Marianne Krogsgaard, Trine Bolette Borglit, Tobias Wirenfeldt Klausen, Eva Carlsson, Gerd Friis Bille, Bo Marcel Christensen, Ismail Gögenur
Aim
Stoma self-care is critical for long-term adaptation. Personalised approaches may help identify patients needing additional guidance during initial admission. This study aimed to examine factors associated with not achieving stoma self-care proficiency and develop a risk model for use in clinical practice.
Method
We linked prospective health data from the Danish Stoma Database Capital Region and the Danish Anaesthesia Database. Multiple logistic regression analysis provided risk factors associated with not achieving stoma self-care proficiency. The C-statistic was used to evaluate the discriminative ability of logistic regression models. Data were randomly split into training and validation sets to develop models and estimate risk in predefined groups.
Results
Of 5826 pre-determined for ostomy self-care, 4910 (84%) achieved proficiency at discharge, while 916 (16%) did not. Patients of older age, female sex, smokers, higher BMI and ASA scores were more likely not to perform stoma self-care. Significant treatment factors were the type of surgery, surgical approach and ‘stoma not visible to patient’. The risk model included five dichotomous factors: age ≥ 50, age ≥ 70, ASA score ≥ III, acute surgery and female sex. Each risk factor provided a score of 0 or 1 point, resulting in a maximum of five points for high-risk patients. The C-index was 0.66.
Conclusion
Baseline characteristics, treatment factors and stoma visibility were associated with a reduced likelihood of achieving stoma self-care proficiency. The risk model, which incorporates readily known variables, may help clinicians identify patients at risk. The model should be further tested in a clinical setting.
{"title":"Risk factors for not achieving stoma self-care proficiency at hospital discharge and development of a clinical prediction model: A study based on the Danish Stoma Database","authors":"Marianne Krogsgaard, Trine Bolette Borglit, Tobias Wirenfeldt Klausen, Eva Carlsson, Gerd Friis Bille, Bo Marcel Christensen, Ismail Gögenur","doi":"10.1111/codi.70382","DOIUrl":"10.1111/codi.70382","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Stoma self-care is critical for long-term adaptation. Personalised approaches may help identify patients needing additional guidance during initial admission. This study aimed to examine factors associated with not achieving stoma self-care proficiency and develop a risk model for use in clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We linked prospective health data from the Danish Stoma Database Capital Region and the Danish Anaesthesia Database. Multiple logistic regression analysis provided risk factors associated with not achieving stoma self-care proficiency. The C-statistic was used to evaluate the discriminative ability of logistic regression models. Data were randomly split into training and validation sets to develop models and estimate risk in predefined groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 5826 pre-determined for ostomy self-care, 4910 (84%) achieved proficiency at discharge, while 916 (16%) did not. Patients of older age, female sex, smokers, higher BMI and ASA scores were more likely not to perform stoma self-care. Significant treatment factors were the type of surgery, surgical approach and ‘stoma not visible to patient’. The risk model included five dichotomous factors: age ≥ 50, age ≥ 70, ASA score ≥ III, acute surgery and female sex. Each risk factor provided a score of 0 or 1 point, resulting in a maximum of five points for high-risk patients. The C-index was 0.66.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Baseline characteristics, treatment factors and stoma visibility were associated with a reduced likelihood of achieving stoma self-care proficiency. The risk model, which incorporates readily known variables, may help clinicians identify patients at risk. The model should be further tested in a clinical setting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146112614","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}
T4 colon adenocarcinoma, defined by tumour penetration of the visceral peritoneum or invasion of adjacent structures, carries a 15%–30% risk of peritoneal metastases (PM) despite curative resection and adjuvant systemic chemotherapy. Hyperthermic intraperitoneal chemotherapy (HIPEC) offers a biologically rational strategy to eradicate occult intraperitoneal tumour cells by exposing the peritoneal cavity to heated cytotoxic agents with enhanced penetration and synergistic thermal cytotoxicity. Although widely used with cytoreductive surgery for established PM, its prophylactic or adjuvant role in non-metastatic T4 disease remains uncertain. Randomized evidence is conflicting and divergent outcomes may be explained by a mechanistic triad encompassing: (1) timing of intraperitoneal drug exposure relative to early tumour implantation and adhesion formation; (2) pharmacological, thermal, and dosing characteristics of the HIPEC regimen, including its most often single administration; and (3) underlying biological heterogeneity within T4 tumours. Thus, HIPEC for T4 colon cancer remains promising in selected patients, and it may be established as routine if ongoing studies rigorously define timing, agent selection and biomarker-driven patient stratification.
