{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T15:34:29Z","timestamp":1788881669876,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005927","name":"American Society of Colon and Rectal Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005927","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Anastomotic leakage is a well\u2010known complication following colorectal surgery, however, there is limited knowledge about patients' experiences with leaks across the care pathway, from initial diagnosis and treatment to long\u2010term recovery. To explore patients' experiences of anastomotic leakage following colorectal resection and identify patient\u2010reported priorities relevant to standardized reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative descriptive study reported using the COnsolidated criteria for REporting Qualitative research. Online semi\u2010structured interviews were conducted with patients from five countries (Australia, Canada, Netherlands, United Kingdom, and United States). Ten participants (six males, median age 53 [range 39\u201365\u2009years]) who experienced an anastomotic leak following a colorectal resection. Themes and subthemes emerging from thematic analysis until saturation were reached.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four main themes were identified: (1) physical impact, (2) emotional impact, (3) coping mechanisms, and (4) anastomotic leak care. Within these themes, participants detailed their lived experience during the different phases of the care pathway: diagnosis, treatment, early and late recovery. Additionally, participants indicated the elements of anastomotic leak care that they deemed most important, including preoperative education, communication, support from medical staff and peers, sharing of information, aftercare, shared decision\u2010making, and case management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients having experienced a colorectal anastomotic leak reported a physical and emotional impact, applied different coping strategies, and emphasized the importance of clear communication, comprehensive care, and sustained attention beyond the early postoperative and treatment phase.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70471","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:10:29Z","timestamp":1777867829000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The patient perspective on colorectal anastomotic leaks: A qualitative study"],"prefix":"10.1111","volume":"28","author":[{"given":"Danique J. I.","family":"Heuvelings","sequence":"first","affiliation":[{"name":"NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University  Maastricht The Netherlands"},{"name":"Department of Surgery Maastricht University Medical Center  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7854-9349","authenticated-orcid":false,"given":"Anke H. C.","family":"Gielen","sequence":"additional","affiliation":[{"name":"NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University  Maastricht The Netherlands"},{"name":"Department of Surgery Maastricht University Medical Center  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0742-2842","authenticated-orcid":false,"given":"Matthijs H.","family":"Bosveld","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Care and Public Health Research Institute (CAPHRI) Maastricht University  Maastricht The Netherlands"},{"name":"School of Health Professions Education (SHE) Maastricht University  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merel L.","family":"Kimman","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology and Medical Technology Assessment (KEMTA) Maastricht University Medical Centre  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Monton","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Julio F.","family":"Fiore","sequence":"additional","affiliation":[{"name":"Department of Surgery McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie O.","family":"Breukink","sequence":"additional","affiliation":[{"name":"NUTRIM School of Nutrition and Translational Research in Metabolism Maastricht University  Maastricht The Netherlands"},{"name":"Department of Surgery Maastricht University Medical Center  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4243-9196","authenticated-orcid":false,"given":"Abe","family":"Fingerhut","sequence":"additional","affiliation":[{"name":"Department of General Surgery Ruijin Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Division for Surgical Research Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8006-321X","authenticated-orcid":false,"given":"Marylise","family":"Boutros","sequence":"additional","affiliation":[{"name":"Department of Colon and Rectal Surgery Cleveland Clinic Florida  Weston Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Francis","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Science University College  London UK"},{"name":"The Griffin Institute Northwick Park and St Mark's Hospital  Harrow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole D.","family":"Bouvy","sequence":"additional","affiliation":[{"name":"GROW School for Oncology and Developmental Biology Maastricht University  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Sylla","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the CoReAL Collaborative","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0869-4"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.02.044"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16543"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000040"},{"issue":"4","key":"e_1_2_13_6_1","first-page":"325","article-title":"The impact of postoperative complications on short\u2010and long\u2010term health\u2010related quality of life after total mesorectal excision for rectal cancer","volume":"21","author":"Kooten RT","year":"2022","journal-title":"Clin Colorectal Cancer"},{"issue":"5","key":"e_1_2_13_7_1","article-title":"Consequences of anastomotic leak after restorative proctectomy for cancer: effect on long\u2010term function and quality of life","volume":"55","author":"Ashburn J","year":"2012","journal-title":"Dis Colon Rectum"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijpvm.IJPVM_321_19"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2017.05.004"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21768"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.10.012"},{"key":"e_1_2_13_16_1","volume-title":"A survival guide for health research methods","author":"Ross T","year":"2012"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_13_18_1","volume-title":"Qualitative research practice: a guide for social science students and researchers","author":"Ritchie J","year":"2013"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2019-0250"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1754073917742706"},{"key":"e_1_2_13_21_1","unstructured":"Geoffrey Roberts UoCA.Learn how to label your feelings.2020."},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1586\/erp.10.30"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(01)05627-6"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00757.x"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-021-01406-z"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1732322"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2012.10.005"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.937374"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/15325020902724271"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.2147\/CMAR.S261624"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003230"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000388"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3133"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-019-0918-7"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13105"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.13104"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001481"},{"key":"e_1_2_13_38_1","unstructured":"HeuvelingsD BouvyN FrancisN vanKuijkS KimmanM BoutrosM et\u00a0al.International Consensus on Reporting Anastomotic Leaks after colorectal cancer surgery: The CoReAL reporting framework. Reference pending.2024."},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31824f1c21"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050307"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/2374373519893199"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70471","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.70471","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T05:24:21Z","timestamp":1779513861000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.70471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":40,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/codi.70471"],"URL":"https:\/\/doi.org\/10.1111\/codi.70471","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-12-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70471"}}