{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:14:30Z","timestamp":1788347670041,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study investigated nationwide trends, demographic characteristics, and seasonal patterns of rectal prolapse surgery in Japan, using healthcare claims databases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Surgical data were extracted from the National Database of Health Insurance Claims (NDB) from 2014 to 2023. Procedures were classified by surgical approach as conventional or laparoscopic. Crude and age\u2010adjusted rates per 100\u2009000 person\u2010years were calculated. Temporal trends were assessed using linear and Poisson regression. Seasonal variations (April 2019\u2013March 2024) were evaluated using one\u2010way analysis of variance with post hoc comparisons, and correlations with meteorological variables were examined using Pearson's correlation coefficients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over the decade, a total of 62\u2009407 overall surgeries were performed, with an average annual rate of 4.7 per 100\u2009000 person\u2010years and an overall female\u2010to\u2010male ratio of 6.9:1. Overall surgery rates peaked at ages 85\u201389 in males (5.5 per 100\u2009000 person\u2010years) and females (59.1). While age\u2010adjusted overall and conventional surgeries declined significantly, laparoscopic surgeries significantly increased (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Age\u2010adjusted overall surgery rates declined significantly in both sexes (RR\u2009=\u20090.960 for males, 0.983 for females, and 0.979 overall; each\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), particularly among younger women aged 30\u201339\u2009years (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0024). The mean seasonal overall surgeries exhibited distinct seasonal variation: 578.0 (SD 99.2) in spring, 440.0 (SD 85.9) in summer, 432.4 (SD 50.8) in autumn, and 544.4 (SD 71.8) in winter, and showed moderate negative correlations with temperature.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides contemporary epidemiological insights into surgical management of rectal prolapse in Japan.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ags3.70242","type":"journal-article","created":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T06:45:08Z","timestamp":1782542708000},"page":"1612-1622","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends, Demographic Characteristics and Seasonal Patterns of Rectal Prolapse Surgery in Japan: A Nationwide Claims\u2010Based Analysis From 2014 to 2023"],"prefix":"10.1002","volume":"10","author":[{"given":"Masamitsu","family":"Kido","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Inage Hospital  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Arita","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Digestive Surgery, Graduate School of Medical Science Kyoto Prefectural University of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Digestive Surgery, Graduate School of Medical Science Kyoto Prefectural University of Medicine  Kyoto 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University of Yamanashi  Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2154-1602","authenticated-orcid":false,"given":"Hiroyuki","family":"Okimura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Graduate School of Medical Science Kyoto Prefectural University of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5213-3831","authenticated-orcid":false,"given":"Atsuko","family":"Fujihara","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medical Science Kyoto Prefectural University of Medicine  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kengo","family":"Yoshii","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics in Medical Sciences Kyoto Prefectural University of Medicine  Kyoto 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