{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:06:15Z","timestamp":1778745975740,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T00:00:00Z","timestamp":1563494400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The formation of a diverting stoma of the bowel in patients with spinal cord injury (<jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content>) is a useful option in managing problems associated with prolonged bowel care, pressure ulcers and neurogenic bowel. This descriptive study examines surgical outcomes and the effect on an individual's health\u2010related quality of life (HrQoL) in this complex group of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were retrospectively collected in all patients with <jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content> who underwent a diverting stoma at Prince of Wales Hospital, Sydney, between January 2013 and January 2018 via a self\u2010report questionnaire developed specifically for the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010three individuals were identified of whom 26 responded. 73% were men with a mean age of 45\u00a0years. The reasons for stoma formation included sacral pressure ulcer (50%), prolonged bowel care (35%), faecal incontinence (19%), constipation (8%), autonomic dysreflexia (8%), carer difficulties (8%) and haemorrhoids (4%). 76% of patients reported an improvement in HrQoL with 72% scoring their satisfaction with a stoma \u2265\u00a08\/10.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While stoma formation is often seen as a treatment of last resort, our study has shown that it is an effective management option for a number of conditions post\u2010<jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content>. It can improve HrQoL and has a high level of satisfaction amongst patients. Ideally, patients who could potentially benefit from a stoma should be identified early and receive appropriate education and counselling to help facilitate informed and timely decision\u2010making and reduce adverse bowel related impact on quality of life and adjustment post\u2010<jats:styled-content style=\"fixed-case\">SCI<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14753","type":"journal-article","created":{"date-parts":[[2019,7,5]],"date-time":"2019-07-05T10:43:55Z","timestamp":1562323435000},"page":"1415-1420","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Outcomes following stoma formation in patients with spinal cord injury"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8184-2012","authenticated-orcid":false,"given":"E. A.","family":"Cooper","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Prince of Wales Hospital Sydney New South Wales Australia"},{"name":"Department of Rehabilitation and Spinal Medicine Prince of Wales Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Bonne Lee","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Prince of Wales Hospital Sydney New South Wales Australia"},{"name":"Department of Rehabilitation and Spinal Medicine Prince of Wales Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Muhlmann","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Prince of Wales Hospital Sydney New South Wales Australia"},{"name":"Department of Rehabilitation and Spinal Medicine Prince of Wales Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100616"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-005-0061-5"},{"key":"e_1_2_9_4_1","unstructured":"Spinal cord injuries Australia \u2013 statistics. 2019.https:\/\/scia.org.au\/living-with-a-disability\/resources\/statistics\/. 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