{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T15:27:37Z","timestamp":1746458857002,"version":"3.37.3"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,8,13]],"date-time":"2014-08-13T00:00:00Z","timestamp":1407888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>In this study we reviewed our 10\u2010year experience of the medium\u2010 to long\u2010term success of sacral nerve stimulation (<jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content>) for faecal incontinence, with particular reference to the resource implications of running such a service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All patients treated with permanent <jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content> implants for faecal incontinence from 2001 to 2012 were identified from a prospective database. The patients underwent follow up at 3 and 6\u00a0months, with annual review thereafter. They were divided into four groups: group 1, patients optimized after two reviews; group 2, patients optimized after further review; group 3, patients who failed to reach a satisfactory state; and group 4, patients who had a good initial result with subsequent failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010five patients underwent permanent <jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content> with a median follow up of 24 (range: 3\u2013108) months. Group 1 included 30 (35%) patients; group 2 included 27 (32%) patients [median of two (range: 2\u20136) additional visits]; group 3 included 18 (21%) patients [median of six (range: 3\u201310) additional visits]; and group 4 included 10 (12%) patients [median interval to failure was 54 (range: 24\u201384) months]. Twenty\u2010seven per cent of our patients had an unsatisfactory outcome and the cost of follow up for these patients was \u00a336\u00a0854 (48.7% of the total follow\u2010up costs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study highlights the significant resource implications of running an <jats:styled-content style=\"fixed-case\">SNS<\/jats:styled-content> service with a large proportion of patients requiring prolonged review, with more than one\u2010quarter having an unsatisfactory outcome at a substantial cost.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12686","type":"journal-article","created":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T22:25:12Z","timestamp":1402957512000},"page":"719-722","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Resource implications of running a sacral neuromodulation service: a 10\u2010year experience"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0301-4534","authenticated-orcid":false,"given":"C. M.","family":"McMullin","sequence":"first","affiliation":[{"name":"Colorectal Surgical Unit Northern General Hospital Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. M.","family":"Jadav","sequence":"additional","affiliation":[{"name":"Colorectal Surgical Unit Northern General Hospital Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Hanwell","sequence":"additional","affiliation":[{"name":"Colorectal Surgical Unit Northern General Hospital Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. R.","family":"Brown","sequence":"additional","affiliation":[{"name":"Colorectal Surgical Unit Northern General Hospital Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6140"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01899.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5491"},{"key":"e_1_2_7_5_1","unstructured":"National Institute for Clinical Excellence.Sacral nerve stimulation for faecal incontinence Interventional procedure guidance 99. 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