A meta-analysis examined the effect of stoma on surgical site wound infection in colorectal cancer

Zimeng Chang, Liang Liu, Canfang She, Wei Ren, Hua Chen, Caihong Zhou, Zimeng Chang, Liang Liu, Canfang She, Wei Ren, Hua Chen, Caihong Zhou

Abstract

To assess the impact of a stoma on surgical site wound infection in colorectal cancer, we conducted a meta-analysis. A thorough review of the literature up to September 2022 revealed that 3223 participants had colorectal cancer at the start of the investigations; 258 of them had a stoma, while 2965 did not have a stoma. Using dichotomous or contentious methods and a random or fixed-effect model, odds ratios (OR) and mean difference (MD) with 95% confidence intervals (CIs) were estimated to evaluate the impact of a stoma on surgical site wound infection in colorectal cancer. The stoma present had significantly higher surgical site wound infections (OR, 4.37; 95% CI, 3.08-6.21; P < 0.001) with no heterogeneity (I2 = 12%) compared to stoma absent in colorectal cancer. The stoma present had significantly higher surgical site wound infections compared to the stoma absent in colorectal cancer. The low number of selected studies in the meta-analysis calls for care when analysing the results.

Keywords: colorectal cancer; stoma; surgical site wound infections.

© 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.

Figures

FIGURE 1
FIGURE 1
A flowchart of the study course
FIGURE 2
FIGURE 2
Frost plot of the effect of a stoma on surgical site wound infections in subjects with colorectal cancer
FIGURE 3
FIGURE 3
The comparison funnel plot

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Source: PubMed

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