{"title":"Time to define the role of hyperthermic intraperitoneal chemotherapy (HIPEC) in T4 colon cancer","authors":"Mina Sarofim","doi":"10.1111/codi.70393","DOIUrl":"10.1111/codi.70393","url":null,"abstract":"<p>T4 colon adenocarcinoma, defined by tumour penetration of the visceral peritoneum or invasion of adjacent structures, carries a 15%–30% risk of peritoneal metastases (PM) despite curative resection and adjuvant systemic chemotherapy. Hyperthermic intraperitoneal chemotherapy (HIPEC) offers a biologically rational strategy to eradicate occult intraperitoneal tumour cells by exposing the peritoneal cavity to heated cytotoxic agents with enhanced penetration and synergistic thermal cytotoxicity. Although widely used with cytoreductive surgery for established PM, its prophylactic or adjuvant role in non-metastatic T4 disease remains uncertain. Randomized evidence is conflicting and divergent outcomes may be explained by a mechanistic triad encompassing: (1) timing of intraperitoneal drug exposure relative to early tumour implantation and adhesion formation; (2) pharmacological, thermal, and dosing characteristics of the HIPEC regimen, including its most often single administration; and (3) underlying biological heterogeneity within T4 tumours. Thus, HIPEC for T4 colon cancer remains promising in selected patients, and it may be established as routine if ongoing studies rigorously define timing, agent selection and biomarker-driven patient stratification.</p>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100007","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}
Ejaz Ahmed Latif, Ali Toffaha, Ammar Aleter, Amjad Parvaiz, Mohamed Abu Nada, Mohamed Kurer
{"title":"TAMIS procedure for a recurrent rectal lesion at anastomotic site—A video vignette","authors":"Ejaz Ahmed Latif, Ali Toffaha, Ammar Aleter, Amjad Parvaiz, Mohamed Abu Nada, Mohamed Kurer","doi":"10.1111/codi.70389","DOIUrl":"10.1111/codi.70389","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092145","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}
{"title":"Translating rectopexy practice variability into precision care innovative directions","authors":"Zejun Song, Yiqi Guo","doi":"10.1111/codi.70391","DOIUrl":"10.1111/codi.70391","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092200","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}
{"title":"When the colon falls short: A technical note on tension-free colorectal anastomosis via duodenal window – A video vignette","authors":"Pablo Baeza-Ibáñez, Valentina Maluenda-Almonacid","doi":"10.1111/codi.70384","DOIUrl":"10.1111/codi.70384","url":null,"abstract":"","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092165","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}
Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), necessitates frequent disease monitoring to guide management. While colonoscopy remains the gold standard for assessing disease activity, its invasive nature limits its feasibility. Bowel ultrasonography (BUS) has emerged as a noninvasive alternative.
Objective
This systematic review and meta-analysis evaluate the diagnostic accuracy of BUS in detecting IBD activity compared to colonoscopy.
Methods
A comprehensive literature search of PubMed, CINAHL and Embase was conducted, including 37 studies evaluating BUS modalities such as colour Doppler, small intestine contrast ultrasonography (SICUS) and contrast-enhanced ultrasound (CEUS). Pooled sensitivity, specificity, diagnostic odds ratios (DOR) and likelihood ratios were calculated. Subgroup analyses were performed based on diagnostic modality and IBD subtype.
