and reported concomitant improvements in QoL.…”

Section: Discussionmentioning

confidence: 99%

“…The abdominal topography around the ostomy varies considerably between individuals and may be accompanied with creases and folds that can make it difficult to secure a tight seal between skin and barrier. Proper assessment of the peristomal body profile is important for the selection of the most suitable pouching system for the individual needs 13,16. For example, the Peristomal Body Profile Assessment Tool is a multistep guide helping with the selection of pouching systems that in part is based on patient’s abdominal topography.…”

Section: Discussionmentioning

confidence: 99%

“…People with an outward peristomal body profile have an increased risk of experiencing leakage incidents compared with people having a regular peristomal body profile 15. As a result, selection of a pouching system including the optimal skin barrier shape is important, and use of a body assessment tool for selection of the most favorable fitting pouching system led to significant reductions in the number of leakages and concomitant improvement in QoL in one study 16. Despite the increased risk of experiencing leakage for people with an outward peristomal body profile,15 we searched the literature and found a paucity of research evaluating the performance of concave skin barriers.…”

Section: Introductionmentioning

confidence: 99%

“…8,14 In a large multinational study, approximately half the participants had a flat peristomal body profile, 35% had an outward peristomal body profile and 13% had an inward peristomal body profile. 15 Improper fit between the skin barrier and peristomal area is a common reason for undermining and leakage among people living with an ostomy, 16 and WOC nurses have rated body profiles and incorrect product usage as key reasons for experiencing undermining and leakage. 17 Leakage of effluent has negative physical and psychological effects.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Body Fit With a Pouching System With Concave Contour for People With an Outward Peristomal Body Profile

Rolfsen,

Vestergaard,

Hansen

et al. 2024

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

PURPOSE: The purpose of the study was to investigate the fit of a two-piece pouching system with a concave-shaped skin barrier on people with an outward peristomal body profile and its effect on leakage, wear time, and quality of life (QoL) related to using an ostomy product. DESIGN: Randomized, controlled, open-label, cross-over trial. SUBJECTS AND SETTINGS: The sample comprised 53 subjects with outward peristomal body profiles and problems with leakage of ostomy effluent from their pouching system. Participants were randomized to the concave two-piece pouching system or a comparator (two-piece pouching system with a flat skin barrier) for 3 weeks. Subjects were then crossed over to the opposite skin barrier for an additional 3 weeks. The study was conducted in Denmark, Norway, Germany, and the Netherlands; data were collected in multiple ambulatory clinics or during home visits. METHODS: The primary end point was the ability of the skin barrier to fit body contours; secondary outcomes were leakage of effluent from the pouching system, wear time, and QoL related to using an ostomy product via the validated Ostomy-Q questionnaire. Primary comparisons between concave and comparator pouching systems were evaluated using proportional odds models and mixed models taking test period into account. RESULTS: Analysis included randomized subjects who had been exposed to at least one product and with information on at least one end point (full-analysis-set, n = 52). The concave pouching system provided a better fit to body contours than the comparator (P< .001) and reduced the degree of leakage underneath the skin barrier (LS mean difference = −1.84, 95% CI −3.31 to −0.37; P = .016). Participants experienced fewer episodes of leakage outside the skin barrier when using concave versus comparator pouching system (13.0% vs. 26.7%, respectively). Participants reported significant improvements in QoL (LS mean difference = 14.3; 95% CI 9.4 to 19.2; P < .001). No significant difference in wear time between skin barrier shapes was reported. CONCLUSIONS: Study findings indicate that a pouching system with a concave skin barrier achieved a better body fit on people with an outward peristomal body profile and resulted in fewer leakage incidents and higher QoL compared to using a pouching system with a flat skin barrier.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Body Fit With a Pouching System With Concave Contour for People With an Outward Peristomal Body Profile

Rolfsen,

Vestergaard,

Hansen

et al. 2024

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

show abstract

“…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

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Die Viefalt der konvexen Stomaversorgung

Wiesinger,

Walcher

2023

ProCare

View full text Add to dashboard Cite

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

Cited by 8 publications

References 27 publications

Body Fit With a Pouching System With Concave Contour for People With an Outward Peristomal Body Profile

Body Fit With a Pouching System With Concave Contour for People With an Outward Peristomal Body Profile

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

Die Viefalt der konvexen Stomaversorgung

Contact Info

Product

Resources

About