Marianne Krogsgaard

Zealand University Hospital · Department of Surgery and Centre for Surgical Science

Aim and objectives: To investigate experienced symptoms of parastomal bulging in relation to an ileostomy or colostomy. Background: Parastomal bulging is a common complication of stoma formation that can affect patients' physical, psychological and social function. Symptom burdens reported by health professionals vary from asymptomatic to high s...

Aim: The symptom load and individual symptoms before and after repair of parastomal hernia were investigated. Method: Stoma-related symptoms were prospectively recorded before repair of a parastomal hernia and at 10 days and six months postoperatively. Leakage, skin problems, difficulty with the appliance, limitation of activity, difficulty with...

Rationale and aim: Organizational and staff-related barriers need to be overcome in order to integrated early palliative care and develop its supporting infrastructure. We aimed to evaluate the use of a one-nurse-staffed telephone line and bedside consultations on a surgical ward.Method: Advanced gastrointestinal cancer patients and their relatives...

Objective To obtain knowledge of patients’ experiences of postoperative symptoms during the initial two weeks following fast-track colonic cancer surgery. Method Semi-structured in-depth interviews with seven colonic cancer patients two weeks post hospital discharge. Analysis was performed using a phenomenological hermeneutical approach. Results...

Background: Innovations in healthcare technologies have the potential to address challenges, including the monitoring of fluid balance. Objective: This study aims to evaluate the functionality and accuracy of a digital technology compared to standard manual documentation in a real-life setting. Methods: The digital technology, LICENSE, was des...

Aim To investigate patients' experiences of being prepared for the emergence of a parastomal bulge in relation to a stoma. Materials and Methods Qualitative interviews with 20 patients participating in five focus groups. Two groups consisted of patients referred for repair of parastomal bulging and three groups were patients receiving non-surgical...

Introduction Fluid balance monitoring is pivotal to patients’ health. Thus, fluid balance charting is an essential part of clinical nursing documentation. This systematic review aimed to investigate and describe the quality of fluid balance monitoring in medical, surgical and intensive care units, with an emphasis on the completeness of charting da...

Aim The aim was to investigate patients' experiences of being prepared for the development of a parastomal bulge in relation to a stoma. Methods The paper draws on a qualitative interview study conducted with 20 Danish patients participating in five focus groups. Analysis was performed using a phenomenological‐hermeneutic approach. Results We ide...

Background: Precise fluid balance monitoring is essential for patient treatment, as incorrect fluid balance can lead to disorders. Objective: This study aimed to assess the accuracy of the digital technology LICENSE (LIquid balanCE moNitoring SystEm) for fluid balance charting and compare it to the standard method (SM) to determine its usability...

Background: Growing evidence on the use of mesh as a prophylactic measure to prevent parastomal hernia and advances in guideline development methods prompted an update of a previous guideline on parastomal hernia prevention. Objective: To develop evidence-based, trustworthy recommendations, informed by an interdisciplinary panel of stakeholders. Me...

Objective: To perform a systematic review and meta-analysis on the effectiveness of prophylactic mesh for the prevention of parastomal hernia in end colostomy, with the ultimate objective to summarize the evidence for an interdisciplinary, European rapid guideline. Methods: We updated a previous systematic review with de novo evidence search of Pu...

Incisional and parastomal hernias are frequent complications after abdominal surgery. Patients with relevant symptoms should be referred to the local surgical department for diagnosis and indication for surgery. Patients with giant and parastomal hernias are referred to one of the five Danish regional hernia centres. Patients with parastomal hernia...

Aim To investigate patients’ experiences of the assessment of support garments in relation to a parastomal bulge. Material and Methods A qualitative study with 11 in-depth semi-structured interviews. A preceding systematic literature review and a small field study conducted before the study informed the main topics in the interview guide. Results...

Aim: Colorectal cancer survivors are one of the most rapidly growing groups of patients living with and beyond cancer. In a national multidisciplinary setting, we have examined the extent of late treatment-related sequelae in colorectal cancer survivors and present the scientific evidence for management of these conditions in this patient category...

Purpose Stoma-related problems are known to be important to patients and potentially affect everyday life. The prevalence of stoma-related problems in rectal cancer survivors remains undetermined. This study aimed to examine aspects of life with a long-term stoma, stoma management, and stoma-related problems and explore the impact of stoma-related...

Aim To investigate patients’ experiences of the assessment of support garments in relation to a parastomal bulge. Methods We conducted a qualitative study with semi-structured interviews preceded by field observations. The 11 in-dept interviews were analysed using interpretative phenomenological analysis. Results In the assessment process patient...

PurposePhysical activity is recommended to cancer survivors by the World Health Organisation (WHO) and is associated with improved survival after colorectal cancer. It remains unclear whether having a stoma is a barrier for an active lifestyle. We examined the level of physical activity and explored factors impacting physical activity in survivors...

Aim To examine the incidence of primary and recurrent repair and types of repair performed in patients with parastomal bulging. Material and Methods We linked prospectively collected data on parastomal bulging from the Danish Stoma Database to surgical data on repair of parastomal bulging from the Danish National Patient Register. Survival statist...

Objectives: In the current study, we aimed to explore the experiences and attitudes among healthcare professionals as they transitioned from their familiar disciplines to respiratory medicine, intensive care or other departments during the first wave of the COVID-19 pandemic. Background: In preparation for the increasing number of patients suspe...

Projektet FRONTLINE undersøgte i forsommeren 2020 det kliniske personales, ledernes og forskernes holdninger og perspektiver på at befinde sig i frontlinjen under den første fase af COVID-19 pandemien på Sjællands Universitets Hospital (SUH). Projektet bestod af tre delprojekter med deltagelse af 14 forskere fra 8 kliniske afdelinger og Forsknings...

Purpose: Abdominal exercises are being advocated after stoma surgery and investigated in clinical research. Little is known about the patients' perspective of doing abdominal exercises in the first three months after getting a stoma. The aim of this study was to explore patients' experiences with and attitudes toward abdominal exercises after stom...

Aim The colostomy impact (CI) score is a patient reported outcome measure assessing stoma‐related reduced health‐related quality of life (HRQL). The score was originally developed and validated in a cohort of rectal cancer survivors with a permanent colostomy. For the CI score to be applied to patients with a colostomy after surgery for a benign co...

Aim To examine i) the incidence of primary repair, ii) the incidence of recurrent repair and iii) the types of repair performed in patients with parastomal bulging. Method Prospectively collected data on parastomal bulging from the Danish Stoma Database were linked to surgical data on repair of parastomal bulging from the Danish National Patient R...

This PhD project provides insight into the patients’ perspective on parastomal bulging that is valuable for clinical practice; it points to the importance of needs-based access to counselling for patients with parastomal bulging; and it highlights the urgent need for developing nursing interventions aimed at easing patients’ symptoms and bettering...

Objective: To investigate stoma specific and generic HRQoL in patients with and without a parastomal bulge. Background: Most patients have to live with their stoma complicated by a parastomal bulge. How this affects quality of life remains unclear. Methods: Patients in the Danish Stoma Database completed the Short-form 36 health survey and the...