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Long distance to ho...
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Näverlo, SimonUmeå universitet,Kirurgi,Clister ; Arcum
(author)
Long distance to hospital is not a risk factor for non-reversal of a defunctioning stoma
- Article/chapterEnglish2019
Publisher, publication year, extent ...
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2019-02-12
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Springer,2019
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:umu-156475
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-156475URI
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https://doi.org/10.1007/s00384-019-03258-6DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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PURPOSE: To see if road distance to hospital influences stoma reversal rate, time from index operation to stoma reversal, and occurrence of permanent stoma.METHODS: Data from all diagnosed cases of rectal cancer from three counties in northern Sweden were extracted from the Swedish Rectal Cancer Registry. The three counties are sparsely populated, with a population density roughly one fifth the average density in Sweden. Distances to nearest, operating, and largest hospital were obtained using Google Maps™. Matched data on socioeconomic variables were retrieved from Statistics Sweden.RESULTS: In univariate logistic regression analysis, patients living closer to the operating hospital had a higher likelihood of non-reversal than those living farther away (OR 0.3; 95% CI 0.12-0.76). However, no difference was seen in the multivariate analysis. Of the 717 cases included, 54% received a permanent stoma and 38% a defunctioning stoma at index surgery. The reversal rate of a defunctioning stoma was 83%. At follow-up, 61% still had a stoma, 89% of these were permanent, and 11% non-reversed defunctioning stomas. Median time to stoma reversal was 287 days (82-1557 days). Of all 227 stoma reversals, 77% were done more than 6 months after index surgery.CONCLUSIONS: Longer distance to hospital is not a risk factor for non-reversal of a defunctioning stoma. Only 23% had their defunctioning stoma reversed within 6 months after index surgery. Future studies aiming to determine reversal rate need to extend their follow-up time in order to receive accurate results.
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Strigård, KarinUmeå universitet,Kirurgi,Clister(Swepub:umu)kast0065
(author)
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Gunnarsson, UlfClister(Swepub:umu)ulgu0014
(author)
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Umeå universitetKirurgi
(creator_code:org_t)
Related titles
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In:International Journal of Colorectal Disease: Springer34:6, s. 993-10000179-19581432-1262
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