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https://www.readbyqxmd.com/read/29438140/cost-effectiveness-of-a-ceramide-infused-skin-barrier-versus-a-standard-barrier-findings-from-a-long-term-cost-effectiveness-analysis
#1
Ariel Berger, Gary Inglese, George Skountrianos, Tonny Karlsmark, Mustafa Oguz
PURPOSE: To assess the cost-effectiveness of a ceramide-infused skin barrier (CIB) versus other skin barriers (standard of care) among patients who have undergone ostomy creation. DESIGN: Cost-effectiveness analysis, based on a decision-analytic model that was estimated using data from the ADVOCATE (A Study Determining Variances in Ostomy Skin Conditions And The Economic Impact) trial, which investigated stoma-related healthcare costs over 12 weeks among patients who recently underwent fecal ostomy, and from other sources...
February 12, 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29423157/acute-cholecystitis-in-a-parastomal-hernia-causing-a-small-bowel-obstruction
#2
Chetna Bakshi, Samantha Ruff, Frank Caliendo, Jennifer Agnew
A parastomal hernia is the abnormal protrusion of intra-abdominal tissue and organs through a defect in the abdominal wall around an ostomy. Commonly, they involve intra-abdominal fat, omentum or bowel. However, there are rare cases that involve other organs. We present the case of an 89-year-old gentleman with a gallbladder in his parastomal hernia. Due to his acute cholecystitis, the distended gallbladder compressed adjacent bowel loops in the parastomal hernia, resulting in a mechanical bowel obstruction...
December 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29422176/life-with-a-urostomy-a-phenomenological-study
#3
Giulia Villa, Duilio F Manara, Tommaso Brancato, Gennaro Rocco, Alessandro Stievano, Ercole Vellone, Rosaria Alvaro
AIM: To explore the experiences of self-care of patients with urostomy and to identify the influencing factors of self-care. BACKGROUND: The creation of a urostomy results in the loss of an important bodily function and an alteration of the body image and causes physical, psychological, and social changes in the lifestyle through the adjustment and management of the new condition. In literature, there are few studies that analyze the lifestyle of people with urostomy...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29417331/risk-factors-for-clostridium-difficile-isolation-in-inflammatory-bowel-disease-a-prospective-study
#4
Dejan Micic, Andres Yarur, Alex Gonsalves, Vijaya L Rao, Susan Broadaway, Russell Cohen, Sushila Dalal, John N Gaetano, Laura R Glick, Ayal Hirsch, Joel Pekow, Atsushi Sakuraba, Seth T Walk, David T Rubin
INTRODUCTION: Clostridium difficile is the most commonly isolated stool pathogen in inflammatory bowel disease (IBD). Traditional risk factors for C. difficile may not exist in patients with IBD, and no prior studies have assessed the risk factors for the isolation of C. difficile in both symptomatic and asymptomatic IBD outpatients. METHODS: We prospectively recruited consecutive IBD patients presenting to our outpatient clinic between April 2015 and February 2016...
February 8, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29380065/a-single-surgeon-s-experience-transitioning-to-robotic-assisted-right-colectomy-with-intracorporeal-anastomosis
#5
Alexandra C W Reitz, Ed Lin, Seth A Rosen
BACKGROUND: Despite substantial evidence demonstrating benefits of minimally invasive surgery, a large percentage of right colectomies are still performed via an open technique. Most laparoscopic right colectomies are completed as a hybrid procedure with extracorporeal anastomosis. As part of a pure minimally invasive procedure, intracorporeal anastomosis (ICA) may confer additional benefits for patients. The robotic platform may shorten the learning curve for minimally invasive right colectomy with ICA...
January 29, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29370898/postoperative-complications-of-pediatric-patients-with-inflammatory-bowel-disease-treated-with-vedolizumab
#6
Lori A Zimmerman, Jill M Zalieckas, Robert C Shamberger, Athos Bousvaros
BACKGROUND: Vedolizumab is a biologic, which inhibits leukocyte adhesion in the gut and is used to treat ulcerative colitis (UC) and Crohn's disease (CD). Little is known of the surgical outcomes in patients treated with vedolizumab. We reviewed the postoperative complications in a cohort of pediatric UC and CD patients treated with vedolizumab. METHODS: We identified pediatric UC and CD patients treated with vedolizumab at our institution from 2014 to 2016. We compared postoperative outcomes in the vedolizumab exposed group to a cohort of vedolizumab naïve patients who required diverting ileostomy...
