A consensus on stomal, parastomal and peristomal complications.

Aim To establish a consensus on terminology used to define stomal, parastomal and peristomal complications in Australia. Methods A list of stomal, parastomal and peristomal complications was generated through group dialogue which was informed by the clinical and academic knowledge of the researchers...

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Published in:World Council of Enterostomal Therapists Journal Vol. 42; no. 3; pp. 12 - 23
Main Authors: Carville, Keryln, Haesler, Emily, Norman, Tania, Walls, Pat, Monterosso, Leanne
Format: pictorial research tables/charts Journal Article
Published: Cambridge Publishing Sep2022
Online Access:View this record in EBSCOhost
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      dt: Sep2022
      vid: 42
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      pub: Cambridge Publishing
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        10.33235/wcet.42.3.12-22
        159187638
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        atl: A consensus on stomal, parastomal and peristomal complications.
      aug:
        au:
          Carville, Keryln
          Haesler, Emily
          Norman, Tania
          Walls, Pat
          Monterosso, Leanne
        affil: Silver Chain Group, Perth, Australia
      sug:
        subj:
          Ostomy
          Postoperative Complications Australia
          Consensus
          Nomenclature
          Human
          Australia
          Delphi Technique
          Purposive Sample
          Wound Ostomy and Continence Nurses Society
          Colorectal Neoplasms
          Surgeons
          Photography
          Dermatitis, Contact
      ab: Aim To establish a consensus on terminology used to define stomal, parastomal and peristomal complications in Australia. Methods A list of stomal, parastomal and peristomal complications was generated through group dialogue which was informed by the clinical and academic knowledge of the researchers. An extensive literature review was undertaken to identify any additional terms and to create a database of definitions/descriptions. A library of images related to the identified conditions was generated. An online Delphi process was conducted amongst a representative, purposive sample of Australia expert wound, ostomy, continence nurses (WOCNs) and colorectal surgeons. Ten terms were presented to the panel with descriptive photographs of each complication. Up to three Delphi rounds, and if necessary a priority voting round, were conducted. Results Seven of the ten terms reached agreement in the first round. One term (allergic dermatitis) was refined (allergic contact dermatitis) and reached agreement in the second round. Two terms (mucocutaneous granuloma and mucosal granuloma) were considered by the panel to be the same condition in different anatomical locations and were combined as one term (granuloma). Two terms (skin stripping and tension blisters) were combined as one term -- medical adhesive related skin injury (MARSI) -- and reached agreement in round two. Conclusion A consensus in terminology used to describe stomal, para/peristomal complications will enhance communication amongst patients and health professionals, and advance opportunities for education and benchmarking of stomal, para and peristomal complications nationally.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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