Healthcare resource use and associated costs for patients with an ileostomy experiencing peristomal skin complications

Rolls, Natasha; Jensen, L.; Mthombeni, F; Vardanega, V; Håkan‐Bloch, Jonas; Hest, N. van; Karlsmark, Tonny

doi:10.1111/iwj.14118

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…2,3 Additionally, peristomal skin complications are associated with high ostomy treatment costs, increasing the need for effective interventions to prevent or minimize their severity. 9 This case study describes a less common but challenging complication of PA. Firstline treatment includes an initial incision and drainage of the abscess with daily wound care. However, in our case, Ms T's wound was only 0.2 cm from her stoma.…”

Section: Discussionmentioning

confidence: 99%

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Management of a Peristomal Abscess in a Patient With an Ileostomy

Wei,

Qiu,

et al. 2024

Journal of Wound, Ostomy &Amp; Continence Nursing

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BACKGROUND: Peristomal abscess (PA) is an uncommon but challenging peristomal skin complication. The initial treatment of the PA usually includes incision and drainage of the abscess, resulting in a peristomal wound. The presence of the wound makes it difficult to maintain a seal between the ostomy skin barrier and the peristomal skin resulting in frequent removal and application of the skin barrier to prevent leakage and allow for daily wound care. CASE: Ms T was a 52-year-old woman with an ileostomy resulting from a prior left hemicolectomy for colon cancer who developed a PA. Treatment of the PA was implemented, along with a modified 2-piece skin barrier that allowed access to the peristomal wound for daily dressing changes while maintaining a seal around the ostomy. CONCLUSION: The modified 2-piece skin barrier technique proved a successful treatment for the management of the PA without frequent changes of the ostomy pouching system.

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Section: Discussionmentioning

confidence: 99%

“…Resulting peristomal skin complications are especially prevalent in patients with an ileostomy due to higher amount and more corrosive ostomy effluent 2,3. Additionally, peristomal skin complications are associated with high ostomy treatment costs, increasing the need for effective interventions to prevent or minimize their severity 9…”

Section: Discussionmentioning

confidence: 99%

Management of a Peristomal Abscess in a Patient With an Ileostomy

Wei,

Qiu,

et al. 2024

Journal of Wound, Ostomy &Amp; Continence Nursing

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Healthcare resource use and associated costs for patients with an ileostomy experiencing peristomal skin complications

Rolls

Jensen

Mthombeni

et al. 2023

International Wound Journal

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Peristomal skin complications (PSCs) have a significant impact on quality of life and ostomy treatment costs. This study aimed to assess the healthcare resource use for patients with an ileostomy and PSCs symptoms. Two surveys were developed and, after validation by healthcare professionals and patients, data were collected on healthcare resource use while not experiencing any PSCs symptoms and while experiencing complications of various severities, as defined by the modified Ostomy Skin Tool. Costs applied to resource use were assigned from relevant United Kingdom sources. Additional healthcare resource use associated with PSCs, relative to no complications, was estimated to result in a total cost per instance of £258, £383, and £505 for mild, moderate, or severe PSC, respectively. The average estimated total cost per complication instance, weighted across mild, moderate, and severe PSCs, was £349. Severe‐level PSCs were associated with the highest cost, because of the treatment‐level required and the longer duration of symptoms. There is potential for clinical benefits and economising in stoma care if interventions are implemented that reduce the incidence and/or severity of PSCs.

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Patient-centred stoma care support: ileostomy patients

Marinova,

Marinova

2024

Br J Community Nurs

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Stoma patients require continuous support throughout their entire journey with a stoma. Although many Stoma Care Services across the UK offer patient follow-up pathways, there is not one unified pathway. Patients may not be prepared for life with a stoma because, depending on their stoma type, they will have specific needs, and if patients and healthcare professionals are not prepared to manage these stoma-specific needs, complications and hospital readmissions may occur, worsening patients’ outcomes and quality of life. Ileostomy patients are known to be more likely to experience complications, including hospital readmissions, and therefore, special care should be taken when preparing these patients for life with a stoma. They should be informed and educated to prevent complications, and if this is not always possible, thye should at least be able to recognise and manage early signs and symptoms of complications. This will empower them to self-care and know when to seek medical attention.

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Healthcare resource use and associated costs for patients with an ileostomy experiencing peristomal skin complications

Cited by 4 publications

References 27 publications

Management of a Peristomal Abscess in a Patient With an Ileostomy

Management of a Peristomal Abscess in a Patient With an Ileostomy

Healthcare resource use and associated costs for patients with an ileostomy experiencing peristomal skin complications

Patient-centred stoma care support: ileostomy patients

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