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Evaluation of two integrated outlets - Summary of a multi center comparative, randomized,open, crossover investigation

Barbara Munson, RN, BSN, CWOCN1, Cindy Owens1, Julia Ringhofer, RN, BSN, CWOCN2, Lorena Eckert, RN, NSN, PHN, CWOCN3, Susan Wood, RN, CWOCN, PhD4, Patrice Muse, RN, MSN, CWOCN5, and Cindy Fontana, RN, BS, CWOCN5. (1) Morton Plant Mease Health Care, CWOCN, 323 Jeffords Street, Clearwater, FL 33756, (2) Scripps Mercy Hospital, CWOCN, 4077 Fifth Avenue, San Diego, CA 92103, (3) Scripps Healthcare, CWOCN, 9888 Genesse Ave, La Jolla, CA 92037, (4) UPMC @ Southside, CWOCN, 2000 Mary Street, Pittsburgh, PA 15203, (5) Florida Hospital, CWOCN, 601 East Rollins Street, Orlando, FL 32803

Background: Handling aspects like ease of opening, closing and cleaning of the outlet are essential features of open ended ostomy pouches. Various ostomy pouches with integrated outlets have been launched to ease every day of living for people with ostomies.

Purpose: The main purpose of this investigation was to evaluate integrated outlet A and integrated outlet B with regard to handling aspects.

Objective: Primary parameter was ease of “handling in general “evaluated on a 5-point scale. Secondary parameters were related to handling, hygiene and preferences.

Design: The multi center, comparative, randomized, open, cross-over was conducted in the United States in the fall/winter of 2004-2005. Pouches with outlet A and outlet B were tested for one week each. 36 subjects were included - main selection criteria: minimum 18 years old, having an colostomy, using a 2-piece open ended/drainable pouch, using a “standard-wear” adhesive, not currently/previously using an integrated outlet closure, not pregnant/breastfeeding. The investigation was approved by the appropriate IRBs.

Results: Outlet A was evaluated significantly better than outlet B regarding “handling in general“ (p-value: 0.010). Furthermore opening the outlet, opening the outlet with one hand only, emptying through the outlet, cleaning the outlet, hygiene of the outlet and preference among outlets were evaluated in significantly favour of the outlet A (p-values all below 0.05). No significant differences were found in favour of outlet B. All assessments were analyzed using ordinal logistic regression models and binomial tests (two sided significance level at 0.05).

Conclusion: Outlet A is concluded to be superior to outlet B regarding handling, hygiene and preference.

Pouch with outlet A: Assura® EasiCloseTM Wide Outlet Pouch with outlet B: New Image Lock ‘n RollTM

Financial Assistance/Disclosure: The investigation was initiated and sponsored by Coloplast.


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