Gabriele Roveron1,2,3,4,5,6,7,8,9,10,11, Maria Barbierato1,2,3,4,5,6,7,8,9,10,11, Gianluca Rizzo1,2,3,4,5,6,7,8,9,10,11, Dario Parini1,2,3,4,5,6,7,8,9,10,11, Andrea Bondurri1,2,3,4,5,6,7,8,9,10,11, Marco Veltri1,2,3,4,5,6,7,8,9,10,11, Francesco Pata1,2,3,4,5,6,7,8,9,10,11, Francesco Cattaneo1,2,3,4,5,6,7,8,9,10,11, Alessandro Tafuri1,2,3,4,5,6,7,8,9,10,11, Cristiana Forni1,2,3,4,5,6,7,8,9,10,11, Francesco Ferrara1,2,3,4,5,6,7,8,9,10,11. 1. Gabriele Roveron, RN, Ostomy and Pelvic Floor Rehabilitation Centre, S. Maria Della Misericordia Hospital, Rovigo, Italy. 2. Maria Barbierato, RN, Ostomy Centre, Azienda Ospedaliera di Padova, Padova, Italy. 3. Gianluca Rizzo, MD, Department of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy. 4. Dario Parini, MD, General Surgery Unit, Santa Maria Della Misericordia Hospital, Rovigo, Italy. 5. Andrea Bondurri, MD, Department of General Surgery, Luigi Sacco University Hospital, ASST FBF-Sacco, Milan, Italy. 6. Marco Veltri, MD, General Surgery Unit, San Jacopo Hospital, Pistoia, Italy. 7. Francesco Pata, MD, General Surgery Unit, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy. 8. Francesco Cattaneo, MD, Department of Oncological and Surgical Sciences, Urology Clinic, University of Padova, Italy. 9. Alessandro Tafuri, MD, Department of Urology, University of Verona, Azienda Ospedaliera Universitaria Integrata Verona, Verona Italy. 10. Cristiana Forni, RN, Nursing and Allied Profession Research Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. 11. Francesco Ferrara, MD, Department of Surgery, San Carlo Borromeo Hospital, ASST Santi Paolo e Carlo, Milan, Italy.
Abstract
PURPOSE: This article is an executive summary of Italian guidelines for nursing management of enteral and urinary ostomies in adults. METHODS: Scoping review and generation of evidence and consensus-based clinical guidelines. SEARCH STRATEGY: The Multidisciplinary Italian Study group for STOmas (MISSTO) was founded in 2018. This group created guidelines for management of enteral and urinary ostomies in adults based on a scoping review of the literature. The research included previous guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation," "stoma creation," "stoma complications," "stoma care," and "stoma reversal" (for enteral stomas)." All the studies were evaluated according to the GRADE system and AGREE II tool. Recommendations were elaborated in the form of statements, with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care discussed, corrected, validated, or eliminated the statements. A final version of the guidelines with definitive recommendations was elaborated and prepared for publication. FINDINGS/ CONCLUSIONS: This document represents the first Italian guidelines on enteral and urinary stoma management to assist nurses caring for persons with an enteral or urinary ostomy.
PURPOSE: This article is an executive summary of Italian guidelines for nursing management of enteral and urinary ostomies in adults. METHODS: Scoping review and generation of evidence and consensus-based clinical guidelines. SEARCH STRATEGY: The Multidisciplinary Italian Study group for STOmas (MISSTO) was founded in 2018. This group created guidelines for management of enteral and urinary ostomies in adults based on a scoping review of the literature. The research included previous guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation," "stoma creation," "stoma complications," "stoma care," and "stoma reversal" (for enteral stomas)." All the studies were evaluated according to the GRADE system and AGREE II tool. Recommendations were elaborated in the form of statements, with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care discussed, corrected, validated, or eliminated the statements. A final version of the guidelines with definitive recommendations was elaborated and prepared for publication. FINDINGS/ CONCLUSIONS: This document represents the first Italian guidelines on enteral and urinary stoma management to assist nurses caring for persons with an enteral or urinary ostomy.
Authors: Janet Stoia-Davis; Janice C Colwell; Krisztina Emodi; Jane Fellows; Mary Mahoney; Bethany McDade; Sima P Porten; Elizabeth R Raskin; Holly S Norman; Matthew T Kelly; Terran Sims Journal: J Wound Ostomy Continence Nurs Date: 2022 May-Jun 01 Impact factor: 1.970