Adjuvant chemotherapy after radical resection is recommended for patients with high-risk Stages II and III colorectal cancer (CRC). However, the efficacy and safety of adjuvant chemotherapy in geriatric patients require elucidation.
Methods
We analysed data from seven clinical trials conducted by the Japanese Foundation for the Multidisciplinary Treatment of Cancer. Survival curves were estimated using the Kaplan–Meier method and compared using the log-rank test. Survival analysis was performed using a Cox proportional hazards model.
Results
This study included 7756 non-geriatric (<70 years) and 1706 geriatric patients (≥70 years). Adjuvant chemotherapy significantly improved the 5-year overall survival in non-geriatric patients (81.6% vs. 73.6%, p < 0.001) but did not significantly improve the survival rate in geriatric patients (78.9% vs. 76.1%, p = 0.129). However, adjuvant chemotherapy was effective for N+ geriatric patients (hazard ratio, 0.48; 95% confidence interval, 0.35–0.66; p < 0.001). Adverse events associated with adjuvant chemotherapy were significantly more frequent in geriatric than in non-geriatric patients.
Conclusion
Adjuvant chemotherapy in geriatric patients with node-positive CRC was as effective as in non-geriatric patients, although no benefit was shown in geriatric patients with node-negative CRC. More adverse events were observed in geriatric patients than in non-geriatric patients.
{"title":"Efficacy and safety of oral 5-FU-based adjuvant chemotherapy for geriatric patients with colorectal cancer: Integrated analysis of seven clinical trials conducted at the Japanese Foundation for Multidisciplinary Treatment of Cancer","authors":"Nobuaki Hoshino, Mitsuro Kanda, Koji Oba, Toru Aoyama, Michitaka Honda, Kosuke Kashiwabara, Hiromichi Maeda, Shuhei Mayanagi, Masaru Muto, Kenji Tanaka, Hisakazu Yamagishi, Junichi Sakamoto, Kazutaka Obama, Takaki Yoshikawa","doi":"10.1111/codi.70317","DOIUrl":"10.1111/codi.70317","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adjuvant chemotherapy after radical resection is recommended for patients with high-risk Stages II and III colorectal cancer (CRC). However, the efficacy and safety of adjuvant chemotherapy in geriatric patients require elucidation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed data from seven clinical trials conducted by the Japanese Foundation for the Multidisciplinary Treatment of Cancer. Survival curves were estimated using the Kaplan–Meier method and compared using the log-rank test. Survival analysis was performed using a Cox proportional hazards model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This study included 7756 non-geriatric (<70 years) and 1706 geriatric patients (≥70 years). Adjuvant chemotherapy significantly improved the 5-year overall survival in non-geriatric patients (81.6% vs. 73.6%, <i>p</i> < 0.001) but did not significantly improve the survival rate in geriatric patients (78.9% vs. 76.1%, <i>p</i> = 0.129). However, adjuvant chemotherapy was effective for N+ geriatric patients (hazard ratio, 0.48; 95% confidence interval, 0.35–0.66; <i>p</i> < 0.001). Adverse events associated with adjuvant chemotherapy were significantly more frequent in geriatric than in non-geriatric patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Adjuvant chemotherapy in geriatric patients with node-positive CRC was as effective as in non-geriatric patients, although no benefit was shown in geriatric patients with node-negative CRC. More adverse events were observed in geriatric patients than in non-geriatric patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12641072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145586165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Logistical requirements for high-resolution anoscopy: Pre-procedure preparation and materials – A video vignette","authors":"Cigdem Arslan","doi":"10.1111/codi.70318","DOIUrl":"10.1111/codi.70318","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In section P0872, Validation and reliability of the Turkish AF-QoL scale for cryptoglandular anal fistula, the funding acknowledgement was inadvertently omitted.
The abstract should include the following statement:
Acknowledgements: Participation in the 20th ESCP Scientific Conference (Tripartite Colorectal Meeting, Paris, 10–12 September 2025) was supported by the Scientific and Technological Research Council of Türkiye (TÜBİTAK).
