{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T12:04:08Z","timestamp":1774699448397,"version":"3.50.1"},"reference-count":26,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejso.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.ejso.2026.111512","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T07:46:26Z","timestamp":1772178386000},"page":"111512","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["External validation of a predictive system from the Swedish colorectal cancer registry to predict the risk of permanent stoma after rectal cancer surgery: A multicenter study in Spain"],"prefix":"10.1016","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2799-3105","authenticated-orcid":false,"given":"Pere","family":"Planellas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nair","family":"Fernandes-Montes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1593-0502","authenticated-orcid":false,"given":"Sandra","family":"Alonso-Gon\u00e7alves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Golda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00falia","family":"Gil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garazi","family":"Elorza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Kreisler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1392-0614","authenticated-orcid":false,"given":"Mayra Rebeka","family":"Abad-Camacho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia","family":"Cornejo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Marinello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.ejso.2026.111512_bib1","first-page":"35","article-title":"Surgery for colorectal cancer","volume":"41","author":"George","year":"2023","journal-title":"Surg (United Kingdom) [Internet]"},{"issue":"June","key":"10.1016\/j.ejso.2026.111512_bib2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.ijsu.2020.09.039","article-title":"Randomized clinical trial comparing side to end vs end to end techniques for colorectal anastomosis","volume":"83","author":"Planellas","year":"2020","journal-title":"Int J Surg"},{"issue":"7","key":"10.1016\/j.ejso.2026.111512_bib3","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1016\/j.ejso.2018.03.025","article-title":"Quality of life and anterior resection syndrome after surgery for mid to low rectal cancer: a cross-sectional study","volume":"44","author":"Trenti","year":"2018","journal-title":"Eur J Surg Oncol"},{"issue":"3","key":"10.1016\/j.ejso.2026.111512_bib4","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1111\/codi.16299","article-title":"Management of treatment-related sequelae following colorectal cancer","volume":"25","author":"Haas","year":"2023","journal-title":"Color Dis"},{"issue":"3","key":"10.1016\/j.ejso.2026.111512_bib5","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1055\/s-2007-984864","article-title":"Sphincter-sparing resection for rectal cancer","volume":"20","author":"Ludwig","year":"2007","journal-title":"Clin Colon Rectal Surg"},{"issue":"8","key":"10.1016\/j.ejso.2026.111512_bib6","doi-asserted-by":"crossref","DOI":"10.3390\/jcm12082873","article-title":"Watch and wait approach for rectal cancer","volume":"12","author":"Cerdan-Santacruz","year":"2023","journal-title":"J Clin Med"},{"issue":"2","key":"10.1016\/j.ejso.2026.111512_bib7","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1007\/s00423-020-02029-0","article-title":"Risk factors for suboptimal laparoscopic surgery in rectal cancer patients","volume":"406","author":"Planellas","year":"2021","journal-title":"Langenbecks Arch Surg"},{"issue":"4","key":"10.1016\/j.ejso.2026.111512_bib8","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1097\/SLA.0000000000002653","article-title":"Incidence and risk factors for anastomotic failure in 1594 patients treated by transanal total mesorectal excision results from the international TATME registry","volume":"269","author":"Penna","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.ejso.2026.111512_bib9","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.ijsu.2017.09.057","article-title":"Use of a nomogram to predict the closure rate of diverting ileostomy after low anterior resection: a retrospective cohort study","volume":"47","author":"Abe","year":"2017","journal-title":"Int J Surg"},{"issue":"5","key":"10.1016\/j.ejso.2026.111512_bib10","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1097\/DCR.0000000000000819","article-title":"Risk factors associated with nonclosure of defunctioning stomas after sphincter-preserving low anterior resection of rectal cancer: a meta-analysis","volume":"60","author":"Zhou","year":"2017","journal-title":"Dis Colon Rectum"},{"key":"10.1016\/j.ejso.2026.111512_bib11","article-title":"Risk factors for permanent stoma following sphincter-preserving anterior resection in rectal cancer: a retrospective multicenter observational study","author":"Planellas","year":"2025","journal-title":"Cirug\u00eda Espa\u00f1ola"},{"issue":"3","key":"10.1016\/j.ejso.2026.111512_bib12","first-page":"188","article-title":"Risk factors for nonclosure of defunctioning stoma and stoma-related complications among low rectal cancer patients after sphincter-preserving surgery","volume":"6","author":"Zhang","year":"2020","journal-title":"Chronic Dis Transl Med [Internet]"},{"issue":"11","key":"10.1016\/j.ejso.2026.111512_bib13","doi-asserted-by":"crossref","first-page":"1960","DOI":"10.1007\/s10147-020-01743-5","article-title":"Clinical characteristics and predictors of