Ostomy Care And Accessories Market Size, Share & Trends Analysis Report By Product (Bags, Accessories), By Application (Colostomy, Ileostomy, Urostomy), By End-use (Home Care Settings, Hospitals), By Region, And Segment Forecasts, 2021 - 2028

Report Overview

The global ostomy care and accessories market size was valued at USD 3.3 billion in 2020 and is expected to expand at a compound annual growth rate (CAGR) of 5.1% from 2021 to 2028. The demand for ostomy care and accessories is anticipated to upsurge owing to the increasing number of initiatives to raise ostomy awareness, technological advancements, high prevalence of bladder cancer, and colorectal cancer. In addition, the growing geriatric population base is further expected to drive the demand for ostomy care and accessories during the forecast period.

The current outbreak of the COVID-19 pandemic has negatively impacted the ostomy care business, as only the most acute ostomy surgeries have been performed following the outbreak. This impact has been the highest in the European region, especially in the U.K. and Italy. Healthcare facilities in most of the countries globally have been exhausted with a large number of covid patients. As a result, several countries have delayed elective surgeries and other medical procedures for an indefinite period.

Therefore, patients suffering from acute and chronic diseases have to be treated at home or at outpatient clinics. However, to meet the demand many companies have adopted various strategies to maintain their product sales. To tackle supply chain disruption, companies are rerouting logistics, sourcing from additional partners, and ensuring quick delivery with air freight.

The increasing prevalence of colorectal cancer is expected to drive the demand for ostomy care and accessories. According to NCBI, colorectal cancer is the fourth most common cancer and the second main cause of cancer-related deaths in the U.S. The risk of colorectal cancer increases with age as it is commonly diagnosed in people aged from 65 to 74. Moreover, the prevalence of colorectal cancer is increasing in Asian countries such as India, China, and Japan. Thus, the rising risk of colorectal and urinary bladder cancer has increased the demand for ostomy care products and accessories over the forecast period.

Moreover, the rising elderly population is one of the significant factors expected to drive the market for ostomy care and accessories over the forecast period. As per the WHO, the global population aged 65 and above is expected to increase from 7.0% in 2000 to 16.0% in 2050. People living with an ostomy are mostly above the age of 50. According to the American Medical Association, the number of ostomy procedures is higher among the geriatric population than adults. In addition, according to NCBI, patients aged 70 years and older undergo more permanent ostomy procedures than younger people, with longer hospital stays and a higher mortality rate, which is anticipated to boost the sale of ostomy bags and accessories. Therefore, with the constant increase in the geriatric population, short- and long-term healthcare needs are also increasing, which is expected to drive the market for ostomy care and accessories at a global level.

The U.S. dominated the market in North America with the largest revenue share of 79.5% in 2020 owing to an increase in the prevalence of urinary incontinence, urinary retention, and a growing number of elderly people suffering from bladder problems and diverticular diseases. According to the National Association for Continence, people aged 40 and more are commonly affected by Overactive Bladder (OAB) and urine urgency. Furthermore, the increasing incidence of diverticular disease is one of the major factors expected to drive the demand for ostomies. According to a study published by Kestrel Health Information, Inc., around450,000 people in the U.S. use a stoma, and approximately120,000 new ostomy surgeries are performed every year Thus, an increasing number of patients suffering from urologic conditions is primarily expected to drive the market in the U.S.

Moreover, technological advancements pertaining to ostomy care products are some of the major factors driving the market. The introduction of efficient and suitable pouching systems and associated accessories which help to improve the quality of life of ostomy patients is expected to drive the market for ostomy care and accessories during the forecast period. For instance, the company Trio Healthcare has launched Trio Siltac, a silicone-based ostomy seal. Trio Ostomy Care is the only company that offers silicone-based ostomy seal. This product helps prevent leakage and protects the skin around the stoma. These advancements are anticipated to boost market growth over the forecast period.

Ostomy Care And Accessories Market Trends

Presence of various e-commerce sites offering ostomy care and accessories might drive the sales of the products through this sales channel. Amazon, Stomabags, and Express Medical Supply Inc. are some of the notable e-commerce sites which offers significant discounts, warranty, and prompt customer service on various ostomy care. Some of the hospitals, associations and local and regional organizations are also working for increasing awareness about ostomy care products and accessories.

Technological advancements pertaining to ostomy care products is one of the major drivers of ostomy care and accessories market. Development of suitable & efficient pouching systems and associated accessories that help in improving the quality of life of ostomy patients is expected to drive the market. Coloplast Group; ConvaTec, Inc.; and Hollister are some of the key market players investing significantly in R&D to launch new products. 