Results
The overall pooled sensitivity and specificity of BUS in IBD were 90.0% and 83.5%, respectively. SICUS had the highest sensitivity (95.0%), while BUS with colour Doppler had the highest specificity (85.1%). CEUS demonstrated the highest DOR (75.52). BUS performed best in detecting postoperative CD recurrence (sensitivity 91.9%, DOR 61.9). Meta-regression identified surgical anastomosis type as a significant predictor of diagnostic performance.
Conclusion
BUS is a highly effective noninvasive imaging modality for diagnosing and monitoring IBD. Its accuracy varies by modality, with SICUS optimal for screening and colour Doppler BUS for confirmation. Future studies should standardize BUS protocols and evaluate its role alongside MRI and CT enterography.
{"title":"Diagnostic utility of bowel ultrasonography in adults with inflammatory bowel disease: An updated systematic review and meta-analysis","authors":"Hareesha Rishab Bharadwaj, Syed Hasham Ali, Hassam Ali, Priyal Dalal, Aditya Gaur, Sushil Rayamajhi, Arkadeep Dhali, Umar Akram, Thai Hau Koo, Yash Shah, Fariha Hasan, Dushyant Singh Dahiya","doi":"10.1111/codi.70370","DOIUrl":"10.1111/codi.70370","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), necessitates frequent disease monitoring to guide management. While colonoscopy remains the gold standard for assessing disease activity, its invasive nature limits its feasibility. Bowel ultrasonography (BUS) has emerged as a noninvasive alternative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review and meta-analysis evaluate the diagnostic accuracy of BUS in detecting IBD activity compared to colonoscopy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive literature search of PubMed, CINAHL and Embase was conducted, including 37 studies evaluating BUS modalities such as colour Doppler, small intestine contrast ultrasonography (SICUS) and contrast-enhanced ultrasound (CEUS). Pooled sensitivity, specificity, diagnostic odds ratios (DOR) and likelihood ratios were calculated. Subgroup analyses were performed based on diagnostic modality and IBD subtype.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall pooled sensitivity and specificity of BUS in IBD were 90.0% and 83.5%, respectively. SICUS had the highest sensitivity (95.0%), while BUS with colour Doppler had the highest specificity (85.1%). CEUS demonstrated the highest DOR (75.52). BUS performed best in detecting postoperative CD recurrence (sensitivity 91.9%, DOR 61.9). Meta-regression identified surgical anastomosis type as a significant predictor of diagnostic performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>BUS is a highly effective noninvasive imaging modality for diagnosing and monitoring IBD. Its accuracy varies by modality, with SICUS optimal for screening and colour Doppler BUS for confirmation. Future studies should standardize BUS protocols and evaluate its role alongside MRI and CT enterography.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146084487","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}
M. Goldenshluger, M. A. Abbas, M. Belkovsky, A. Alipouriani, K. Erozkan, G. Alon, M. A. Valente, S. R. Steele, S. D. Holubar, D. Liska, E. Gorgun
<div> <section> <h3> Aim</h3> <p>Patients who have previously received radiation therapy for primary prostate cancer (PPC) face an elevated risk of developing secondary rectal cancer (SRC). However, the clinical presentation, surgical outcomes, and oncological results of SRC in this context remain poorly characterized.</p> <p>This study aims to compare the clinical and pathological features, as well as treatment outcomes, of patients with primary rectal cancer (PRC) and those with SRC following radiation for prostate cancer.</p> </section> <section> <h3> Methods</h3> <p>Retrospective cohort study using univariate and propensity-matched analyses.</p> <p>Data extracted from electronic medical records at a single tertiary institution [2001–2021].</p> <p>Male patients with rectal cancer (RC) who underwent oncological resection with or without a prior history of prostate cancer radiation. Patients with a <3-year interval between radiotherapy and RC diagnosis were excluded. The main outcome measures were pathological analysis, postoperative complications and overall survival.