{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T06:36:07Z","timestamp":1779258967369,"version":"3.51.4"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE:<\/jats:title>\n            <jats:p>The purpose of this study was to evaluate factors related to peristomal moisture-associated skin damage (MASD) in patients who underwent ostomy surgery because of colorectal cancer, and their independence in pouching system changes. Findings were used to determine pre- and postsurgical care for these patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN:<\/jats:title>\n            <jats:p>Retrospective review of medical records.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SUBJECTS AND SETTING:<\/jats:title>\n            <jats:p>The study setting was an 800-bed hospital in metropolitan Tokyo, Japan. The sample comprised 89 patients (median age: 65 years; male vs female: 58 vs 31) who visited a stoma clinic within 8 weeks of ostomy surgery. Fifty-two subjects had ileostomies and 37 had colostomies; data were collected between January 2008 and July 2014.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Data were collected from outpatient and inpatient records. Potential relationships between MASD and independence in pouching system changes were evaluated via univariate tests to identify possible associations, followed by logistic regression analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>Patients living with an ileostomy were more likely to experience peristomal MASD than were patients living with a colostomy (odds ratio [OR] = 3.782; 95% confidence interval [CI]: 1.34-10.64; <jats:italic toggle=\"yes\">P<\/jats:italic> = .012). Analysis also found that patients with postsurgical chemotherapy were more than 2.5 times more likely to experience peristomal MASD than patients who did not require postoperative chemotherapy (OR = 2.702; 95% CI: 1.02-7.18; <jats:italic toggle=\"yes\">P<\/jats:italic> = .046). We also found that patients 65 years or older were significantly more likely to have difficulty in changing their pouching system than were younger patients (OR = 7.193; 95% CI: 2.21-23.41; <jats:italic toggle=\"yes\">P<\/jats:italic> = .001), as were those with diabetes mellitus (OR = 11.842; 95% CI: 2.56-54.77; <jats:italic toggle=\"yes\">P<\/jats:italic> = .002).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>Patients undergoing ileostomy and those receiving postoperative chemotherapy are more likely to experience peristomal MASD. Older patients (&gt;65 years) and those with diabetes mellitus are less likely to achieve independence. These findings influenced our management of persons undergoing ostomy surgery for management of colorectal cancer in our clinic. We recommend additional research using a larger and more diverse sample to confirm our findings.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/won.0000000000000491","type":"journal-article","created":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T21:14:00Z","timestamp":1550006040000},"page":"137-142","source":"Crossref","is-referenced-by-count":23,"title":["Peristomal Moisture-Associated Skin Damage and Independence in Pouching System Changes in Persons With New Fecal Ostomies"],"prefix":"10.1097","volume":"46","author":[{"given":"Midori","family":"Nagano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuko","family":"Ogata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaomi","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunio","family":"Tsukada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiko","family":"Tokunaga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Iida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"3","key":"R4-20230828","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1097\/00152192-200505000-00006","article-title":"Health-related quality of life among persons living in Japan with a permanent colostomy","volume":"32","author":"Ito","year":"2005","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R5-20230828","first-page":"84","article-title":"Relationships of QOL, health statement, anxiety, and depression of colostomates","volume":"20","author":"Kataoka","year":"2004","journal-title":"J JSSCR"},{"issue":"5","key":"R6-20230828","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1097\/01.WON.0000335961.68113.cb","article-title":"Demographic and clinical factors related to ostomy complications and quality of life in veterans with an ostomy","volume":"35","author":"Pittman","year":"2008","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"3","key":"R7-20230828","first-page":"170","article-title":"Factors affecting the QOL of ostomates: taking a closer look onto the consultation status at stoma clinic","volume":"9","author":"Isozaki","year":"2013","journal-title":"Med Assoc Nippon 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overview and pathophysiology","volume":"38","author":"Gray","year":"2011","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"4","key":"R12-20230828","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1097\/WON.0b013e3182944340","article-title":"Peristomal moisture\u2013associated skin damage in adults with fecal ostomies: a comprehensive review and consensus","volume":"40","author":"Gray","year":"2013","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"3","key":"R14-20230828","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.soncn.2006.04.007","article-title":"Chemotherapy and cutaneous toxicities: implications for oncology nurses","volume":"22","author":"Viale","year":"2006","journal-title":"Semin Oncol Nurs"},{"issue":"1","key":"R16-20230828","first-page":"1","article-title":"Current situation of advanced metastatic colorectal cancer in ostomates who are under 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