permanent stoma in rectal cancer patients underwent anterior resections: the value of preoperative prognostic nutritional index","volume":"25","author":"Wang","year":"2020","journal-title":"Int J Clin Oncol [Internet]"},{"issue":"4","key":"10.1016\/j.ejso.2026.111512_bib14","doi-asserted-by":"crossref","DOI":"10.21037\/atm-21-29","article-title":"A nomogram to predict the incidence of permanent stoma in elderly patients with rectal cancer","volume":"9","author":"Li","year":"2021","journal-title":"Ann Transl Med"},{"issue":"2","key":"10.1016\/j.ejso.2026.111512_bib15","doi-asserted-by":"crossref","first-page":"447","DOI":"10.3349\/ymj.2015.56.2.447","article-title":"Risk factors of permanent stomas in patients with rectal cancer after low anterior resection with temporary stomas","volume":"56","author":"Lee","year":"2015","journal-title":"Yonsei Med J"},{"issue":"8","key":"10.1016\/j.ejso.2026.111512_bib16","doi-asserted-by":"crossref","first-page":"765","DOI":"10.4240\/wjgs.v14.i8.765","article-title":"Nomogram to predict permanent stoma in rectal cancer patients after sphincter-saving surgery","volume":"14","author":"Kuo","year":"2022","journal-title":"World J Gastrointest Surg"},{"issue":"10","key":"10.1016\/j.ejso.2026.111512_bib17","doi-asserted-by":"crossref","first-page":"1903","DOI":"10.1007\/s00384-020-03625-8","article-title":"The effect of a diverting stoma on morbidity and risk of permanent stoma following anastomotic leakage after low anterior resection for rectal cancer: a nationwide cohort study","volume":"35","author":"Schlesinger","year":"2020","journal-title":"Int J Colorectal Dis"},{"issue":"11","key":"10.1016\/j.ejso.2026.111512_bib18","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1093\/bjs\/znab260","article-title":"Permanent stoma rates after anterior resection for rectal cancer: risk prediction scoring using preoperative variables","volume":"108","author":"Back","year":"2021","journal-title":"Br J Surg"},{"issue":"1","key":"10.1016\/j.ejso.2026.111512_bib19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12916-014-0241-z","article-title":"Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): the TRIPOD statement","volume":"13","author":"Collins","year":"2015","journal-title":"BMC Med"},{"issue":"7","key":"10.1016\/j.ejso.2026.111512_bib20","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1007\/s00134-003-1761-8","article-title":"A readers' guide to the interpretation of diagnostic test properties: clinical example of sepsis","volume":"29","author":"Fischer","year":"2003","journal-title":"Intensive Care Med"},{"issue":"12","key":"10.1016\/j.ejso.2026.111512_bib21","doi-asserted-by":"crossref","first-page":"e853","DOI":"10.1016\/S2589-7500(22)00188-1","article-title":"Interpreting area under the receiver operating characteristic curve","volume":"4","author":"de Hond","year":"2022","journal-title":"Lancet Digit Heal [Internet]"},{"issue":"12","key":"10.1016\/j.ejso.2026.111512_bib22","first-page":"865","article-title":"Diagnostic performance studies: interpretation of ROC analysis and cut-offs","volume":"101","author":"Arredondo Montero","year":"2023","journal-title":"Cirug\u00eda Espa\u00f1ola (English Ed)"},{"issue":"5","key":"10.1016\/j.ejso.2026.111512_bib23","doi-asserted-by":"crossref","first-page":"1991","DOI":"10.1007\/s00423-022-02503-x","article-title":"Preoperative risk stratification of permanent stoma in patients with non-metastatic mid and low rectal cancer undergoing curative resection and a temporary stoma","volume":"407","author":"Huang","year":"2022","journal-title":"Langenbeck\u2019s Arch Surg [Internet]"},{"issue":"1","key":"10.1016\/j.ejso.2026.111512_bib24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12957-020-01979-5","article-title":"Assessment of the risk of permanent stoma after low anterior resection in rectal cancer patients","volume":"18","author":"Zeman","year":"2020","journal-title":"World J Surg Oncol"},{"issue":"October","key":"10.1016\/j.ejso.2026.111512_bib25","first-page":"1","article-title":"Low anterior resection syndrome: an unavoidable price to pay to preserve the rectum?","volume":"12","author":"Marinello","year":"2022","journal-title":"Front Oncol"},{"issue":"5","key":"10.1016\/j.ejso.2026.111512_bib26","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1097\/00152192-200609000-00008","article-title":"Quality of life and coping of persons with temporary and permanent stomas","volume":"33","author":"De Gouveia Santos","year":"2006","journal-title":"J Wound, Ostomy Cont Nurs"}],"container-title":["European Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798326001319?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798326001319?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T11:35:59Z","timestamp":1774697759000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0748798326001319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S0748798326001319"],"URL":"https:\/\/doi.org\/10.1016\/j.ejso.2026.111512","relation":{},"ISSN":["0748-7983"],"issn-type":[{"value":"0748-7983","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"External validation of a predictive system from the Swedish colorectal cancer registry to predict the risk of permanent stoma after rectal cancer surgery: A multicenter study in Spain","name":"articletitle","label":"Article Title"},{"value":"European Journal of Surgical Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejso.2026.111512","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"111512"}}