{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T01:01:16Z","timestamp":1784682076604,"version":"3.55.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":57,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Stoma placement is a frequently performed procedure. Short- and long-term stoma-related complications affect up to 80% of patients and are known to reduce quality of life (QoL). Stoma revision surgery may be indicated, but its influences on QoL have not been studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The precursor to this study, the\n                      <jats:bold>ST<\/jats:bold>\n                      oma appl\n                      <jats:bold>I<\/jats:bold>\n                      an\n                      <jats:bold>C<\/jats:bold>\n                      e lea\n                      <jats:bold>K<\/jats:bold>\n                      age and its risk factors, consequences and preventive treatments (STICK-I) was a retrospective cohort study conducted across three hospitals between 2019 and 2022. Patients with a colostomy, ileostomy, or certain type of urostomy for at least 1 year were included. The data of the STICK-I study were used for this substudy. The stoma-QoL score was compared between a stoma revision surgery and a control group using propensity matching. Patients stoma-QoL scores before and after revision surgery were separately analyzed as their own controls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of 643 patients, 336 completed the questionnaire, of whom 65 were assigned to the revision group, 216 to the control group, and 10 to the own-control group. Matching resulted in comparable baseline parameters, except for sex. Other baseline characteristics were equally distributed among the groups. The stoma-QoL scores in patients who had undergone stoma revision (mean 56, 95% CI 52\u201360) did not significantly differ from those who did not undergo stoma revision (mean 59, 95% CI 57\u201361), (mean difference 2.61,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.160). Patients in the own-control group scored significantly higher on the stoma-QoL after revision surgery (mean 62, 95% CI 52\u201371) compared with before (mean 55, 95% CI 45\u201365), (mean difference 6.90,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Postoperative stoma-QoL scores were similar to controls who did not undergo revision. Furthermore, stoma-QoL scores significantly improved after stoma revision surgery. Postoperative stoma-QoL scores in the matched cohort did not differ significantly from controls; a small within-patient sample showed a clinically relevant increase after revision. These exploratory findings suggest that QoL improves after revision, but prospective studies with standardized pre- and postoperative assessment are required to confirm this.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-026-03347-z","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T11:05:21Z","timestamp":1779793521000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of stoma revision surgery on quality of life: the STICK-II retrospective cohort study"],"prefix":"10.1007","volume":"30","author":[{"given":"R. D. A. 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