{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:32:27Z","timestamp":1787311947101,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T00:00:00Z","timestamp":1574726400000},"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":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Preoperative factors predictive of permanent stoma creation were investigated in a long\u2010term follow\u2010up of patients with mid or low rectal cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We included patients who underwent radical resection for mid or low rectal cancer with available data for preoperative anal function measured by manometry and Faecal Incontinence Severity Index questionnaire between January 2005 and December 2015 in three tertiary referral hospitals. A permanent stoma was defined as a stoma present until the patient\u2019s last follow\u2010up visit or death. Preoperative factors that predicted permanent stoma creation were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over a median follow\u2010up of 57.4\u00a0months (range 12\u2013143\u00a0months), a permanent stoma was created in 144\/577 (25.0%) patients, including 89 (15.4%) who underwent abdominoperineal resection, one (0.2%) who underwent Hartmann\u2019s operation without reversal, 15 (2.6%) with a diverting ileostomy at the time of initial sphincter\u2010preserving surgery without undergoing stoma reversal, and 39 (6.8%) who underwent permanent ileostomy formation after sphincter\u2010preserving surgery. Patients with permanent stoma creation had a shorter tumour distance from the anal verge (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), larger tumour size (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.020) and higher preoperative Faecal Incontinence Severity Index score (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.020). On multivariable analysis, tumour distance from the anal verge predicted permanent stoma formation (relative risk 0.53 per centimetre increase; 95% confidence interval 0.46\u20130.60;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) but preoperative anal function did not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Tumour distance from the anal verge was the only preoperative determinant of permanent stoma creation in rectal cancer patients. These data may help mid and low rectal cancer patients understand the need for permanent stoma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.14898","type":"journal-article","created":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T19:33:24Z","timestamp":1573155204000},"page":"399-407","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Predictors of permanent stoma creation in patients with mid or low rectal cancer: results of a multicentre cohort study with preoperative evaluation of anal function"],"prefix":"10.1111","volume":"22","author":[{"given":"S.","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seongnam Korea"},{"name":"Department of Surgery Armed Forces Capital Hospital Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. H.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. H.","family":"Oh","sequence":"additional","affiliation":[{"name":"Center for Colorectal Cancer, Research Institute and Hospital National Cancer Center Goyang Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.\u2010Y.","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Hospital Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. J.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Hospital Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.\u2010K.","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.\u2010W.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.\u2010B.","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University College of Medicine Seoul National University Bundang Hospital Seongnam 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