Global variation in anastomosis and end colostomy formation following left-sided colorectal resection
dc.contributor.author | Glasbey, James C. | |
dc.contributor.author | Adisa, Adewale O. | |
dc.contributor.author | Costas-Chavarri, Ainhoa | |
dc.contributor.author | Qureshi, Ahmad U. | |
dc.contributor.author | Allen-Ingabire, Jean C. | |
dc.contributor.author | Salem, Hosni Khairy | |
dc.contributor.author | Lossius, William J | |
dc.contributor.author | Havemann, Ingemar | |
dc.contributor.author | Thorsen, Kenneth | |
dc.contributor.author | Narvestad, Jon | |
dc.contributor.author | Søreide, Kjetil | |
dc.contributor.author | Wold, Trude Beate | |
dc.contributor.author | Nymo, Linn Såve | |
dc.contributor.author | Veen, Torhild | |
dc.contributor.author | Kanani, Arezo | |
dc.contributor.author | Styles, Kristian | |
dc.contributor.author | Herikstad, Ragnar | |
dc.contributor.author | Larsen, Johannes Wiik | |
dc.contributor.author | Søreide, Jon Arne | |
dc.contributor.author | Jensen, Elisabeth | |
dc.contributor.author | Gran, Mads | |
dc.contributor.author | Aahlin, Eirik Kjus | |
dc.contributor.author | Gaarder, Christine | |
dc.contributor.author | Monrad-Hansen, Peter Wiel | |
dc.contributor.author | Næss, Pål Aksel | |
dc.contributor.author | Lauzikas, Giedrius | |
dc.contributor.author | Wiborg, Joachim | |
dc.contributor.author | Holte, Silje Stensholt | |
dc.contributor.author | Augestad, Knut Magne | |
dc.contributor.author | Singh, Banipal Gurpreet | |
dc.contributor.author | Monteleone, Michela Maria Angela | |
dc.contributor.author | Moe, Thomas Tetens | |
dc.contributor.author | Schultz, Johannes Kurt | |
dc.contributor.author | Bliksøen, Marte | |
dc.contributor.author | Kojo, Anyomih Theophilus Teddy | |
dc.contributor.author | Tabiri, Stephen | |
dc.contributor.author | Nepogodiev, Dmitri | |
dc.contributor.author | Lilford, Richard J. | |
dc.contributor.author | Harrison, Ewen M. | |
dc.contributor.author | Pinkney, Thomas | |
dc.contributor.author | Smart, Neil | |
dc.contributor.author | Bhangu, Aneel | |
dc.contributor.author | Ademuyiwa, Adesoji | |
dc.contributor.author | Aguilera, Maria Lorena | |
dc.contributor.author | Altamini, Afnan | |
dc.contributor.author | Alexander, Philip | |
dc.contributor.author | Al-Saqqa, Sara W. | |
dc.contributor.author | Borda-Luque, Giuliano | |
dc.contributor.author | Cornick, Jen | |
dc.contributor.author | Drake, Thomas M. | |
dc.date.accessioned | 2022-12-08T12:44:49Z | |
dc.date.available | 2022-12-08T12:44:49Z | |
dc.date.created | 2020-02-12T15:45:31Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | BJS Open. 2019, 3, 403-414. | en_US |
dc.identifier.issn | 2474-9842 | |
dc.identifier.uri | https://hdl.handle.net/11250/3036786 | |
dc.description.abstract | Background: End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods: This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results: In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion: Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Wiley | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Global variation in anastomosis and end colostomy formation following left-sided colorectal resection | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.pagenumber | 403-414 | en_US |
dc.source.volume | 3 | en_US |
dc.source.journal | BJS Open | en_US |
dc.identifier.doi | 10.1002/bjs5.50138 | |
dc.identifier.cristin | 1793622 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 |