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Participants in late closure group with standardized postoperative chemotherapy might have a better prognosis compared with those in early closure group.
Thirty women each were allocated to the "closure" group and the "nonclosure" group.
Patients in late closure group received more adjuvant chemotherapy cycles but with comparable incidence of stoma closure related complications and length of hospital stay compared to early closure group.
Among 29 reports of subsequent abdominal surgery, 14 mentioned the presence of adhesions (8 in the nonclosure and 6 in the closure group; P=0.47).
We conducted a prospective, 2-group design between early and late ileostomy closure group in patients after rectal cancer surgery with temporary stoma.
The number of women reporting at least one significant morbidity was similar between groups (24 in the nonclosure and 19 in the closure group; P=0.72).
Similar(32)
Interestingly, both groups achieve similar levels of consensus, and high need for closure groups are more satisfied than low need for closure groups.
By contrast, high need for closure groups suppressed conflict and used the model to put boundaries on the discussion.
Furthermore, low need for closure groups used the model to surface conflict and engaged in open discussions to come to an agreement.
A quantitative analysis shows that compared to groups low in need for closure, groups high in need for closure experienced less conflict when using Value-Focused Thinking to make a budget allocation decision.
A qualitative analysis of a subset of groups reveals that in high need for closure groups only a few participants control the model building process, and final decisions are not based on the model but on simpler tools.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com