December 16, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29368076/the-socioeconomic-impact-of-a-pediatric-ostomy-in-uganda-a-pilot-study
#7
Arlene Muzira, Nasser Kakembo, Phyllis Kisa, Monica Langer, John Sekabira, Doruk Ozgediz, Tamara N Fitzgerald
INTRODUCTION: Multiple pediatric surgical conditions require ostomies in low-middle-income countries. Delayed presentations increase the numbers of ostomies. Patients may live with an ostomy for a prolonged time due to the high backlog of cases with insufficient surgical capacity. In caring for these patients in Uganda, we frequently witnessed substantial socioeconomic impact of their surgical conditions. METHODS: The operative log at the only pediatric surgery referral center in Uganda was reviewed to assess the numbers of children receiving ostomies over a 3-year period...
January 24, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29340543/colostomy-closure-risk-factors-for-complications
#8
Alexandre Z Fonseca, Edson Uramoto, Otto M Santos-Rosa, Stephanie Santin, Marcelo Ribeiro
BACKGROUND: : The restoration of intestinal continuity is an elective procedure that is not free of complications; on the contrary, many studies have proven a high level of morbidity and mortality. It is multifactorial, and has factors inherent to the patients and to the surgical technique. AIM: : To identify epidemiological features of patients that underwent ostomy closure analyzing the information about the surgical procedure and its arising complications. METHOD: : It was realized a retrospective analysis of medical records of patients who underwent ostomy closure over a period of seven years (2009-2015)...
October 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/29324429/a-pilot-clinical-study-of-a-safe-and-efficient-stool-management-system-in-patients-with-fecal-incontinence
#9
Ashlee Garcia, Sally Fung, Karen Lou Kennedy-Evans
INTRODUCTION: According to the Wound Ostomy Continence Nursing Society's Continence Committee, the incidence of fecal incontinence (FI) can occur from 18% to 37% in an acute care setting. A stool management system has been designed to manage FI in bedridden patients and has proven to be efficacious in wound management and prevention and infection control, provide safer patient outcomes, and enhance ease of nursing. OBJECTIVE: This study aims to evaluate the safety and efficacy of an intrarectal device intended to manage fecal incontinence in hospitalized bedridden patients through nonclinical and clinical testings...
December 2017: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29304945/the-burden-of-peristomal-skin-complications-on-an-ostomy-population-as-assessed-by-health-utility-and-the-physical-component-summary-of-the-sf-36v2%C3%A2
#10
Thom R Nichols, Gary W Inglese
BACKGROUND: Body-altering surgery may affect perceptions of one's self. For those with abdominal stoma surgeries, altered perceptions amplified by peristomal skin condition can increase health burdens. OBJECTIVES: To assess health utility and health-related quality of life in an adult US ostomy sample in the presence of three levels of peristomal skin condition: intact, moderately compromised, and severely compromised. METHODS: The short form 36 health survey version 2, a generic health survey incorporating the six-dimensional health state short form preference-based utility index, was chosen to assess the sample...
January 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29300288/wocn-society-clinical-guideline-management-of-the-adult-patient-with-a-fecal-or-urinary-ostomy-an-executive-summary
#11
(no author information available yet)
This article provides an executive summary of the recommendations from the Clinical Guideline: Management of the Adult Patient With a Fecal or Urinary Ostomy, published by the Wound, Ostomy and Continence Nurses Society (WOCN Society). It presents an overview of the process used to update and develop the guideline and lists specific recommendations from the guideline. We provide recommendations that include the following topics: stoma construction, preoperative education, stoma site marking, selection of an ostomy pouching system, postoperative education, postoperative management issues, follow-up care after discharge from the acute care setting, health-related quality of life, and stomal and peristomal complications...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29300287/a-randomized-controlled-trial-determining-variances-in-ostomy-skin-conditions-and-the-economic-impact-advocate-trial
#12
Janice C Colwell, Joyce Pittman, Rose Raizman, Ginger Salvadalena
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...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29300283/context-for-practice-new-evidence-informing-our-management-of-persons-living-with-an-ostomy
#13
Mikel Gray
No abstract text is available yet for this article.