{"title":"Correction to ‘E-Posters’","authors":"","doi":"10.1111/codi.70315","DOIUrl":"https://doi.org/10.1111/codi.70315","url":null,"abstract":"<p>(2025), E-Posters. <i>Colorectal Dis</i>, 27: e70174. https://doi.org/10.1111/codi.70174.</p><p>In section P0872, Validation and reliability of the Turkish AF-QoL scale for cryptoglandular anal fistula, the funding acknowledgement was inadvertently omitted.</p><p>The abstract should include the following statement:</p><p><b>Acknowledgements:</b> Participation in the 20th ESCP Scientific Conference (Tripartite Colorectal Meeting, Paris, 10–12 September 2025) was supported by the Scientific and Technological Research Council of Türkiye (TÜBİTAK).</p><p>We apologize for this error.</p>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/codi.70315","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145572281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marina Looby, Lewis Matthews, Charles T. West, Kashuf Khan, Gillian Ansell, Kathryn Donovan, Laura Wood, Patrick Tapley, Rhys Lewis, Kate Stoddard, Michael P. W. Grocott, Sandy Jack, Hideaki Yano, Denny Levett, Alex Mirnezami, Malcolm A. West
Aim
Locally advanced pelvic malignancies, such as colorectal and anal cancers, can only be cured through multimodal cancer treatment including multi-visceral exenterative resections, which carry a high mortality and morbidity risk. Despite strong predictive abilities in other cancer cohorts, the combined prognostic value of body composition and cardiopulmonary exercise testing (CPET) for major in-hospital morbidity in patients undergoing exenterative surgery for advanced pelvic cancers has not been evaluated.
Method
A locally advanced colorectal and anal cancer cohort was derived from a prospectively maintained quaternary database. CPET was undertaken preoperatively, according to national guidelines. Skeletal muscle index (SMI) and radiation attenuation (SM-RA) were obtained from analysing L3 slices from preoperative computed tomography scans using SliceOmatic 5.0 and classified using predefined thresholds. Major morbidity was defined as Clavien-Dindo classification 3a or greater.
Results
From 247 patients (58% male, median age 60 years), 62.4% and 35.5% had locally advanced or recurrent disease respectively. Physical fitness variables were significantly reduced in low SMI or low SM-RA patients. In multivariate linear regression, SMI was strongly predictive of oxygen uptake at the anaerobic threshold (B = 0.013, p = 0.001) and at peak (B = 0.015, p = 0.002). 17.3% of all patients experienced a major postoperative complication. In multivariate analysis, reduced peak power output (<1.5 W kg−1) was significantly associated with an increased risk of postoperative major morbidity (OR = 2.6, p = 0.012).
Conclusion
CPET may be predictive of in-hospital major morbidity in this cohort. The association of CPET with body composition necessitates further evaluation and external validation in a larger patient cohort, specifically interrogating their combined role in morbidity prediction and as a target for prehabilitation interventions.