According to a study published on NCBI, colorectal cancer is diagnosed as the fourth most common cancer and second main cause of cancer-related deaths in the U.S. The risk of colorectal cancer increases with age as it is commonly diagnosed in people aged 65-74 years. Moreover, prevalence of colorectal cancer is also increasing in Asian countries such as China and Japan. The cancer mostly occurs as transformation within adenomatous polyps. Colorectal cancer has majorly been diagnosed in people that consume low-fiber food, which is most commonly found in animal protein, fat, and refined carbohydrates. 

Key market players are developing innovative technologies for reducing skin infections. Development of hydrocolloids and innovative systems for minimizing risk of skin irritation is expected to change the market dynamics in the coming years. For instance, ConvaTec announced the launch of a one-piece bag with moldable technology that reduces the risk of skin infection and leakage. According to studies published by ConvaTec, 50% of all the ostomates develop skin complications majorly due to waste leakage from stoma and seal. However, with the use of moldable technology, skin complications reduced in around 95.0% of patients and approximately 86.0% of patients with pre-existing skin disorders experienced improvement in their skin conditions.

Availability of substitute therapies or products is anticipated to restrict market growth during the forecast period. In June 2016, OstomyCure AS, a Norwegian medical technology company, announced CE mark approval for its Transcutaneous Implant Evacuation System (TIES). It is a substitute for ostomy bags. This device consists of a small titanium tube, which can be implanted into soft tissue of abdomen without requiring the need of conventional stoma. It is a suitable alternative to ileostomy bag.

Product Insights

In 2020, the bags segment dominated the market for ostomy care and accessories and accounted for the largest revenue share of around 85.0%. Ostomy bags are further sub-segmented into one-piece and two-piece bags. Ostomy bags are medical devices used to collect stool or urine. They are most commonly used with urostomies, ileostomies, and colostomies. Thus, an increase in the prevalence of bladder cancer, urinary continence, radiation injury, and spinal cord injuries is a major factor driving the segment. For instance, CDC reported that the mean hospitalization costs in the U.S. for Crohn’s disease and ulcerative colitis were USD 11,345 and USD 13,412 respectively, thus, contributing to the growth of the segment.

The accessories segment is expected to witness the highest CAGR of 6.6% from 2021 to 2028. It includes seals/barrier rings, pouch closures, pouch covers, stoma caps, and others. They help to prevent leakage, odor, and skin rashes. An increasing number of stoma surgeries and a rising number of ostomates are the major factors contributing to accessories segment growth. Moreover, as per the study conducted by a leading market player-Coloplast in 2016 on patients with an ostomy, it was estimated that around 91.0% of all ostomates use accessories and 3.2 units of accessories are used on average. This is likely to hasten the growth of this segment over the forecast period.

End-use Insights

The home care settings segment dominated the market and held the largest revenue share of 45.4% in 2020 and is expected to witness the highest CAGR over the forecast period. The rise in demand for home healthcare services is expected to drive this segment growth. Home care services ensure ongoing ostomy care by skilled nurses and provide proper care to a patient. This significantly reduces the risk of ostomy-related complications thereby reducing emergency visits to hospitals. Home healthcare services for ostomy care include maintaining a healthy stoma and changing and emptying ostomy bags. Growing preference for home care and availability of trained nurses in developed as well as emerging countries are expected to drive the segment over the forecast period.

Hospitals are less preferred for ostomy than other health centers, owing to lack of ongoing ostomy care. Hospitals only ensure postoperative stoma care, which is beneficial for temporary stoma patients. Long waiting time and high cost of hospital admissions also reduce preference for hospitals. Colostomy for patients not covered by health insurance can cost from USD 20,000 to over USD 60,000 depending on the hospital, geographical location, and the case. Such high costs for admission are expected to lower the demand for hospitals over the forecast period.

Application Insights

In 2020, the colostomy segment dominated the market for ostomy care and accessories and accounted for the largest revenue share of 45.9% owing to an increase in the geriatric population and the high prevalence of colon cancer as well as associated colostomy procedures. As per estimates by the American Cancer Society, in 2019, the number of new cases of colon and rectal cancer in the U.S. were 101,420 and 44,180, respectively. Thus, the demand for colostomy bags is expected to increase over the forecast period. In addition, the availability of different types of colostomy bags, such as drainable or closed system bags, which are suitable for specific patient needs, is also contributing to the segment growth over the forecast period. 

The ileostomy segment is expected to witness the highest CAGR of 5.6% from 2021 to 2028 owing to a high prevalence of Inflammatory Bowel Diseases (IBDs), such as Crohn’s disease and ulcerative colitis. As per Crohn’s Colitis Foundation 2019 report, approximately 1.6 million Americans currently have IBD and 70,000 new cases of IBD are diagnosed each year in the U.S. Moreover, according to the WHO report 2016, the global prevalence of colostomies, ileostomies, and urostomies was 43.0%, 41.0%, and 18.0% respectively. This is expected to contribute to the expansion of the ileostomy segment during the forecast period.

