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Risk factors for the incidence and severity of peristomal skin disorders defined using two scoring systems

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Abstract

Purpose

Peristomal skin disorders (PSDs) are common stoma-related complications. However, there is no standard method for the evaluation of PSDs, and the true incidence is unclear. There are also no reports on risk factors for severe PSDs. Therefore, this study was performed to analyze the incidence of PSD in temporary loop stoma based on the DET score and ABCD-stoma score and to determine the risk factors for all and severe PSDs.

Methods

A retrospective analysis of patient and surgical characteristics was carried out in 333 consecutive cases of stoma creation with loop ileostomy or colostomy performed at our hospital from January 2014 to December 2016.

Results

PSDs were diagnosed in 262 patients (78.7%), including 79 (23.7%) and 71 (21.3%) that were defined as severe based on DET and ABCD-stoma scores, respectively. Multivariate analyses showed that parastomal hernia was an independent risk factor for severe PSD defined by DET score and that adjuvant chemotherapy was an independent risk factor for severe PSD defined by the ABCD-stoma score.

Conclusions

Severe PSDs are associated with parastomal hernia when diagnosed by the DET score and with adjuvant chemotherapy when diagnosed by the ABCD-stoma score.

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reproduced from the web site “https://www.jwocm.org/pdf/abcdstoma_en.pdf”)

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Funding

The authors have no conflicts of interest regarding the financial aspects of the work in this manuscript.

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Authors and Affiliations

  1. Department of Colorectal Surgery, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan

    Takuya Shiraishi, Yuji Nishizawa, Koji Ikeda, Yuichiro Tsukada, Takeshi Sasaki & Masaaki Ito

  2. Wound, Ostomy and Continence Nurse, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan

    Mifumi Nakajima & Ryoko Kado

Authors
  1. Takuya Shiraishi
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  2. Yuji Nishizawa
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  3. Mifumi Nakajima
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  4. Ryoko Kado
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  5. Koji Ikeda
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  6. Yuichiro Tsukada
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  7. Takeshi Sasaki
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  8. Masaaki Ito
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Corresponding authors

Correspondence to Yuji Nishizawa or Masaaki Ito.

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All procedures involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

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Shiraishi, T., Nishizawa, Y., Nakajima, M. et al. Risk factors for the incidence and severity of peristomal skin disorders defined using two scoring systems. Surg Today 50, 284–291 (2020). https://doi.org/10.1007/s00595-019-01876-9

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  • DOI: https://doi.org/10.1007/s00595-019-01876-9

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