目的：局部晚期盆腔恶性肿瘤，如结直肠癌和肛门癌，只能通过包括多脏器切除在内的多模式癌症治疗来治愈，其死亡率和发病率较高。尽管在其他癌症队列中有很强的预测能力，但身体成分和心肺运动试验（CPET）对晚期盆腔癌行肠手术患者主要住院发病率的联合预后价值尚未得到评估。方法：从前瞻性维护的第四纪数据库中提取局部晚期结直肠癌和肛门癌队列。术前根据国家指南进行CPET检查。骨骼肌指数（SMI）和辐射衰减（SM-RA）通过分析术前计算机断层扫描的L3切片，使用SliceOmatic 5.0获得，并使用预定义阈值进行分类。主要发病定义为Clavien-Dindo分级3a及以上。结果：247例患者中，男性占58%，中位年龄60岁，分别有62.4%和35.5%为局部晚期或复发性疾病。低SMI或低SM-RA患者的身体健康变量显著降低。在多元线性回归中，SMI对无氧阈值（B = 0.013, p = 0.001）和峰值（B = 0.015, p = 0.002）的摄氧量有很强的预测作用。17.3%的患者出现了严重的术后并发症。在多变量分析中，峰值输出功率（-1）的降低与术后主要发病风险的增加显著相关（OR = 2.6, p = 0.012）。结论：CPET可预测该队列患者的院内重大发病率。CPET与身体成分的关联需要在更大的患者队列中进一步评估和外部验证，特别是质疑它们在发病率预测中的综合作用以及作为康复干预的目标。
{"title":"Physical fitness and body composition assessments in advanced cancer patients undergoing exenterative surgery – A pilot cohort study","authors":"Marina Looby, Lewis Matthews, Charles T. West, Kashuf Khan, Gillian Ansell, Kathryn Donovan, Laura Wood, Patrick Tapley, Rhys Lewis, Kate Stoddard, Michael P. W. Grocott, Sandy Jack, Hideaki Yano, Denny Levett, Alex Mirnezami, Malcolm A. West","doi":"10.1111/codi.70298","DOIUrl":"10.1111/codi.70298","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Locally advanced pelvic malignancies, such as colorectal and anal cancers, can only be cured through multimodal cancer treatment including multi-visceral exenterative resections, which carry a high mortality and morbidity risk. Despite strong predictive abilities in other cancer cohorts, the combined prognostic value of body composition and cardiopulmonary exercise testing (CPET) for major in-hospital morbidity in patients undergoing exenterative surgery for advanced pelvic cancers has not been evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A locally advanced colorectal and anal cancer cohort was derived from a prospectively maintained quaternary database. CPET was undertaken preoperatively, according to national guidelines. Skeletal muscle index (SMI) and radiation attenuation (SM-RA) were obtained from analysing L3 slices from preoperative computed tomography scans using SliceOmatic 5.0 and classified using predefined thresholds. Major morbidity was defined as Clavien-Dindo classification 3a or greater.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 247 patients (58% male, median age 60 years), 62.4% and 35.5% had locally advanced or recurrent disease respectively. Physical fitness variables were significantly reduced in low SMI or low SM-RA patients. In multivariate linear regression, SMI was strongly predictive of oxygen uptake at the anaerobic threshold (B = 0.013, <i>p</i> = 0.001) and at peak (B = 0.015, <i>p</i> = 0.002). 17.3% of all patients experienced a major postoperative complication. In multivariate analysis, reduced peak power output (<1.5 W kg<sup>−1</sup>) was significantly associated with an increased risk of postoperative major morbidity (OR = 2.6, <i>p</i> = 0.012).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>CPET may be predictive of in-hospital major morbidity in this cohort. The association of CPET with body composition necessitates further evaluation and external validation in a larger patient cohort, specifically interrogating their combined role in morbidity prediction and as a target for prehabilitation interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145548534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fernando de la Portilla de Juan, María L. Reyes Díaz, Ana Huidobro Piriz, Soledad Oliart Delgado, Rosa Pelaez Barrigón, Lourdes Gomez Bujedo, Teresa Calderon Duque, Begoña Ochoa, FISTULASER Study Group Collaborators
Background
Ablation of anal fistula tract using a radial laser-emitting probe is a sphincter-preserving technique.
Objective
The objective of investigating the safety and efficacy of laser treatment for complex anal fistula.
Design
This was a prospective and observational analysis of the long-term outcomes of 172 patients who underwent laser ablation of the fistula tract.
Settings
This was a multicentre, single-arm study, involving 20 Spanish centres.
Patients
Patients with cryptoglandular anal fistulas with an external orifice, high intersphincteric fistula or low intersphincteric fistula with faecal incontinence, transsphincteric fistula and suprasphincteric fistula.
Interventions
A probe housing a 12-watt laser emitting at a wavelength of 1470 nm and an energy level of 100 joule/cm was used.