</p> </section> <section> <h3> Results</h3> <p>Out of 1,755 patients with RC, 50 cases (2.9%) had SRC. Forty-three out of the 50 patients were included in the analysis. The median time from radiotherapy to SRC diagnosis was 8 ± 4 years (IQR). Patients with SRC were older, with a mean age of 73.7 ± 8.5 versus 61.1 ± 13 years in the control group (<i>p</i> < 0.001), and a higher American Society of Anaesthesiologists (ASA) score (<i>p</i> = 0.006). Most SRCs were distal with a median distance from the anal verge of 4.25 cm (IQR 9.5 cm). Only seven patients (16.3%) in the SRC group received neoadjuvant radiation therapy versus 764 (44.8%) of PRC (<i>p</i> = 0.001). SRC patients required more extensive surgical interventions, including abdominoperineal resection (46.5% vs. 29.9%), pelvic exenteration (4.7% vs. 0.4%), and fewer sphincter-preserving procedures, including low anterior resection (48.8% vs. 68.2%) and transanal resection (0% vs. 1.5%) (<i>p</i> = 0.02). Propensity score matching with a 1:2 ratio matching for age, body mass index (BMI), ASA score, type of surgery, and pathological staging revealed no differences between the groups regarding tumour differentiation, staging, or postoperative complications. Survival analysis at 6 years showed no significant difference in overall survival between the SRC (53.2%, 95% CI: 35%–71%) and PRC (50.3%, 95% CI: 36%–64%) groups (<i>p</i> = 0.61).</p> </section> <section> <h
{"title":"Rectal cancer following radiotherapy for prostate cancer: A propensity-matched analysis","authors":"M. Goldenshluger, M. A. Abbas, M. Belkovsky, A. Alipouriani, K. Erozkan, G. Alon, M. A. Valente, S. R. Steele, S. D. Holubar, D. Liska, E. Gorgun","doi":"10.1111/codi.70365","DOIUrl":"10.1111/codi.70365","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Patients who have previously received radiation therapy for primary prostate cancer (PPC) face an elevated risk of developing secondary rectal cancer (SRC). However, the clinical presentation, surgical outcomes, and oncological results of SRC in this context remain poorly characterized.</p>\u0000 \u0000 <p>This study aims to compare the clinical and pathological features, as well as treatment outcomes, of patients with primary rectal cancer (PRC) and those with SRC following radiation for prostate cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective cohort study using univariate and propensity-matched analyses.</p>\u0000 \u0000 <p>Data extracted from electronic medical records at a single tertiary institution [2001–2021].</p>\u0000 \u0000 <p>Male patients with rectal cancer (RC) who underwent oncological resection with or without a prior history of prostate cancer radiation. Patients with a <3-year interval between radiotherapy and RC diagnosis were excluded. The main outcome measures were pathological analysis, postoperative complications and overall survival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 1,755 patients with RC, 50 cases (2.9%) had SRC. Forty-three out of the 50 patients were included in the analysis. The median time from radiotherapy to SRC diagnosis was 8 ± 4 years (IQR). Patients with SRC were older, with a mean age of 73.7 ± 8.5 versus 61.1 ± 13 years in the control group (<i>p</i> < 0.001), and a higher American Society of Anaesthesiologists (ASA) score (<i>p</i> = 0.006). Most SRCs were distal with a median distance from the anal verge of 4.25 cm (IQR 9.5 cm). Only seven patients (16.3%) in the SRC group received neoadjuvant radiation therapy versus 764 (44.8%) of PRC (<i>p</i> = 0.001). SRC patients required more extensive surgical interventions, including abdominoperineal resection (46.5% vs. 29.9%), pelvic exenteration (4.7% vs. 0.4%), and fewer sphincter-preserving procedures, including low anterior resection (48.8% vs. 68.2%) and transanal resection (0% vs. 1.5%) (<i>p</i> = 0.02). Propensity score matching with a 1:2 ratio matching for age, body mass index (BMI), ASA score, type of surgery, and pathological staging revealed no differences between the groups regarding tumour differentiation, staging, or postoperative complications. Survival analysis at 6 years showed no significant difference in overall survival between the SRC (53.2%, 95% CI: 35%–71%) and PRC (50.3%, 95% CI: 36%–64%) groups (<i>p</i> = 0.61).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092197","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}
Anna Provoost, Louis Onghena, Khushi Jeswani, Yves van Nieuwenhove, Eva Pape, Gabrielle H. van Ramshorst
Purpose
This study aimed to delineate the existing knowledge regarding the impact of colorectal cancer surgery on the sexuality of LGB patients, highlighting the need for culturally competent care tailored to their unique needs.
