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Colwell JC, Stoia Davis J, Emodi K, Fellows J, Mahoney M, McDade B, Porten S, Raskin E, Sims T, Norman H, Kelly MT, Gray M. Use of a Convex Pouching System in the Postoperative Period: A National Consensus. J Wound Ostomy Continence Nurs 2022; 49:240-246. [PMID: 35523239 PMCID: PMC9093727 DOI: 10.1097/won.0000000000000874] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Convex pouching systems have been available for ostomy patients for decades; however, controversy remains over the use of convexity in the postoperative period. A group of 10 nurses and physicians with expertise caring for patients with an ostomy completed a scoping review identifying research-based evidence and gaps in our knowledge of the safety and effectiveness related to the use of a convex pouching system following ostomy surgery. Results of this scoping review demonstrated the need for a structured consensus to define best practices when selecting a pouching system that provides a secure and reliable seal around the stoma, avoids undermining and leakage of effluent from the pouching system, and contributes to optimal health-related quality of life for patients following ostomy surgery. The expert panel reached consensus on 8 statements for the use of convex products immediately after surgery and throughout the first 6 months after stoma creation, as well as describing goals in choosing the best pouching system for the patient with an ostomy.
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Affiliation(s)
- Janice C. Colwell
- Correspondence: Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, 1335 S. Prairie Ave, Chicago, IL 60605 ()
| | - Janet Stoia Davis
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Krisztina Emodi
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Jane Fellows
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Mary Mahoney
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Bethany McDade
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Sima Porten
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Elizabeth Raskin
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Terran Sims
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Holly Norman
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Matthew T. Kelly
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
| | - Mikel Gray
- Janice C. Colwell, MS, APRN, CWOCN, FAAN, Department of General Surgery, University of Chicago Medicine, Chicago, Illinois
- Janet Stoia Davis, RN, CWOCN, FCN, Stoia Consultants, Riverside, California
- Krisztina Emodi, NP-C, MPH, CNS, University of California San Francisco
- Jane Fellows, MSN, RN-CNS, COCN-AP, Duke University, Durham, North Carolina
- Mary Mahoney, MSN, RN, CWOCN, CFCN, UnityPoint at Home, Urbandale, Iowa
- Bethany McDade, MS, AGPCNP-BC, CWON, Beaumont Health, Southfield, Michigan
- Sima Porten, MD, University of California San Francisco
- Elizabeth Raskin, MD, University of California, Davis
- Terran Sims, MSN, ACNP-C, University of Virginia, Charlottesville
- Holly Norman, PhD, MBA, Coloplast, Minneapolis, Minnesota
- Matthew T. Kelly, PhD, Coloplast, Minneapolis, Minnesota
- Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville
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