Aim The aim of the project was to investigate the extent of peristomal skin disorders (prevalence) in a general population of people with ostomies in Denmark and then secondly finding the cause of the skin disorders.

Method The study was made up of questionnaires and 2 clinical investigations; first a cross sectional study and then a case-control study. 663 ostomy-operated persons received a questionnaire, 338 answered and 202 agreed to participate in the cross-sectional study. The cross-sectional study was a clinical examination of the ostomy patients performed by 3 stoma care nurses, a physician, and 2 dermatologists.

Results One of the more conspicuous results from the study is how people with ostomies perceive their peristomal skin. The dermatologists diagnosed 45% of the ostomy patients with a skin disorder; the nurses diagnosed 42% of the participants with a disorder, whereas only 19% of the people with ostomies believed that they had a disorder. Only 16% of the persons participating in the study had sought assistance.

Discussion The pictures show some of the 26% that were diagnosed with a skin disorder, but who did not recognize the problem themselves. They were somehow not conscious or receptive about the condition of their peristomal skin. Some people with ostomies clearly still think that peristomal skin disorders are inevitable. There is clearly a need for more information about normal peristomal skin. Some of the skin disorders could be avoided with the proper guidance from an ET nurse on e.g. adaptation of the product and shorter wear times.