Universität zu Köln

Ambe, Peter C., Kugler, Charlotte Mareike, Breuing, Jessica, Grohmann, Erich, Friedel, Julia, Hess, Simone and Pieper, Dawid ORCID: 0000-0002-0715-5182 (2022). The effect of preoperative stoma site marking on risk of stoma-related complications in patients with intestinal ostomy - A systematic review and meta-analysis. Colorectal Dis., 24 (8). S. 904 - 918. HOBOKEN: WILEY. ISSN 1463-1318

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Abstract

Aim This systematic review and meta-analysis aimed to investigate the effect of preoperative stoma site marking on stoma-related complications in patients with intestinal ostomy. Methods MEDLINE, Embase, CENTRAL, CINHAL, and Google Scholar were searched up to August 2021 for randomised controlled trials (RCTs) and nonrandomised studies of interventions (NRSI) that involved patients with intestinal ostomies comparing preoperative stoma site marking to no marking and which reported at least one patient-relevant outcome. Outcomes were prioritised by stakeholder involvement. Random-effects meta-analyses produced odds ratios (ORs) or standardised mean differences (SMD) and 95% confidence intervals (CIs). The ROBINS-I tool and the GRADE approach were used to assess the risk of bias and certainty of evidence, respectively. Results This review included two RCTs and 25 NRSI. The risk of bias was high in RCTs and serious to critical in NRSI. Although preoperative site marking reduced stoma-related complications (OR: 0.45, 95% CI: [0.31-0.65]), dependence on professional or unprofessional care (narrative synthesis), and increased health-related quality of life (SMD: 1.13 [0.38-1.88]), the evidence is very uncertain. Preoperative site marking may probably reduce leakage (OR: 0.14 [0.06-0.37]) and may decrease dermatological complications (OR: 0.38 [0.29-0.50]) and surgical revision (OR: 0.09 [0.02-0.49]). The confidence in the cumulative evidence was moderate to very low. Conclusion Despite low quality evidence, preoperative stoma site marking can prevent stoma-related complications and should be performed in patients undergoing gastrointestinal surgery given that this intervention poses no harm to patients.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ambe, Peter C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kugler, Charlotte Mareike UNSPECIFIED UNSPECIFIED UNSPECIFIED Breuing, Jessica UNSPECIFIED UNSPECIFIED UNSPECIFIED Grohmann, Erich UNSPECIFIED UNSPECIFIED UNSPECIFIED Friedel, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Hess, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Pieper, Dawid UNSPECIFIED orcid.org/0000-0002-0715-5182 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-668855
DOI:	10.1111/codi.16118
Journal or Publication Title:	Colorectal Dis.
Volume:	24
Number:	8
Page Range:	S. 904 - 918
Date:	2022
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1463-1318
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; PERISTOMAL COMPLICATIONS; PRACTICE GUIDELINES; FECAL OSTOMY; EDUCATION; SURGERY; MANAGEMENT; IMPACT; CARE Multiple languages Gastroenterology & Hepatology; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66885