Main Outcome Measures
Complete treatment success was defined as the closure of the external opening and the absence of fistula drainage, with closure of the fistula tract confirmed by clinical evaluation. Partial success was defined as the external opening remaining open but without drainage. Surgical complications, including continence disorders, were also assessed. Patients were evaluated at 1, 3, 6, and 12 months after surgery.
Results
A total of 172 patients underwent laser ablation of the fistula tract with a median age of 51 (43–61) years. The majority of them were men (62,8%). A total of 133 patients (77.32%) were followed up for a minimum of 12 months. The number of patients with complete healing was 59 (44.3%) and partial healing was observed in seven (5.26%). Healing (clinical and radiological) was not achieved in 67 patients (50.37%). Nine reported adverse events. None of the patients experienced permanent anal incontinence.
Limitations
It is the loss to follow-up of up to 20% of patients, as many patients do not tolerate waiting within a strict visit schedule.
{"title":"National observational study about the surgical treatment of anal fistula with laser (the FISTULASER study)","authors":"Fernando de la Portilla de Juan, María L. Reyes Díaz, Ana Huidobro Piriz, Soledad Oliart Delgado, Rosa Pelaez Barrigón, Lourdes Gomez Bujedo, Teresa Calderon Duque, Begoña Ochoa, FISTULASER Study Group Collaborators","doi":"10.1111/codi.70302","DOIUrl":"10.1111/codi.70302","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Ablation of anal fistula tract using a radial laser-emitting probe is a sphincter-preserving technique.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of investigating the safety and efficacy of laser treatment for complex anal fistula.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This was a prospective and observational analysis of the long-term outcomes of 172 patients who underwent laser ablation of the fistula tract.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Settings</h3>\u0000 \u0000 <p>This was a multicentre, single-arm study, involving 20 Spanish centres.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients</h3>\u0000 \u0000 <p>Patients with cryptoglandular anal fistulas with an external orifice, high intersphincteric fistula or low intersphincteric fistula with faecal incontinence, transsphincteric fistula and suprasphincteric fistula.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>A probe housing a 12-watt laser emitting at a wavelength of 1470 nm and an energy level of 100 joule/cm was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Complete treatment success was defined as the closure of the external opening and the absence of fistula drainage, with closure of the fistula tract confirmed by clinical evaluation. Partial success was defined as the external opening remaining open but without drainage. Surgical complications, including continence disorders, were also assessed. Patients were evaluated at 1, 3, 6, and 12 months after surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 172 patients underwent laser ablation of the fistula tract with a median age of 51 (43–61) years. The majority of them were men (62,8%). A total of 133 patients (77.32%) were followed up for a minimum of 12 months. The number of patients with complete healing was 59 (44.3%) and partial healing was observed in seven (5.26%). Healing (clinical and radiological) was not achieved in 67 patients (50.37%). Nine reported adverse events. None of the patients experienced permanent anal incontinence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Limitations</h3>\u0000 \u0000 <p>It is the loss to follow-up of up to 20% of patients, as many patients do not tolerate waiting within a strict visit schedule.</p>\u0000 </section>\u0000 \u0000 ","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145539175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shoeib Mirdha, Evripidis Tokidis, Louise Le Blevec, Tim Wilson
Introduction
Exposure to proctology during post-graduate colorectal training is often variable. Videos of proctological procedures can benefit surgical trainees' self-directed learning. The aim of this study is to evaluate the quality of freely available online video material on proctological procedures using a modified colorectal video assessment framework.
Methods
PubMed and the YouTube™ platform were searched for the following terms related to proctological procedures for haemorrhoids, anal fissure and fistula. These were assessed (cross-sectional study) for quality using a modified video-assessment checklist that was validated by three colorectal surgeons who regularly perform proctology cases. The resulting 9-item evaluation tool was designed to capture the extent to which videos provide concise and structured information typically required for peer review.