Methods
A comprehensive search was conducted from October 2024 onwards across PubMed, Embase, CINAHL, Google Scholar, Web of Science, Scopus, PsychINFO, Cochrane Library, and Joanna Briggs Institute using the MeSH terms ‘sexual and gender minorities’, ‘colorectal surgery’, ‘colorectal neoplasms’ and ‘sexuality’. Inclusion criteria required LGB patients over 18 years, at least 50% of the sample diagnosed with colorectal cancer and treated operatively. All studies were critically appraised.
Results
Six studies from the UK and the US were included. Sample size ranged from 1 to 480. Participants identifying as LGB ranged from 26.4 to 100%. Key findings revealed LGB patients experience similar physical consequences to heterosexual patients (erectile and ejaculatory dysfunction, dyspareunia, vaginal dryness), but implications might differ, e.g., regarding anal intercourse. A lower mental quality of life was reported, including body image issues related to stomas. Relationship challenges and intimacy issues were highlighted. The cultural competence of healthcare providers has a significant influence on patient experiences, highlighting a gap in inclusive care. Critical appraisal revealed both methodological strengths and weaknesses.
Conclusion
This review highlighted the sexual health challenges of LGB patients after colorectal cancer surgery, with issues like sexual function and mental wellbeing often being underreported. Cultural competence training for healthcare providers and integrating patients' partners into cancer care are crucial for a holistic approach.
目的：本研究旨在描述关于结直肠癌手术对LGB患者性取向影响的现有知识，强调需要针对他们的独特需求量身定制具有文化能力的护理。方法：从2024年10月起在PubMed、Embase、CINAHL、b谷歌Scholar、Web of Science、Scopus、PsychINFO、Cochrane Library和Joanna Briggs Institute进行全面检索，使用MeSH术语“性和性别少数群体”、“结直肠外科”、“结直肠肿瘤”和“性”。纳入标准要求18岁以上的LGB患者，至少50%的样本被诊断为结直肠癌并接受手术治疗。所有的研究都经过严格的评价。结果：纳入了来自英国和美国的6项研究。样本量从1到480。认同为LGB的参与者从26.4%到100%不等。主要研究结果显示，LGB患者与异性恋患者经历相似的生理后果（勃起和射精功能障碍、性交困难、阴道干燥），但含义可能有所不同，例如，在肛交方面。据报道，精神生活质量较低，包括与气孔有关的身体形象问题。强调了关系挑战和亲密问题。医疗保健提供者的文化能力对患者体验有重大影响，突出了包容性护理的差距。批判性评价揭示了方法论的优点和缺点。结论：本综述强调了结直肠癌手术后LGB患者的性健康挑战，性功能和心理健康等问题往往被低估。对医疗保健提供者进行文化能力培训，并将患者的合作伙伴纳入癌症护理中，这对整体方法至关重要。
{"title":"Experiences of LGB patients undergoing colorectal cancer surgery: A focus on sexuality","authors":"Anna Provoost, Louis Onghena, Khushi Jeswani, Yves van Nieuwenhove, Eva Pape, Gabrielle H. van Ramshorst","doi":"10.1111/codi.70375","DOIUrl":"10.1111/codi.70375","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to delineate the existing knowledge regarding the impact of colorectal cancer surgery on the sexuality of LGB patients, highlighting the need for culturally competent care tailored to their unique needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search was conducted from October 2024 onwards across PubMed, Embase, CINAHL, Google Scholar, Web of Science, Scopus, PsychINFO, Cochrane Library, and Joanna Briggs Institute using the MeSH terms ‘sexual and gender minorities’, ‘colorectal surgery’, ‘colorectal neoplasms’ and ‘sexuality’. Inclusion criteria required LGB patients over 18 years, at least 50% of the sample diagnosed with colorectal cancer and treated operatively. All studies were critically appraised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six studies from the UK and the US were included. Sample size ranged from 1 to 480. Participants identifying as LGB ranged from 26.4 to 100%. Key findings revealed LGB patients experience similar physical consequences to heterosexual patients (erectile and ejaculatory dysfunction, dyspareunia, vaginal dryness), but implications might differ, e.g., regarding anal intercourse. A lower mental quality of life was reported, including body image issues related to stomas. Relationship challenges and intimacy issues were highlighted. The cultural competence of healthcare providers has a significant influence on patient experiences, highlighting a gap in inclusive care. Critical appraisal revealed both methodological strengths and weaknesses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review highlighted the sexual health challenges of LGB patients after colorectal cancer surgery, with issues like sexual function and mental wellbeing often being underreported. Cultural competence training for healthcare providers and integrating patients' partners into cancer care are crucial for a holistic approach.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146084660","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}
