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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 ...
- 2019-02-12
- Springer,2019
- electronicrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:umu-156475
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-156475URI
- https://doi.org/10.1007/s00384-019-03258-6DOI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- 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.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
- Defunctioning stoma
- Distance
- Permanent stoma
- Rectal cancer
- Rural
- Stoma reversal
Added entries (persons, corporate bodies, meetings, titles ...)
- Strigård, KarinUmeå universitet,Kirurgi,Clister(Swepub:umu)kast0065 (author)
- Gunnarsson, UlfClister(Swepub:umu)ulgu0014 (author)
- Umeå universitetKirurgi (creator_code:org_t)
Related titles
- In:International Journal of Colorectal Disease: Springer34:6, s. 993-10000179-19581432-1262
Internet link
- https://doi.org/10.1007/s00384-019-03258-6Fulltext
- https://umu.diva-portal.org/smash/get/diva2:1289410/FULLTEXT02.pdffulltext:print
- https://link.springer.com/content/pdf/10.1007/s00384-019-03258-6.pdf
- https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-156475
- https://doi.org/10.1007/s00384-019-03258-6
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