January 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29298196/a-resource-guide-to-improve-nursing-care-and-transition-to-self-care-for-patients-with-ostomies
#14
Linda Berti-Hearn, Brenda Elliott
Clinical management of patients with an ostomy can be complex and stressful. With only 10% of Wound Ostomy Incontinence Nurses working in home health, home healthcare nurses need to be knowledgeable about care of patients with new ostomies. This article provides an overview of the resources available to guide nurses caring for ostomy patients. In addition, resources nurses can share with patients as they transition into the community are provided.
January 2018: Home Healthcare Now
https://www.readbyqxmd.com/read/29289391/acute-diverticulitis-in-renal-transplant-patients-should-we-treat-them-differently
#15
Jeremy Sugrue, Joanna Lee, Christina Warner, Sany Thomas, Ivo Tzvetanov, Winnie Mar, Anders Mellgren, Johan Nordenstam
BACKGROUND: Current guidelines suggest that transplant patients with acute diverticulitis should be managed aggressively with early operative intervention to reduce morbidity and mortality. This study compared the treatment choices and clinical outcomes between renal transplant patients and immunocompetent patients with acute diverticulitis. METHODS: A retrospective review was performed of all patients who were admitted with acute diverticulitis between 2002 and 2015 at a single academic institution...
December 27, 2017: Surgery
https://www.readbyqxmd.com/read/29288099/diagnosis-and-management-of-peristomal-pyoderma-gangrenosum-a-systematic-review
#16
REVIEW
Ladan Afifi, Isabelle M Sanchez, Matthew M Wallace, Sara F Braswell, Alex G Ortega-Loayza, Kanade Shinkai
BACKGROUND: Peristomal pyoderma gangrenosum (PPG) is an uncommon subtype of pyoderma gangrenosum. PPG is a challenging condition to diagnose and treat; no evidence-based guidelines exist. OBJECTIVE: To identify important clinical features of PPG and effective treatments available for its management. METHODS: A systematic literature review of PPG was performed using PubMed, Medline, and Embase databases. RESULTS: We describe 335 patients with PPG from 79 studies...
December 26, 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29246399/differentiating-abdominal-procedures-in-pediatric-surgery-the-inadequacy-of-current-procedural-terminology-codes
#17
Yiping Li, Donald B Shaul, Roman M Sydorak
INTRODUCTION: The ability to use detailed, accurate current procedural terminology (CPT) codes is a key component of effective research. We examined the effectiveness of CPT codes to accurately reflect care in patients undergoing surgery for necrotizing enterocolitis (NEC). METHODS: A multicenter retrospective analysis of operations on patients with NEC was conducted across 4 institutions between 2011 and 2016. Correlation between operative dictation and CPT coding was analyzed...
November 22, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29243393/quality-of-life-in-elderly-patients-with-an-ostomy-a-study-from-the-population-based-profiles-registry
#18
N M Verweij, C S Bonhof, A H W Schiphorst, H A Maas, F Mols, A Pronk, M E Hamaker
BACKGROUND: 'Ostomies are being placed frequently in surgically treated elderly colorectal cancer (CRC) patients. Having insight into the (potential) impact of 'ostomies on their quality of life (QoL) can be useful in patient counselling as well as in the challenging shared treatment decision making. METHODS: CRC patients diagnosed between 2000-2009 and registered in the population-based Eindhoven Cancer Registry received a QoL questionnaire (EORTC QLQ-C30) in 2010...
December 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29240480/parastomal-hernia-the-need-for-consistency-in-prevention-and-management
#19
Wendy Osborne
Wendy Osborne, Educational Officer, ASCN UK, and Clinical Lead Ostomy Division, Coloplast Ltd, summarises the ASCN UK parastomal hernia workshop, which took place at the ASCN UK 2017 annual conference.
December 14, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29236839/ostomy-patients-perception-of-the-health-care-received
#20
Candela Bonill-de Las Nieves, Concepción Capilla Díaz, Miriam Celdrán-Mañas, José Miguel Morales-Asencio, Sandra Milena Hernández-Zambrano, César Hueso-Montoro
AIM: to describe ostomy patient's perception about health care received, as well as their needs and suggestions for healthcare system improvement. METHOD: qualitative phenomenological study was conducted, involving individual and semi-structured interviews on the life experiences of 21 adults who had a digestive stoma. Participants were selected following a purposive sampling approach. The analysis was based on the constant comparison of the data, the progressive incorporation of subjects and triangulation among researchers and stoma therapy nurses...
December 11, 2017: Revista Latino-americana de Enfermagem
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