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Related Concept Videos

Ostomy Care01:24

Ostomy Care

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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Related Experiment Video

Updated: Dec 11, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Value-Based Healthcare in Ostomies.

Ana C Montesinos Gálvez1, Francisco Jódar Sánchez2, Carmen Alcántara Moreno3

  • 1Hospital Regional Universitario de Málaga, 29010-Málaga, Spain.

International Journal of Environmental Research and Public Health
|August 23, 2020
PubMed
Summary

An innovative advanced practice nurse model for ostomy care significantly improves patient health status and quality of life. This value-based healthcare approach is highly efficient, offering substantial benefits at a reasonable cost per quality-adjusted life year gained.

Keywords:
cost-benefit analysishealth care costshealth resourcesnurse specialistsorganizational innovationostomyprospective studiesquality-adjusted life years

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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Health Economics

Background:

  • Improving healthcare value requires innovation in service delivery models.
  • Ostomy care presents challenges in quality, cost, and accessibility.
  • Advanced practice nurses (APNs) can play a key role in optimizing patient management.

Purpose of the Study:

  • To evaluate the efficiency of an advanced practice nurse model for ostomy care (APN-O) compared to usual care.
  • To assess the impact of the APN-O model on clinical outcomes, resource utilization, and quality of life.
  • To determine the economic value and willingness to pay for the APN-O model.

Main Methods:

  • Observational, exploratory, analytical, prospective study with six-month follow-up.
  • Involved 75 patients with digestive or urinary ostomies across 12 hospitals implementing the APN-O model.
  • Analyzed clinical outcomes, healthcare resources, quality of life, and willingness to pay (WTP) from a societal perspective.

Main Results:

  • The APN-O model demonstrated a cost difference of €136.99 with a gain of 0.05965 quality-adjusted life years (QALYs), equating to €2297 per QALY gained.
  • Mean willingness to pay (WTP) for an APN-O consultation was €69 at six months.
  • The APN-O model was found to be highly efficient and contributed to increased value-based healthcare in ostomy management.

Conclusions:

  • The advanced practice nurse in ostomy care (APN-O) model is an effective strategy for enhancing patient health status.
  • This innovative model increases the value of healthcare for ostomy patients.
  • The APN-O model represents a highly efficient approach to ostomy patient management.