Patients With Temporary Ostomies: Veterans Administration Hospitals Multi-institutional Retrospective Study

Mohammed Iyoob Mohammed Ilyas, David Haggstrom, Melinda A. Maggard-Gibbons, Christopher S. Wendel, Susan Rawl, C. Schmidt, Clifford Y. Ko, Robert S. Krouse

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

PURPOSE: The purpose of this study was to describe clinical outcomes of patients with temporary ostomies in 3 Veterans Health Administration hospitals. DESIGN: Retrospective descriptive study, secondary analysis. SAMPLE AND SETTING: Veterans with temporary ostomies from 3 Veterans Health Administration hospitals who were enrolled in a previous study. The sample comprised 36 participants all were male. Their mean age was 67.05 ± 9.8 years (mean ± standard deviation). Twenty patients (55.6%) had ileostomies and 16 patients (44.4%) had colostomies. METHODS: This was a secondary analysis of data collected using medical record data. Variables examined included etiology for creation and type of ostomy, health-related quality of life, time to reversal, reasons for nonreversal, postoperative complications after reversal, and mortality in the follow-up period. RESULTS: Colorectal cancer and diverticular disease were the main reasons for temporary stoma formation. The reversal rate was 50%; the median time to reversal was 9 months in our sample; temporary ileostomies were reversed more often than temporary colostomies (P = .18). Comorbid conditions were identified as the main reason for nonreversal. Mortality was not significantly different between the reversal and nonreversal groups. No significant differences were reported with health-related quality-of-life parameters between reversal and nonreversal groups. CONCLUSIONS: This study identified that the proportion of temporary ostomies was limited to 50%. Complications during the index operation, medical comorbidities, and progression of cancer are the main reasons for nonreversal of temporary stomas. Study findings should be included in the counseling of patients who are likely to get intestinal stomas with temporary intention, and during consideration for later reversal of a stoma.

Original languageEnglish (US)
Pages (from-to)510-515
Number of pages6
JournalJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
Volume45
Issue number6
DOIs
StatePublished - Nov 1 2018

Fingerprint

Ostomy
Veterans Hospitals
United States Department of Veterans Affairs
Retrospective Studies
Veterans Health
Ileostomy
Colostomy
Quality of Life
Mortality
Veterans
Medical Records
Comorbidity
Counseling
Colorectal Neoplasms
Neoplasms

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing

Cite this

Patients With Temporary Ostomies : Veterans Administration Hospitals Multi-institutional Retrospective Study. / Mohammed Ilyas, Mohammed Iyoob; Haggstrom, David; Maggard-Gibbons, Melinda A.; Wendel, Christopher S.; Rawl, Susan; Schmidt, C.; Ko, Clifford Y.; Krouse, Robert S.

In: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society, Vol. 45, No. 6, 01.11.2018, p. 510-515.

Research output: Contribution to journalArticle

@article{19c797eda8b64657b8d7e7f7d64223ca,
title = "Patients With Temporary Ostomies: Veterans Administration Hospitals Multi-institutional Retrospective Study",
abstract = "PURPOSE: The purpose of this study was to describe clinical outcomes of patients with temporary ostomies in 3 Veterans Health Administration hospitals. DESIGN: Retrospective descriptive study, secondary analysis. SAMPLE AND SETTING: Veterans with temporary ostomies from 3 Veterans Health Administration hospitals who were enrolled in a previous study. The sample comprised 36 participants all were male. Their mean age was 67.05 ± 9.8 years (mean ± standard deviation). Twenty patients (55.6{\%}) had ileostomies and 16 patients (44.4{\%}) had colostomies. METHODS: This was a secondary analysis of data collected using medical record data. Variables examined included etiology for creation and type of ostomy, health-related quality of life, time to reversal, reasons for nonreversal, postoperative complications after reversal, and mortality in the follow-up period. RESULTS: Colorectal cancer and diverticular disease were the main reasons for temporary stoma formation. The reversal rate was 50{\%}; the median time to reversal was 9 months in our sample; temporary ileostomies were reversed more often than temporary colostomies (P = .18). Comorbid conditions were identified as the main reason for nonreversal. Mortality was not significantly different between the reversal and nonreversal groups. No significant differences were reported with health-related quality-of-life parameters between reversal and nonreversal groups. CONCLUSIONS: This study identified that the proportion of temporary ostomies was limited to 50{\%}. Complications during the index operation, medical comorbidities, and progression of cancer are the main reasons for nonreversal of temporary stomas. Study findings should be included in the counseling of patients who are likely to get intestinal stomas with temporary intention, and during consideration for later reversal of a stoma.",
author = "{Mohammed Ilyas}, {Mohammed Iyoob} and David Haggstrom and Maggard-Gibbons, {Melinda A.} and Wendel, {Christopher S.} and Susan Rawl and C. Schmidt and Ko, {Clifford Y.} and Krouse, {Robert S.}",
year = "2018",
month = "11",
day = "1",
doi = "10.1097/WON.0000000000000478",
language = "English (US)",
volume = "45",
pages = "510--515",
journal = "Journal of Wound, Ostomy and Continence Nursing",
issn = "1071-5754",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Patients With Temporary Ostomies