Regional Insights

Europe dominated the ostomy care and accessories market and accounted for the largest revenue share of 47.2% in 2020. This is attributed to the factors such as an increase in the number of stoma patients due to Crohn’s disease, or ulcerative colitis, and rising awareness initiatives related to ostomy care or stoma surgical procedures. According to NCBI, IBD comprises ulcerative colitis or Crohn’s disease, and its occurrence in European countries is gradually rising. In Europe, around 731,000 people are living with an ostomy and about 0.3% of the total population suffers from IBD. Moreover, as per the Colostomy Association Ltd., trading as Colostomy U.K., 1 in every 500 people in the U.K. is an ostomate. Such factors are contributing to the growth of the market for ostomy care and accessories in Europe.

Factors that are driving market growth in France include increasing incidence of bladder cancer or inflammatory bowel disease and growing awareness regarding ostomy care among patients with stomas. Incidence of bladder cancer is growing owing to rising prevalence of urinary tract cancers, which occur mostly in women; increasing geriatric population; and rising consumption of tobacco. In France, the ratios of both men and women living with bladder and kidney cancer are 1:3 and 1:6, respectively. Thus, rise in adoption of unhealthy lifestyles and lack of awareness are driving market growth in France.

In Asia Pacific, the market for ostomy care and accessories is expected to witness the highest CAGR of 6.1% from 2021 to 2028. Increasing awareness among consumers is expected to boost demand for ostomy care products and accessories in this region. In addition, there is a huge demand for colostomy in countries such as India, and China as a large number of people suffer from bladder issues. Mostly, the geriatric population is prone to have stomas and goes for ileostomy and colostomy surgeries. Thus, an increasing number of people living with bladder problems coupled with a rising geriatric population are boosting the demand for ostomy care products and accessories in Asia Pacific, thus, driving the growth of the market in India.

Key Companies & Market Share Insights

The competitors in the market for ostomy care and accessories are either adding more features to their existing products or launching new product lines to gain a larger share of the market. Key market players are constantly incorporating technologies that can meet the specific requirements of patients. For instance, in April 2018, Coloplast Corp. announced the addition of a new product, SenSura Mio Concave, to the SenSura Mio product category. These product launches are expected to boost the company’s market revenue during the forecast period.

Furthermore, several companies are expanding their geographic location to cater to the untapped market of ostomy care and accessories. This enables companies to increase their capabilities, expand their product portfolios, and improve their competencies. Players such as ConvaTec, Coloplast, and B. Braun are using these strategies to gain more market share. Strategies such as marketing and promotions are widely used by companies in the market to increase awareness about the benefits of ostomy care and also to increase the availability and outreach of their product offerings. For instance, in May 2019, Welland Medical unveiled the Aurum range of skin-friendly ostomy products in the Swedish ET-nurse congress organized in Sweden. Such initiatives are expected to expand the company's geographical reach. Some of the prominent players in the ostomy care and accessories market include:

• Coloplast Corp.

• B. Braun Melsungen AG

• Hollister Incorporated

• ConvaTec Group Plc

• Welland Medical Ltd.

• Salts Healthcare Ltd.

Ostomy Care And Accessories Market Report Scope

Global Ostomy Care And Accessories Market Segmentation

This report forecasts revenue growth at global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2016 to 2028. For the purpose of this study, Grand View Research has segmented the global ostomy care and accessories market report on the basis of product, application, end-use, and region:

• Product Outlook (Revenue, USD Million, 2016 - 2028)

  • Bags

    • One Piece

    • Two Piece

  • Accessories

    • Seals/Barrier Rings

    • Pouch Cover

    • Pouch Closures

    • Stoma Caps/Hat

    • Others

• Application Outlook (Revenue, USD Million, 2016 - 2028)

  • Colostomy

  • Ileostomy

  • Urostomy

• End-use Outlook (Revenue, USD Million, 2016 - 2028)

  • Home Care Settings

  • Hospitals

  • Others

• Regional Outlook (Revenue, USD Million, 2016 - 2028)

  • North America

    • U.S.

    • Canada

  • Europe

    • Germany

    • U.K.

    • France

    • Italy

    • Spain

  • Asia Pacific

    • Japan

    • China

    • India

    • Australia

    • South Korea

  • Latin America

    • Brazil

    • Mexico

    • Argentina

    • Colombia

  • Middle East & Africa (MEA)

    • South Africa

    • Saudi Arabia

    • UAE