{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T22:49:32Z","timestamp":1773960572629,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007403","name":"Dagmar Marshalls Fond","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007403","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024075","name":"Region Syddanmark","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024075","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022415","name":"Sygehus Lilleb\u00e6lt","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022415","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Annual reports on colorectal cancer (CRC) in Denmark reveal marked variations between hospitals in the rates of permanent stomas. The objective of this study was to explore whether socio\u2010economic factors and the treating hospital were independent predictors of creating a permanent stoma rather than an anastomosis in segmental bowel resection for CRC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a register\u2010based national cohort study comprising patients with CRC stratified into four subpopulations according to area of segmental resection: right colon, sigmoid colon, upper third of rectum and mid third of rectum. Primary outcome was anastomosis or permanent stoma, as indicated by the surgeon. We employed multiple logistic regression analyses, adjusting for demographic, performance, lifestyle, comorbid and perioperative factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The right colon had insufficient permanent stoma cases for regression analyses. The remaining three groups comprised a total of 14,113 patients. The rates of permanent stoma in both the upper rectum and the mid\u2010rectum increased with lower household income quartiles. Odds ratios for the lowest income quartiles were 2.1 (95% CI: 1.36\u20133.13) for the upper rectum and 1.7 (95% CI: 1.25\u20132.18) for the mid\u2010rectum compared with the highest household income quartile. Educational level and cohabitation were non\u2010significant in the adjusted regressions. We found marked between\u2010hospital variation in permanent stoma rates, compared to the largest hospital, in both sigmoid colon (up to 2.17), upper rectum (up to 4.0) and mid\u2010rectum (up to 4.6) after adjustment (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A permanent stoma after elective resection of cancer in the upper two\u2010thirds of the rectum was associated with lower household income. There were marked between\u2010hospital variations in permanent stoma rates after resection of the sigmoid colon and the upper two\u2010thirds of the rectum in CRC, even after adjustment for relevant covariates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.70153","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T06:58:23Z","timestamp":1752130703000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Socio\u2010economic predictors and between\u2010hospital variation in permanent stoma rates after segmental resection of colorectal cancer. A population\u2010based register study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2981-250X","authenticated-orcid":false,"given":"S\u00f8ren","family":"Rattenborg","sequence":"first","affiliation":[{"name":"Department of Surgery Vejle Hospital, University Hospital of Southern Denmark  Vejle Denmark"},{"name":"Institute of Regional Health Research University of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f6ren","family":"M\u00f6ller","sequence":"additional","affiliation":[{"name":"Open Patient Data Explorative Network, Odense University Hospital  Odense Denmark"},{"name":"Department of Clinical Research University of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5270-0365","authenticated-orcid":false,"given":"Erik","family":"Frostberg","sequence":"additional","affiliation":[{"name":"Department of Surgery Vejle Hospital, University Hospital of Southern Denmark  Vejle Denmark"},{"name":"Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark  Vejle Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans Bjarke","family":"Rahr","sequence":"additional","affiliation":[{"name":"Department of Surgery Vejle Hospital, University Hospital of Southern Denmark  Vejle Denmark"},{"name":"Institute of Regional Health Research University of Southern Denmark  Odense Denmark"},{"name":"Colorectal Cancer Center South, Vejle Hospital, University Hospital of Southern Denmark  Vejle Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"Danish Colorectal Cancer Group (DCCG).Landsd\u00e6kkende database for kr\u00e6ft i tyk\u2010og endetarm (DCCG.dk). 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