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24-03-2022 | Coronavirus | Original Article

Ostomy closure rate during COVID-19 pandemic: an Italian multicentre observational study

Authors: Andrea Balla, Federica Saraceno, Salomone Di Saverio, Nicola Di Lorenzo, Pasquale Lepiane, Mario Guerrieri, Pierpaolo Sileri, Delayed Ostomy Closure Collaborative Group

Published in: Updates in Surgery | Issue 3/2022

Abstract

During the corona virus disease 2019 (COVID-19) pandemic, most of the surgical procedures were performed for emergencies or oncologic reasons to the detriment of the remaining elective procedures for benign conditions. Ileostomy or colostomy creation are sequelae of oncologic or emergency colorectal surgery, but their closure does not fall within the definition of oncologic or emergency surgery. The aim of this retrospective multicentre observational study is to report the impact of COVID-19 pandemic on the ostomy closure rate in Italy. Data regarding ileostomy and colostomy creation and closure from 24 Italian centres, during the study period (March 2020–February 2021) and during the control period (March 2019–February 2020) were collected. Three hospitals (12.5%) were COVID free. The number of colostomies and ileostomies created and closed in the same period was lower ( -18.8% and -30%, respectively) in the study period in comparison to the control period (p = 0.1915 and p = 0.0001, respectively), such as the ostomies closed in the analysed periods but created before (colostomy -36.2% and ileostomy -7.4%, p = 0.2211 and p = 0.1319, respectively). Overall, a 19.5% reduction in ostomies closed occurred in the study period. Based on the present study, a reduction in ostomy closure rate occurred in Italy between March 2020 and February 2021. During the pandemic, the need to change the clinical practice probably prolonged deterioration of quality of life in patients with ostomies, increasing number of stomas that will never be closed, and related management costs, even if these issues have not been investigated in this study.

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Title: Ostomy closure rate during COVID-19 pandemic: an Italian multicentre observational study
Authors: Andrea Balla
Federica Saraceno
Salomone Di Saverio
Nicola Di Lorenzo
Pasquale Lepiane
Mario Guerrieri
Pierpaolo Sileri
Delayed Ostomy Closure Collaborative Group
Publication date: 24-03-2022
Publisher: Springer International Publishing
Keywords: Coronavirus
SARS-CoV-2
Ileostomy
COVID-19
Colostomy
Published in: Updates in Surgery / Issue 3/2022
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI: https://doi.org/10.1007/s13304-022-01274-w

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Ostomy closure rate during COVID-19 pandemic: an Italian multicentre observational study

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