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["IPG title","reinforcement of a permanent stoma with a synthetic or biological mesh to prevent a parastomal hernia"]
["IPG title (lower case first letter)","reinforcement of a permanent stoma with a synthetic or biological mesh to prevent a parastomal hernia"]
["Publication year",2019]

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[]
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[null,null,"Audit tool"]
[]
[null,null,"Implementing the NICE guidance on reinforcement of a permanent stoma with a synthetic or biological mesh to prevent a parastomal hernia (IPG654)"]
[]
[null,null,"This tool has been produced as the evidence on the safety of this procedure shows there are serious but well-recognised complications. The evidence on efficacy is limited in quantity and quality.\n\nNICE has identified relevant audit criteria in this audit tool (which is for use at local discretion) to help clinicians doing the procedure make special arrangements for audit.\n"]
[]
[null,null,"Published: June 2019"]

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[null,{"$f":"\"Summary of data for \"&'Hidden sheet'!B2","v":"Summary of data for reinforcement of a permanent stoma with a synthetic or biological mesh to prevent a parastomal hernia"}]
[]
[null,{"$f":"\"This tool helps clinicians using \"&'Hidden sheet'!B2&\" to review outcomes. \"","v":"This tool helps clinicians using reinforcement of a permanent stoma with a synthetic or biological mesh to prevent a parastomal hernia to review outcomes. "}]
[null,"Although the interventional procedures advisory committee has not identified specific audit standards for the data collected, clinicians are advised to review their practice against the outcomes for this procedure described in the tool.  The data should be shared with colleagues undertaking the same procedure and be provided to their health care organisation who should review it at appropriate intervals. Practice should be changed if the results suggest the need to do so. The individual undertaking the procedure should also be expected to discuss their outcomes as part of their annual appraisal to allow reflection, learning and individual improvement."]
[null,"To ensure that any valuable insight regarding the consequences of this procedure is shared among clinicians, serious or previously unrecognised patient safety incidents should be documented and information submitted to the National Reporting and Learning System (NRLS), operated by NHS Improvement.  "]
[null,"All adverse events involving the medical devices used in this procedure should be reported to the Medicines and Healthcare products Regulatory Agency.                               "]
[]
[null,"The tool contains a data collection sheet containing drop down options and free text boxes.  A summary of the data is shown in the tables and graphs below."]
[]
[null,"Consent","Yes","Number of patients","%"]
[null,"A discussion has taken place about the safety and efficacy of the procedure",{"$f":"Data!C$205","v":0},{"$f":"Data!C$207","v":0},{"$f":"Data!C$208","v":"%"}]
[null,"The patient has received written information explaining the safety and efficacy of the procedure",{"$f":"Data!D$205","v":0},{"$f":"Data!D$207","v":0},{"$f":"Data!D$208","v":"%"}]
[null,"Written consent to treatment has been obtained",{"$f":"Data!E$205","v":0},{"$f":"Data!E$207","v":0},{"$f":"Data!E$208","v":"%"}]
[]
[null,"Outcome measures of benefit","Yes","Number of patients","%"]
[null,"Incidence of parastomal hernia according to the patient (measured at 1 year)",{"$f":"Data!M$205","v":0},{"$f":"Data!M207","v":0},{"$f":"Data!M$208","v":"%"},"Incidence of parastomal hernia according to the patient at 1 year"]
[null,"Quality of life score (QoL) [insert name of scale used] (measured at 1 year)",{"$f":"Data!S$205","v":0},{"$f":"Data!S207","v":0},{"$f":"Data!S$208","v":"%"},"Quality of life score at 1 year"]
[null,"Incidence of parastomal hernia according to the patient (measured at 2 years)",{"$f":"Data!U$205","v":0},{"$f":"Data!U207","v":0},{"$f":"Data!U$208","v":"%"},"Incidence of parastomal hernia according to the patient at 2 years"]
[null,"Quality of life score (QoL) [insert name of scale used] (measured at 2 years)",{"$f":"Data!AA$205","v":0},{"$f":"Data!AA207","v":0},{"$f":"Data!AA$208","v":"%"},"Quality of life score at 2 years"]
