The International Consensus Definition of a High Output Stoma (HOS): A Delphi Study of Expert Fecal Diversion.

1

Please enter your full name* This field is required.

First Name

Last Name

2

Please provide your professional email address* This field is required.

example@example.com

3

Select your medical specialty* This field is required.

4

If 'Other' was selected, please specify your specialty

5

Where do you work?

6

In which country do you work?

7

How many years of experience do you have in managing patients with intestinal stomas?* This field is required.

8

On average, how many stoma patients do you manage per month?* This field is required.

9

Do you have a formal definition or threshold for 'high output stoma' (HOS)? Please describe or specify your criteria.

10

Which stoma types are most commonly associated with high output? (Select all that apply)* This field is required.

Jejunostomy

Ileostomy

Colostomy(Hight Output variants)

Others

11

If 'Other' was selected, please specify the stoma type

12

Do you routinely measure stoma output volume?* This field is required.

Yes, for all patinets

Yes, but only for suspected HOS cases

No,no routinely

13

What minimum (ml) daily output volume do you consider as indicative of high output stoma?

14

Do you consider hourly output or other parameters in defining HOS? Please specify.

15

Which clinical consequences influence your concern about HOS? (Select all that apply)

Electrolyte imbalace

Dehydratation

Skin irritation or Braekdown

Kidney function impairment

Patient discomfort or quality of life impact

Other (please specify)

16

If 'Other' was selected, please specify the clinical consequences.

17

When do you typically consider intervention for high output stoma?* This field is required.

Immediately upon dignosis

After observing peristent hight output for X day

Only if clinical complications arise

Other (Please specify)

18

Please specify the duration or conditions for intervention if 'Other' was selected.

19

Which clinical indicators do you monitor to assess HOS severity? (Select all that apply)

Serumelectrolyte levels

Fluid balance and weight changes

Renal function test

Stoma output consistency and apperance

Patient symptoms (e.g, dizziness, fatigue)

Others (please specify)

20

If 'Other' was selected, please specify additional indicators.

21

Which stoma types are most often associated with HOS in your practice?* This field is required.

22

If 'Other' was selected, please specify the stoma type.

23

Do you follow any specific guidelines or protocols for managing HOS? (Select all that apply)

Yes, national guidelines

Yes, institutional protocols

No, manage case-by-case

Other(Please specifiy)

Sonstiges

24

If 'Other' was selected, please specify the guidelines or protocols.

25

Which measurement methods do you prefer for assessing stoma output?* This field is required.

Direct collection and measurement

Estimation based on patient report

Use of divice or sensor-based measurement

Other (please specify

26

If 'Other' was selected, please specify your preferred method.

27

In your opinion, what would be the most appropriate parameter for defining HOS at an international level?

28

Which parameter do you prefer for defining HOS?* This field is required.

Minimum daily output volumen (ml)

Hourly output rate (ml/hour)

Serum electrolyte levels

Others (please specify)

29

Please suggest a brief definition or description for HOS based on your experience.

30

Please share any additional comments or suggestions regarding HOS definitions or management.

31

Do you agree to include Gastroenterologists, stoma nurses, and general practitioners in the research?* This field is required.

Yes

No