Noa Bornauw, Gabriëlle H. van Ramshorst, Yves Van Nieuwenhove, Dirk Van de Putte, Kjell Fierens, Paul Pattyn, Karen Geboes, Ann Van Hecke, Eva Pape
Aim
This study aimed to evaluate the significance of a stepped nurse-led low anterior resection syndrome (LARS) clinic for patients.
Methods
A Nurse-Led Clinic (NLC) with a stepped intervention approach for patients with LARS was developed and implemented. An exploratory study was conducted in three hospitals to evaluate the nurse-led clinic. Adult rectal cancer patients experiencing LARS who attended the NLC were recruited via maximum variation sampling for semi-structured interviews. Thematic analysis was performed, employing researcher triangulation to enhance reliability.
Results
Seventeen participants were interviewed to evaluate the clinic. Participants described five characteristics: (1) presence of the nurse, (2) accessibility, (3) providing recognition, affirmation and understanding, (4) coordinating and (5) timing of the consultation. In addition, participants outlined four principal tasks: (1) providing information, (2) management of symptoms, (3) support and (4) follow-up and continuity of care.
Conclusion
The NLC offered meaningful support by addressing patients' concerns comprehensively. It normalised the condition, empowered patients with tailored information and provided effective symptom management strategies.
{"title":"A stepped nurse-led LARS clinic: A qualitative evaluation","authors":"Noa Bornauw, Gabriëlle H. van Ramshorst, Yves Van Nieuwenhove, Dirk Van de Putte, Kjell Fierens, Paul Pattyn, Karen Geboes, Ann Van Hecke, Eva Pape","doi":"10.1111/codi.70379","DOIUrl":"10.1111/codi.70379","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate the significance of a stepped nurse-led low anterior resection syndrome (LARS) clinic for patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A Nurse-Led Clinic (NLC) with a stepped intervention approach for patients with LARS was developed and implemented. An exploratory study was conducted in three hospitals to evaluate the nurse-led clinic. Adult rectal cancer patients experiencing LARS who attended the NLC were recruited via maximum variation sampling for semi-structured interviews. Thematic analysis was performed, employing researcher triangulation to enhance reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen participants were interviewed to evaluate the clinic. Participants described five characteristics: (1) presence of the nurse, (2) accessibility, (3) providing recognition, affirmation and understanding, (4) coordinating and (5) timing of the consultation. In addition, participants outlined four principal tasks: (1) providing information, (2) management of symptoms, (3) support and (4) follow-up and continuity of care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The NLC offered meaningful support by addressing patients' concerns comprehensively. It normalised the condition, empowered patients with tailored information and provided effective symptom management strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Reporting Method</h3>\u0000 \u0000 <p>SRQR checklist.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":"28 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146060587","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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