Mouldable technology in ostomy care: a scoping review of the literature using a novel, explainable artificial intelligence Journal Article
| Authors: | Beitz, Janice; Milne, Catherine; Isaac, Dona L.; Morriss, Josh; Brindle, Tod |
| Article Title: | Mouldable technology in ostomy care: a scoping review of the literature using a novel, explainable artificial intelligence |
| Abstract: | Pouching systems play a key role in ostomy care. However, peristomal skin complications due to leaked effluent are a common problem. Mouldable skin barriers are an alternative to traditional cut-to-fit or precut barriers and may provide improved benefits for ostomates. We examined the best available evidence describing the use of mouldable stoma baseplate technologies in ostomy care. The objective was to determine the best evidence describing the differences between mouldable versus cut-to-fit products to inform healthcare providers, caregivers, and patients with ostomies about their recommended use. In this study, four subject matter experts (TB, JB, CM, LI) employed a PRISMA-P methodology utilising the Literature Review Network version 2.0 (LRN v2.0) for literature searches across PubMed, Embase, CINAHL, and Google Scholar. As an explainable artificial intelligence (XAI) system, the process and methods behind LRN's decision making processes were explained in human terms. Researchers programmed the AI search based on study inclusion and exclusion criteria with iteration reports presented by recall percentage, precision and F-score. LRN's outputs are explained for transparency in search iteration model accuracy, Cohen's kappa and average potential. The human researchers then read all abstracts and full texts for final inclusion and analysis. Seventeen studies evaluating mouldable technology were identified. Key findings emerged in favor of the use of mouldable technology compared to cut-to-fit appliances regarding the following themes: overall satisfaction, reduced stoma complications, decreased nurse time to teach patient self-care, benefits over cut-to-fit stoma skin barriers, and costs with consistent outcomes demonstrated globally with diverse populations. |
| Keywords: | patient satisfaction; patient education; artificial intelligence; cost savings; embase; self care; funding source; cinahl database; thematic analysis; comparative studies; pubmed; kappa statistic; human; scoping review; ostomy adverse effects; ostomy care methods; peristomal skin care; postoperative complications prevention and control; ostomy classification |
| Journal Title: | World Council of Enterostomal Therapists Journal |
| Volume: | 45 |
| Issue: | 2 |
| ISSN: | 0819-4610 |
| Publisher: | Unknown |
| Date Published: | 2025-06-01 |
| Start Page: | 22 |
| End Page: | 34 |
| DOI: | 10.33235/wcet.45.2.22-35 |
| PROVIDER: | EBSCOhost |
| PROVIDER: | cinahl |
| DOI/URL: | |
| Notes: | Source: Cinahl |
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