T2 - Veterans Administration Hospitals Multi-institutional Retrospective Study

AU - Mohammed Ilyas, Mohammed Iyoob

AU - Haggstrom, David

AU - Maggard-Gibbons, Melinda A.

AU - Wendel, Christopher S.

AU - Rawl, Susan

AU - Schmidt, C.

AU - Ko, Clifford Y.

AU - Krouse, Robert S.

PY - 2018/11/1

Y1 - 2018/11/1

N2 - PURPOSE: The purpose of this study was to describe clinical outcomes of patients with temporary ostomies in 3 Veterans Health Administration hospitals. DESIGN: Retrospective descriptive study, secondary analysis. SAMPLE AND SETTING: Veterans with temporary ostomies from 3 Veterans Health Administration hospitals who were enrolled in a previous study. The sample comprised 36 participants all were male. Their mean age was 67.05 ± 9.8 years (mean ± standard deviation). Twenty patients (55.6%) had ileostomies and 16 patients (44.4%) had colostomies. METHODS: This was a secondary analysis of data collected using medical record data. Variables examined included etiology for creation and type of ostomy, health-related quality of life, time to reversal, reasons for nonreversal, postoperative complications after reversal, and mortality in the follow-up period. RESULTS: Colorectal cancer and diverticular disease were the main reasons for temporary stoma formation. The reversal rate was 50%; the median time to reversal was 9 months in our sample; temporary ileostomies were reversed more often than temporary colostomies (P = .18). Comorbid conditions were identified as the main reason for nonreversal. Mortality was not significantly different between the reversal and nonreversal groups. No significant differences were reported with health-related quality-of-life parameters between reversal and nonreversal groups. CONCLUSIONS: This study identified that the proportion of temporary ostomies was limited to 50%. Complications during the index operation, medical comorbidities, and progression of cancer are the main reasons for nonreversal of temporary stomas. Study findings should be included in the counseling of patients who are likely to get intestinal stomas with temporary intention, and during consideration for later reversal of a stoma.

AB - PURPOSE: The purpose of this study was to describe clinical outcomes of patients with temporary ostomies in 3 Veterans Health Administration hospitals. DESIGN: Retrospective descriptive study, secondary analysis. SAMPLE AND SETTING: Veterans with temporary ostomies from 3 Veterans Health Administration hospitals who were enrolled in a previous study. The sample comprised 36 participants all were male. Their mean age was 67.05 ± 9.8 years (mean ± standard deviation). Twenty patients (55.6%) had ileostomies and 16 patients (44.4%) had colostomies. METHODS: This was a secondary analysis of data collected using medical record data. Variables examined included etiology for creation and type of ostomy, health-related quality of life, time to reversal, reasons for nonreversal, postoperative complications after reversal, and mortality in the follow-up period. RESULTS: Colorectal cancer and diverticular disease were the main reasons for temporary stoma formation. The reversal rate was 50%; the median time to reversal was 9 months in our sample; temporary ileostomies were reversed more often than temporary colostomies (P = .18). Comorbid conditions were identified as the main reason for nonreversal. Mortality was not significantly different between the reversal and nonreversal groups. No significant differences were reported with health-related quality-of-life parameters between reversal and nonreversal groups. CONCLUSIONS: This study identified that the proportion of temporary ostomies was limited to 50%. Complications during the index operation, medical comorbidities, and progression of cancer are the main reasons for nonreversal of temporary stomas. Study findings should be included in the counseling of patients who are likely to get intestinal stomas with temporary intention, and during consideration for later reversal of a stoma.

UR - http://www.scopus.com/inward/record.url?scp=85056274100&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056274100&partnerID=8YFLogxK

U2 - 10.1097/WON.0000000000000478

DO - 10.1097/WON.0000000000000478

M3 - Article

C2 - 30395126

AN - SCOPUS:85056274100

VL - 45

SP - 510

EP - 515

JO - Journal of Wound, Ostomy and Continence Nursing

JF - Journal of Wound, Ostomy and Continence Nursing

SN - 1071-5754

IS - 6

ER -