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CRITICAL APPRAISAL

Authors

Christian D. Klink, Kosta Lioupis, Marcel

Binnebsel, Daniel Kaemmer, Ivanna Kozubek, Jochen Grommes,


Ulf P. Neumann, Marc Jansen, Stefan Willis
Short Title

: Diversion Stoma After Colorectal Surgery: Loop


Colostomy or Ileostomy?

Journal/Year/Volume/Pages : Int J Colorectal/2011/26/431-436


Are the study results valid?
1. Was there a representative and Ya, terdapat sampel yang representatif
well-defined sample of patients at a dan digambarkan dengan baik dari pasien
similar point in the course of the pada poin yang sama dalam perjalanan
disease?

penyakit.
Terdapat pada halaman 431.
Data of 200 patients between January
2003 and January 2009 were analyzed in
this two-center study to determine the
surgical outcome in patients with loop
colostomy (n=100) in comparison to
loop

ileostomy

(n=100)

for

fecal

diversion including outcome of stoma


creation and complication rates during
stoma reversal
2. Was follow-up sufficiently long and Tidak jelas.
complete?

Pasien di-follow up untuk melihat efek


samping dari tindakan, namun tidak
dijelaskan berapa lama pasien di-follow
up.

Hanya

menjelaskan

parameter-

parameter yang digunakan.

3. Were objective and unbiased Ya,


outcome criteria used?

digunakan

kriteria

hasil

yang

obyektif dan tidak bias.


Terdapat pada halaman 432.
Registered complications related to
the stoma before closure were dermatitis,
parastomal hernia, renal insufficiency,
stoma prolapse, .. Renal insufficiency
was determined by a raise in creatinine
beyond 1.2 mg/dL or blood urea nitrogen
beyond

50

mg/dL

..

Registered

complication during stoma reversal were


wound infection, reoperation, hematoma,
anastomotic leakage, and stenosis
4. Was there adjustment for important Ya, terdapat penyesuaian faktor-faktor
prognostic factors?

prognostik penting pada penelitian.


Terdapat pada halaman 432.
Demographic data were recorded
from all patients including gender, age,
clinical data, hospital stay, and time to
first bowel movement. Complications
were identified by medical record review
for the hospital period of both stoma
creation and stoma closure

What were the results?


1. How large is the likelihood of the outcome event(s) in a specific period of time?

2. How precise are the estimates of likelihood? (Consider 95% CI)


Tidak ada nilai CI 95% pada penelitian. Ketepatan hasil penelitian
menggunakan parameter p-value.
Can the results be applied to your patient(s)?
1. Were the study patients similar to Tidak bisa dijelaskan.
my own?
2. Are the results useful for reassuring Ya,
or counselling patients?

hasil

penelitian

berguna

untuk

menginformasikan kepada pasien bahwa


baik metode loop colostomy maupun
loop ileostomy, memberikan hasil yang
baik dengan komplikasi yang rendah.
Penulis menyarankan