{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T10:34:02Z","timestamp":1793183642613,"version":"4.5.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T00:00:00Z","timestamp":1593043200000},"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":[[2020,7]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE:<\/jats:title>\n            <jats:p>The aims of this study were to (1) describe the demographic and clinical characteristics of the individuals with peristomal skin complications (PSCs); (2) describe the PSCs; (3) examine the relationship of PSC occurrence and severity with possible risk factors, and (4) describe how PSCs were managed clinically.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN:<\/jats:title>\n            <jats:p>Secondary analysis of data from randomized controlled study, the ADVOCATE trial.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SUBJECTS AND SETTING:<\/jats:title>\n            <jats:p>Study participants (n = 153) were divided into 2 groups: those who did not experience a PSC (n = 80) and those who did (n = 73). A participant was considered to have sustained a PSC during the original study if his or her Discoloration, Erosion, and Tissue score increased above the baseline score.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Demographic and pertinent characteristics of participants with and without PSCs were compared. In addition, data from the 73 participants who sustained PSCs were further analyzed to characterize and describe the PSCs, to investigate potential risk factors associated with the occurrence and severity of a PSC, and for clinical management. Group comparisons were made via <jats:italic toggle=\"yes\">t<\/jats:italic> tests for continuous variables, \u03c7<jats:sup>2<\/jats:sup> test or Fisher exact test for categorical variables, and generalized linear models for identification of risk factors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>The majority of the PSCs were mild or moderate in nature, and they were most commonly categorized by the investigators as irritant dermatitis. Two risk factors were associated with an increased likelihood of experiencing a PSC: stoma duration and peristomal skinfold or creases. Within the study period, the odds of sustaining a PSC increased over time and the presence of skinfolds or creases increased the likelihood of PSCs. Peristomal skin complication severity was likely to be worse with an ileostomy and less severe as stoma duration increased. Products used to manage PSCs consisted of barrier rings\/seals, skin barrier powder, and paste or paste strips.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>Ileostomy is associated with higher risk of a severe PSC and peristomal skin creases or folds. Patient follow-up should be on a structured schedule beyond the first few weeks after surgery because the likelihood of getting a PSC increases over time. This approach may help improve outcomes, particularly for those with an ileostomy and challenging skin contours.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/won.0000000000000666","type":"journal-article","created":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T22:00:09Z","timestamp":1593727209000},"page":"357-363","source":"Crossref","is-referenced-by-count":61,"title":["Lessons Learned About Peristomal Skin Complications"],"prefix":"10.1097","volume":"47","author":[{"given":"Ginger","family":"Salvadalena","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice C.","family":"Colwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Skountrianos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Pittman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,6,25]]},"reference":[{"issue":"2","key":"R1-20230928","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1097\/WON.0000000000000008","article-title":"Psychometric evaluation of the Ostomy Complication Severity Index","volume":"41","author":"Pittman","year":"2014","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"3","key":"R2-20230928","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/WON.0000000000000324","article-title":"North America Wound, Ostomy, and Continence and Enterostomal Therapy Nurses current ostomy care practice related to peristomal skin issues","volume":"44","author":"Colwell","year":"2017","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"1","key":"R3-20230928","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1111\/j.1365-2648.2004.03263.x","article-title":"Ostomy patients' perceptions of quality of care","volume":"49","author":"Persson","year":"2005","journal-title":"J Adv Nurs"},{"issue":"1","key":"R4-20230928","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1097\/00152192-200701000-00011","article-title":"Difficulties experienced by the ostomate after hospital discharge","volume":"34","author":"Richbourg","year":"2007","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"4","key":"R5-20230928","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1097\/WON.0b013e318295a12b","article-title":"The incidence of stoma and peristomal complications during the first 3 months after ostomy 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know","volume":"57","author":"Almutairi","year":"2018","journal-title":"Int J Dermatol"},{"issue":"4","key":"R10-20230928","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1097\/WON.0b013e3182944340","article-title":"Peristomal moisture associated 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":"4","key":"R11-20230928","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/WON.0b013e3182995516","article-title":"Medical adhesives and patient safety: State of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries","volume":"40","author":"McNichol","year":"2013","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R12-20230928","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/WON.0000000000000513","article-title":"Peristomal medical adhesive-related skin injury: results of an international consensus meeting","volume":"46","author":"LeBlanc","year":"2019","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"5","key":"R13-20230928","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1188\/11.ONF.587-596","article-title":"Gender differences in quality of life among long-term colorectal cancer survivors with ostomies","volume":"38","author":"Grant","year":"2011","journal-title":"Oncol Nurs Forum"},{"issue":"5","key":"R14-20230928","doi-asserted-by":"crossref","first-page":"e37813","DOI":"10.1371\/journal.pone.0037813","article-title":"Peristomal skin complications are common, expensive, and difficult to manage: a population based cost modeling study","volume":"7","author":"Meisner","year":"2012","journal-title":"PLoS One"},{"issue":"5","key":"R15-20230928","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1097\/WON.0000000000000457","article-title":"Health utility, social interactivity, and peristomal skin status: a cross-sectional study","volume":"45","author":"Nichols","year":"2018","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"4","key":"R16-20230928","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1097\/WON.0000000000000339","article-title":"Clinical and economic burden of peristomal skin complications in patients with recent ostomies","volume":"44","author":"Taneja","year":"2017","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R17-20230928","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/WON.0000000000000509","article-title":"Risk and economic burden of peristomal skin complications following ostomy surgery","volume":"46","author":"Taneja","year":"2019","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"1","key":"R18-20230928","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1097\/WON.0000000000000389","article-title":"A randomized controlled trial determining variances in ostomy skin conditions and the economic impact (ADVOCATE Trial)","volume":"45","author":"Colwell","year":"2018","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R19-20230928","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1111\/j.1365-2133.2010.10093.x","article-title":"Assessing peristomal skin changes in ostomy patients: validation of the Ostomy Skin Tool","volume":"164","author":"Jemec","year":"2011","journal-title":"Br J Dermatol"},{"issue":"15","key":"R20-20230928","doi-asserted-by":"crossref","first-page":"932","DOI":"10.12968\/bjon.2010.19.15.77691","article-title":"The Ostomy Skin Tool: tracking peristomal skin changes","volume":"19","author":"Martins","year":"2010","journal-title":"Br J Nurs"},{"issue":"2","key":"R21-20230928","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/WON.0000000000000491","article-title":"Peristomal moisture-associated skin damage and independence in pouching system changes in persons with new fecal 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Australia"},{"issue":"16","key":"R25-20230928","doi-asserted-by":"crossref","first-page":"854","DOI":"10.12968\/bjon.2006.15.16.21848","article-title":"Ostomy skin study: a study of peristomal skin disorders in patients with permanent stomas","volume":"15","author":"Herlufsen","year":"2006","journal-title":"Br J Nurs"}],"container-title":["Journal of Wound, Ostomy &amp; Continence Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000000666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T01:09:12Z","timestamp":1695863352000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000000666"}},"subtitle":["Secondary Analysis of the ADVOCATE 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