{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T15:16:02Z","timestamp":1783091762293,"version":"3.54.6"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of the Witwatersrand"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>In resource-limited settings, commercial stoma bags are often unavailable for pediatric colostomy patients, necessitating affordable and accessible alternatives for colostomy care. This is an interim analysis of a study comparing standard of care (stoma bags (SB)) with double-diaper (DD) in patients with colostomies at the Johannesburg Pediatric Colorectal Clinic (JPCC) at Chris Hani Baragwanath Academic Hospital, South Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective, randomized descriptive study enrolled children\u2009&lt;\u20093 years with newly created colostomies whose caregivers consented; participants were randomized via REDCap to SB or DD and followed up at routine visits until colostomy closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 45 screened patients, 40 were enrolled; 22 (55%) were female, with a mean (SD) age of 110.15 (151.22) days and weight of 4.57 (1.51) kg. Most had anorectal malformations (30, 75%), end colostomies (24, 60%), and 29 (72.5%) had sigmoid colostomies. At analysis, 23 (58.97%) underwent closure. At enrolment, 19 (47.50%) were randomized to SB and 21 (52.50%) to DD; 28 (71.79%) remained in their assigned group, while 12 (29.27%) crossed over due to guardian preference (7, 38.89%) or healthcare provider recommendation (11, 61.11%). Baseline mean (SD) peristomal skin scores (using the OST scoring system) were 0.83 (1.99) for the SB group compared to 2.31 (3.61) (worse) for the DD group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.402). Follow-up scores among those remaining in their groups were: SB group 0.55 (1.54) and DD group 1.7 (2.51) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). Patients who crossed over had mean (SD) scores of 1.42 (2.46) at enrollment and 2.05 (2.63) at follow-up. Mean (SD) clinic visits were 3.92 (2.47) for the SB group, 5.73 (3.87) for the DD group, and 7.75 (2.83) for the mixed group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). When supplies were depleted, 12 (28.57%) returned for more of their respective product, while 29 (69.05%) purchased diapers. Care givers out-of-pocket expenditure as lower in SB 1 (6.7%) and 5 (29.4%) in DD group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). Patients who remained in the SB group reported satisfaction with bag quality 10 (66.7%), compared to those who crossed over 4 (26.7%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Diapers are an accessible alternative to commercial stoma bags for patients with colostomies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00383-026-06527-y","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T14:19:34Z","timestamp":1783088374000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An interim analysis of the standard care (stoma bags) and double-diapers in pediatric patients with stomas at a tertiary hospital in South Africa"],"prefix":"10.1007","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9303-9833","authenticated-orcid":false,"given":"Stephanie Karen","family":"Van Straten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2221-5024","authenticated-orcid":false,"given":"Juan","family":"Scribante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6453-485X","authenticated-orcid":false,"given":"Amy","family":"Botes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2287-2182","authenticated-orcid":false,"given":"Ra\u2019ees","family":"De Witt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7864-5105","authenticated-orcid":false,"given":"Coenrad Hendrik","family":"Lamprecht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4942-9310","authenticated-orcid":false,"given":"Andonia","family":"Papavarnava","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9928-569X","authenticated-orcid":false,"given":"Hester Gertruida","family":"Oelofse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5958-0168","authenticated-orcid":false,"given":"Cyle","family":"Rockman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catterina","family":"Bebington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3058-3637","authenticated-orcid":false,"given":"Dhashna","family":"Bloem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindiwe","family":"Dyamara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5449-7820","authenticated-orcid":false,"given":"Giulia","family":"Brisighelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"6527_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06463-7","author":"SJ Ullrich","year":"2022","unstructured":"Ullrich SJ, Tamanna N, Aziz TT, Philipo GS, Banu T, Ameh EA, Ozgediz D (2022) Financing Pediatric Surgery: A Provider\u2019s Perspective from the Global Initiative for Children\u2019s Surgery. 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