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Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective

Background: Peristomal skin complications (PSCs) are the most common skin problems seen after ostomy surgery. They have a considerable impact on a patient’s quality of life and contribute to a higher cost of care. Methods. A systematic review was conducted, querying three databases. The analysis was...

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Autores principales: D’Ambrosio, Floriana, Pappalardo, Ciro, Scardigno, Anna, Maida, Ada, Ricciardi, Roberto, Calabrò, Giovanna Elisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819694/
https://www.ncbi.nlm.nih.gov/pubmed/36612395
http://dx.doi.org/10.3390/ijerph20010079
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author D’Ambrosio, Floriana
Pappalardo, Ciro
Scardigno, Anna
Maida, Ada
Ricciardi, Roberto
Calabrò, Giovanna Elisa
author_facet D’Ambrosio, Floriana
Pappalardo, Ciro
Scardigno, Anna
Maida, Ada
Ricciardi, Roberto
Calabrò, Giovanna Elisa
author_sort D’Ambrosio, Floriana
collection PubMed
description Background: Peristomal skin complications (PSCs) are the most common skin problems seen after ostomy surgery. They have a considerable impact on a patient’s quality of life and contribute to a higher cost of care. Methods. A systematic review was conducted, querying three databases. The analysis was performed on international studies focused on the clinical-epidemiological burden of PSCs in adult patients with ileostomy/colostomy. Results: Overall, 23 studies were considered. The main diseases associated with ostomy surgery were rectal, colon and gynecological cancers, inflammatory bowel diseases, diverticulitis, bowel obstruction and intestinal perforation. Erythema, papules, skin erosions, ulcers and vesicles were the most common PSCs for patients with an ostomy (or stoma). A PSCs incidence ranging from 36.3% to 73.4% was described. Skin complications increased length of stay (LOS) and rates of readmission within 120 days of surgery. Conclusions: PSCs data are still limited. A knowledge of their burden is essential to support health personnel and decision-makers in identifying the most appropriate responses to patients’ needs. Proper management of these complications plays a fundamental role in improving the patient’s quality of life. A multidisciplinary approach, as well as increased patient education and their empowerment, are priority measures to be implemented to foster a value-based healthcare.
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spelling pubmed-98196942023-01-07 Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective D’Ambrosio, Floriana Pappalardo, Ciro Scardigno, Anna Maida, Ada Ricciardi, Roberto Calabrò, Giovanna Elisa Int J Environ Res Public Health Review Background: Peristomal skin complications (PSCs) are the most common skin problems seen after ostomy surgery. They have a considerable impact on a patient’s quality of life and contribute to a higher cost of care. Methods. A systematic review was conducted, querying three databases. The analysis was performed on international studies focused on the clinical-epidemiological burden of PSCs in adult patients with ileostomy/colostomy. Results: Overall, 23 studies were considered. The main diseases associated with ostomy surgery were rectal, colon and gynecological cancers, inflammatory bowel diseases, diverticulitis, bowel obstruction and intestinal perforation. Erythema, papules, skin erosions, ulcers and vesicles were the most common PSCs for patients with an ostomy (or stoma). A PSCs incidence ranging from 36.3% to 73.4% was described. Skin complications increased length of stay (LOS) and rates of readmission within 120 days of surgery. Conclusions: PSCs data are still limited. A knowledge of their burden is essential to support health personnel and decision-makers in identifying the most appropriate responses to patients’ needs. Proper management of these complications plays a fundamental role in improving the patient’s quality of life. A multidisciplinary approach, as well as increased patient education and their empowerment, are priority measures to be implemented to foster a value-based healthcare. MDPI 2022-12-21 /pmc/articles/PMC9819694/ /pubmed/36612395 http://dx.doi.org/10.3390/ijerph20010079 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
D’Ambrosio, Floriana
Pappalardo, Ciro
Scardigno, Anna
Maida, Ada
Ricciardi, Roberto
Calabrò, Giovanna Elisa
Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective
title Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective
title_full Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective
title_fullStr Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective
title_full_unstemmed Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective
title_short Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective
title_sort peristomal skin complications in ileostomy and colostomy patients: what we need to know from a public health perspective
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819694/
https://www.ncbi.nlm.nih.gov/pubmed/36612395
http://dx.doi.org/10.3390/ijerph20010079
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