Results
A total of 98 surgical videos were assessed, comprising 65 from peer-reviewed. Journals and 35 from YouTube™ only. The median total score for peer-reviewed videos was 16.0 (interquartile range [IQR] 13.0–17.0) compared to 10 (IQR 8.0–12.0) for the non-peer-reviewed videos. This difference was statistically significant (Mann–Whitney U = 2024.0, p < 0.001). In particular, journal videos were significantly better at providing more contextual information about the case including presenting symptoms and outcomes.
Conclusion
As might be expected, the quality of YouTube™ videos from the perspective of proctology training was inferior to those released online by peer-reviewed journals. This provides further evidence for the validity of using modified checklists to assess the quality of training materials. Given the findings of this study, trainees should be encouraged to prioritise journal-related over other freely available material for self-directed learning.
简介：在研究生结肠直肠培训期间，直肠病学的暴露往往是可变的。直肠外科手术视频有利于外科受训者的自主学习。本研究的目的是使用改进的结肠直肠视频评估框架来评估免费提供的直肠外科手术在线视频材料的质量。方法：检索PubMed和YouTube™平台，检索以下与痔疮、肛裂和瘘管直肠外科手术相关的术语。使用改进的视频评估检查表对其质量进行评估（横断面研究），该检查表由三名定期进行直肠外科手术的结直肠外科医生验证。由此产生的9项评价工具旨在捕捉视频提供同行审查通常所需的简明和结构化信息的程度。结果：共评估了98个手术视频，其中65个来自同行评审。期刊和35只从YouTube™。同行评议视频的中位数总分为16.0（四分位间距[IQR] 13.0-17.0），而非同行评议视频的中位数总分为10 （IQR 8.0-12.0）。这一差异具有统计学意义（Mann-Whitney U = 2024.0, p）。结论：正如预期的那样，从直肠科培训的角度来看，YouTube™视频的质量不如同行评议期刊在线发布的视频。这进一步证明了使用修改后的核对表来评估培训材料质量的有效性。鉴于这项研究的结果，应鼓励受训者优先考虑与期刊有关的材料，而不是其他免费提供的材料，以便自主学习。
{"title":"Should online, free proctology videos be used for self-directed post-graduate learning? A proposed evaluation using a colorectal video assessment framework","authors":"Shoeib Mirdha, Evripidis Tokidis, Louise Le Blevec, Tim Wilson","doi":"10.1111/codi.70313","DOIUrl":"10.1111/codi.70313","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Exposure to proctology during post-graduate colorectal training is often variable. Videos of proctological procedures can benefit surgical trainees' self-directed learning. The aim of this study is to evaluate the quality of freely available online video material on proctological procedures using a modified colorectal video assessment framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed and the YouTube™ platform were searched for the following terms related to proctological procedures for haemorrhoids, anal fissure and fistula. These were assessed (cross-sectional study) for quality using a modified video-assessment checklist that was validated by three colorectal surgeons who regularly perform proctology cases. The resulting 9-item evaluation tool was designed to capture the extent to which videos provide concise and structured information typically required for peer review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 98 surgical videos were assessed, comprising 65 from peer-reviewed. Journals and 35 from YouTube™ only. The median total score for peer-reviewed videos was 16.0 (interquartile range [IQR] 13.0–17.0) compared to 10 (IQR 8.0–12.0) for the non-peer-reviewed videos. This difference was statistically significant (Mann–Whitney <i>U</i> = 2024.0, <i>p</i> < 0.001). In particular, journal videos were significantly better at providing more contextual information about the case including presenting symptoms and outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>As might be expected, the quality of YouTube™ videos from the perspective of proctology training was inferior to those released online by peer-reviewed journals. This provides further evidence for the validity of using modified checklists to assess the quality of training materials. Given the findings of this study, trainees should be encouraged to prioritise journal-related over other freely available material for self-directed learning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The devil in the details—Unpacking functional recovery after ileal pouch-anal anastomosis","authors":"Xiaoyu Wang","doi":"10.1111/codi.70312","DOIUrl":"https://doi.org/10.1111/codi.70312","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"27 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145522039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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