[null,"Incidence of parastomal hernia according to the patient (measured at 3 years)",{"$f":"Data!AC$205","v":0},{"$f":"Data!AC207","v":0},{"$f":"Data!AC$208","v":"%"},"Incidence of parastomal hernia according to the patient at 3 years"]
[null,"Quality of life score (QoL) [insert name of scale used] (measured at 3 years)",{"$f":"Data!AI$205","v":0},{"$f":"Data!AI207","v":0},{"$f":"Data!AI$208","v":"%"},"Quality of life score at 3 years"]
[null,"Other outcome measure of benefit",{"$f":"Data!AJ$205","v":0},{"$f":"Data!AJ207","v":0},{"$f":"Data!AJ$208","v":"%"},"Other outcome measure of benefit"]
[]
[null,"Adverse outcomes","Yes","Number of patients","%"]
[null,"Infection post procedure",{"$f":"Data!AL$205","v":0},{"$f":"Data!AL$207","v":0},{"$f":"Data!AL$208","v":"%"},"Infection post procedure"]
[null,"Reoperation (measured within 30 days post procedure)",{"$f":"Data!AM$205","v":0},{"$f":"Data!AM$207","v":0},{"$f":"Data!AM$208","v":"%"},"Reoperation within 30 days post procedure"]
[null,"Site specific pain (measured at 6 months)",{"$f":"Data!AN$205","v":0},{"$f":"Data!AN$207","v":0},{"$f":"Data!AN$208","v":"%"},"Site specific pain at 6 months"]
[null,"Fistulation (measured at 6 months)",{"$f":"Data!AO$205","v":0},{"$f":"Data!AO$207","v":0},{"$f":"Data!AO$208","v":"%"},"Fistulation at 6 months"]
[null,"Infection (up to 1 year post procedure)",{"$f":"Data!AP$205","v":0},{"$f":"Data!AP$207","v":0},{"$f":"Data!AP$208","v":"%"},"Infection up to 1 year post procedure"]
[null,"Reoperation (measured within 1 year post procedure)",{"$f":"Data!AQ$205","v":0},{"$f":"Data!AQ$207","v":0},{"$f":"Data!AQ$208","v":"%"},"Reoperation within 1 year post procedure"]
[null,"Site specific pain (measured at 1 year)",{"$f":"Data!AR$205","v":0},{"$f":"Data!AR$207","v":0},{"$f":"Data!AR$208","v":"%"},"Site specific pain at 1 year"]
[null,"Fistulation (measured at 1 year)",{"$f":"Data!AS$205","v":0},{"$f":"Data!AS$207","v":0},{"$f":"Data!AS$208","v":"%"},"Fistulation at 1 year"]
[null,"Reoperation (measured 2 years)",{"$f":"Data!AT$205","v":0},{"$f":"Data!AT$207","v":0},{"$f":"Data!AT$208","v":"%"},"Reoperation at 2 years"]
[null,"Site specific pain (measured at 2 years)",{"$f":"Data!AU$205","v":0},{"$f":"Data!AU$207","v":0},{"$f":"Data!AU$208","v":"%"},"Site specific pain at 2 years"]
[null,"Fistulation (measured at 2 years)",{"$f":"Data!AV$205","v":0},{"$f":"Data!AV$207","v":0},{"$f":"Data!AV$208","v":"%"},"Fistulation at 2 years"]
[null,"Reoperation (measured 3 years)",{"$f":"Data!AW$205","v":0},{"$f":"Data!AW$207","v":0},{"$f":"Data!AW$208","v":"%"},"Reoperation at 3 years"]
[null,"Site specific pain (measured at 3 years)",{"$f":"Data!AX$205","v":0},{"$f":"Data!AX$207","v":0},{"$f":"Data!AX$208","v":"%"},"Site specific pain at 3 years"]
[null,"Fistulation (measured at 3 years)",{"$f":"Data!AY$205","v":0},{"$f":"Data!AY$207","v":0},{"$f":"Data!AY$208","v":"%"},"Fistulation at 3 years"]
[null,"Other adverse outcome",{"$f":"Data!AZ$205","v":0},{"$f":"Data!AZ$207","v":0},{"$f":"Data!AZ$208","v":"%"},"Other adverse outcome"]
[]
[null,"Total number of patients:",{"$f":"COUNTA(Data!F5:F204)","v":0}]
[]
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[null,"National Institute for Health and Care Excellence"]
[null,"Level 1A, City Tower, Piccadilly Plaza, Manchester M1 4BT; www.nice.org.uk"]
[null,"© NICE 2019. All rights reserved. See Notice of rights."]

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[null,{"$f":"\"Data collection tool for \"&'Hidden sheet'!B2","v":"Data collection tool for reinforcement of a permanent stoma with a synthetic or biological mesh to prevent a parastomal hernia"}]
[null,null,"Consent",null,null,"Baseline data post procedure",null,null,null,null,null,"Outcome measures of benefit",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Adverse outcomes"]
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[null,null,null,null,null,null,"Synthetic or biological mesh ",null,null,null,null,"Date","Yes/No","Date","Score","Improvement?","Date","Score","Improvement?","Date","Yes/No","Date","Score","Improvement?","Date","Score","Improvement?","Date","Yes/No","Date","Score","Improvement?","Date","Score","Improvement?"]
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