title: Does hospital-based transitional care reduce the postoperative complication in patients with enterostomy? A meta-analysis.
abstract: OBJECTIVE
  The objective of the study is to investigate whether hospital-based transitional care can reduce the postoperative complication in patients who received enterostomy or not by pooling the published prospective clinical studies.
  
  
  METHODS
  Prospective clinical studies related to hospital-based transitional care for reducing the postoperative complication in patients with enterostomy were searched in the electronic databases of PubMed, Medline, EMBASE, CNKI, and Wanfang. The postoperative complications in the experiment and control groups were extracted from the original studies and pooled by fixed effects model. The publication bias was evaluated by Begg's funnel plot and Egger's line regression test.
  
  
  RESULTS
  After searching through the electronic databases of PubMed, Medline, EMBASE, CNKI, and Wanfang, we finally included in eight studies with 600 cases related to hospital-based transitional care and postoperative complication in patients with enterostomy. The pooled result showed that hospital-based transitional care could significantly reduce the postoperative complication in patients with enterostomy (risk ratio = 0.42, 95% confidence interval: 1.0.32, ~0.55, P = 0.005) by fixed effects model. The Begg's funnel plot demonstrated a litter left-right asymmetry, which indicated potential publication bias. Moreover, Egger's line regression test showed that there were significant publications (t = -3.04, P = 0.023).
  
  
  CONCLUSIONS
  Hospital-based transitional care can significantly reduce the postoperative complication in patients with enterostomy.
authors.affiliation: Department of Operation Room, Lishui Central Hospital, The 5th Affiliated Hospital of Wenzhou Medical University, Lishui 323000, PR China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of General Surgery, Lishui People's Hospital, The 6th Affiliated Hospital of Wenzhou Medical University, Zhejiang, Lishui 323000, PR China.
authors.forename: Jinyan
authors.initials: J
authors.lastname: Jiang
authors.affiliation: Department of Operation Room, Lishui Central Hospital, The 5th Affiliated Hospital of Wenzhou Medical University, Lishui 323000, PR China.
authors.forename: Yuehong
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Stomatology, Lishui People's Hospital, The 6th Affiliated Hospital of Wenzhou Medical University, Zhejiang, Lishui 323000, PR China.
authors.forename: Jingjing
authors.initials: J
authors.lastname: Yan
authors.affiliation: Department of Stomatology, Lishui People's Hospital, The 6th Affiliated Hospital of Wenzhou Medical University, Zhejiang, Lishui 323000, PR China.
authors.forename: Huali
authors.initials: H
authors.lastname: Chen
authors.affiliation: Department of Stomatology, Lishui People's Hospital, The 6th Affiliated Hospital of Wenzhou Medical University, Zhejiang, Lishui 323000, PR China.
authors.forename: Xuemei
authors.initials: X
authors.lastname: Zhu
mesh_terms: D004766:Enterostomy / Q000009:adverse effects*; D006760:Hospitalization; D006801:Humans; D016017:Odds Ratio; D011183:Postoperative Complications / Q000453:epidemiology*; D017594:Publication Bias; D012307:Risk Factors; D000069341:Transitional Care