Not so sweet victory: Diabetes associated with increased unplanned healthcare utilization following ostomy creation

Today, there are ∼1 million individuals living with ostomies in the United States, with ∼150,000 new ostomies created every year.2 Following ostomy creation, complication rates as high as 70 % have been reported, including peristomal skin breakdown and hernia, stoma necrosis, retraction, and prolaps...

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Bibliographic Details
Published in:The American journal of surgery 2025-01, Vol.239, p.115889, Article 115889
Main Authors: Norton, Tabitha E., Suwanabol, Pasithorn A., Savitch, Samantha L.
Format: Article
Language:English
Subjects:
Blood pressure
Comorbidity
Dehydration
Diabetes
Diabetes mellitus
Emergency medical care
Emergency medical services
Health care
Health education
Health literacy
Health services utilization
Hernia
Hospitals
Mental disorders
Necrosis
Ostomy
Patients
Quality of life
Reminder effects
Risk factors
Surgery
Tobacco
Utilization
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Summary:Today, there are ∼1 million individuals living with ostomies in the United States, with ∼150,000 new ostomies created every year.2 Following ostomy creation, complication rates as high as 70 % have been reported, including peristomal skin breakdown and hernia, stoma necrosis, retraction, and prolapse, and dehydration and subsequent kidney injury, all of which may necessitate hospital readmission or emergency room visit.3 Despite this growing population and these concerning complication rates, which have important implications such as delays in adjuvant therapies, poorer quality of life, and increased healthcare costs, there is a notable paucity of literature examining the factors that predispose patients to worse outcomes after ostomy surgery. [...]it is unknown what other factors may play a role in unplanned healthcare utilization for patients without diabetes, and further investigation is warranted to identify risk factors in this specific population. Perhaps more importantly, though, the results highlight the additive effect of comorbidities on post-operative healthcare utilization and are a reminder that pre- and post-operative patient education should focus not only on glucose management but on optimizing all aspects that may negatively impact outcomes (e.g., tobacco cessation, blood pressure control, nutrition, and psychosocial issues including mental health and ensuring adequate support).
ISSN:0002-9610
1879-1883
1879-1883
DOI:10.1016/j.amjsurg.2024.115889