{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:45:40Z","timestamp":1772999140662,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Colostomy irrigation is a well\u2010established technique used for bowel management in patients with a permanent, left\u2010sided colostomy. When performed routinely every 24\u201348\u2009hours, it enables stool\u2010free intervals, often allowing the use of only a stoma cap or simple dressing. Scientific evidence has shown significant improvements in health\u2010related quality of life (HRQoL) for patients using this method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the current application of colostomy irrigation in Germany and Austria and to identify reasons for its limited use, despite known benefits. A specific focus was placed on the perspectives and practices of stoma care nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional, retrospective survey was conducted among certified stoma care nurses in both countries. Data were collected anonymously and analysed descriptively, including the use of interval\u2010weighted means.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A mean of 39 patients per stoma therapist per year with a permanent colostomy in the descending or sigmoid colon\u2014regions anatomically suitable for irrigation\u2014were reported. However, irrigation had been recommended to only 43.6% of these patients, and just 53% of those adopted it in daily practice. This results in an average of only nine patients per stoma expert using the technique annually. Reported barriers included time constraints, perceived patient reluctance, short inpatient stays and doubts regarding clinical indication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Stoma irrigation therapy has shown potential to improve autonomy, self\u2010image and everyday function. This study contributes valuable insights into under\u2010explored care practices in the German\u2010speaking context and underlines the need for enhanced training and awareness among healthcare professionals to better integrate irrigation therapy into routine care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70363","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T04:00:47Z","timestamp":1769486447000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stoma irrigation among patients with a permanent colostoma\u2014a cross\u2010sectional survey of stoma care nurses in Austria and Germany"],"prefix":"10.1111","volume":"28","author":[{"given":"Laura\u2010Maria","family":"Tades","sequence":"first","affiliation":[{"name":"Centre of Surgery Sigmund Freud University  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4211-6728","authenticated-orcid":false,"given":"Harald","family":"Rosen","sequence":"additional","affiliation":[{"name":"Centre of Surgery Sigmund Freud University  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alois","family":"F\u00fcrst","sequence":"additional","affiliation":[{"name":"Department of Surgery Caritas Hospital, St. Josef  Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Ausch","sequence":"additional","affiliation":[{"name":"Centre of Surgery Sigmund Freud University  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9287-4474","authenticated-orcid":false,"suffix":"Jr.","given":"Christian","family":"Sebesta","sequence":"additional","affiliation":[{"name":"Centre of Oncology Research Clinic Donaustadt  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Sebesta","sequence":"additional","affiliation":[{"name":"Centre of Oncology Research Clinic Donaustadt  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"issue":"9","key":"e_1_2_12_2_1","first-page":"1204","article-title":"Quality of life in patients with stomas","volume":"46","author":"Marquis P","year":"2003","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"e_1_2_12_3_1","first-page":"51","article-title":"Assessment of quality of life in patients using colostomy irrigation","volume":"42","author":"Kent DJ","year":"2015","journal-title":"J Wound Ostomy Continence 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postoperatively","volume":"11","author":"Thompson MJ","year":"1994","journal-title":"J Stoma Ther"},{"issue":"4","key":"e_1_2_12_11_1","first-page":"859","article-title":"Colostomy irrigation: clinical implications","volume":"27","author":"Colwell JC","year":"1992","journal-title":"Nurs Clin North Am"},{"issue":"5","key":"e_1_2_12_12_1","first-page":"513","article-title":"Colostomy irrigation: an educational program for stoma care nurses","volume":"37","author":"Carlsson E","year":"2010","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"1","key":"e_1_2_12_13_1","first-page":"25","article-title":"A survey of quality of life in patients with colostomy irrigation","volume":"30","author":"Carlsson E","year":"2003","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"3","key":"e_1_2_12_14_1","first-page":"283","article-title":"Current practices in colostomy irrigation: a survey of WOC nurses","volume":"42","author":"Cobb MD","year":"2015","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"6","key":"e_1_2_12_15_1","first-page":"573","article-title":"Barriers to the use of colostomy irrigation: results of a nurse survey","volume":"42","author":"Tallman NJ","year":"2015","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"5","key":"e_1_2_12_16_1","first-page":"593","article-title":"Guidelines for colostomy irrigation","volume":"35","author":"Pittman J","year":"2008","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"3","key":"e_1_2_12_17_1","first-page":"301","article-title":"Effect of irrigation on quality of life in colostomy patients","volume":"42","author":"Karadag A","year":"2005","journal-title":"Int J Nurs Stud"},{"issue":"1","key":"e_1_2_12_18_1","first-page":"23","article-title":"Colostomy irrigation and quality of life","volume":"30","author":"Carlsson E","year":"2003","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"4","key":"e_1_2_12_19_1","first-page":"208","article-title":"Colostomy irrigation: contraindications","volume":"13","author":"Black P","year":"2004","journal-title":"Br J Nurs"},{"issue":"1","key":"e_1_2_12_20_1","first-page":"45","article-title":"Case report: benefits of colostomy irrigation","volume":"17","author":"Marinova R","year":"2024","journal-title":"Case Rep Oncol"},{"issue":"3","key":"e_1_2_12_21_1","first-page":"556","article-title":"Quality of life in patients using colostomy irrigation","volume":"23","author":"Boutry E","year":"2021","journal-title":"Color Dis"},{"issue":"1","key":"e_1_2_12_22_1","first-page":"14","article-title":"Cost analysis of colostomy irrigation","volume":"7","author":"Goldstein D","year":"2017","journal-title":"Heal Econ Rev"},{"issue":"3","key":"e_1_2_12_23_1","first-page":"244","article-title":"Health\u2010related quality of life in colostomy patients","volume":"16","author":"Ross L","year":"2007","journal-title":"Eur J Cancer 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