{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:48:26Z","timestamp":1782452906704,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Emergency surgery carries risk for psychological adverse events, yet procedure\u2010specific mental\u2010health outcomes remain poorly characterized. This study evaluated the association between surgical acuity (emergent vs elective), ostomy formation and new\u2010onset postoperative mental\u2010health conditions following colorectal surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of patients undergoing emergent or elective colorectal surgery from 2015 to 2025 in the TriNetX research\u2010network was performed. Patients with pre\u2010existing mental\u2010health diagnoses were excluded. Analyses were stratified a priori by procedure type (anastomosis vs ostomy). Within these cohorts, emergent and elective cases were 1:1 propensity\u2010score\u2010matched on 55 patient\u2010characteristics. Rates of new\u2010onset depression, anxiety, post\u2010traumatic stress disorder (PTSD), stress reaction\/adjustment disorders and suicidal ideation, attempts, or self\u2010harm within 1\u2010year postoperatively were compared between groups using univariable analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the anastomosis cohort (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098,880), emergent surgery was associated with higher rates of depression (4.03% vs 2.77%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), anxiety (5.20% vs 4.23%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.031) and stress reaction\/adjustment disorders (2.03% vs 1.28%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006). Overall, emergent procedures carried a 36% increased relative\u2010risk of any adverse mental\u2010health outcome (9.30% vs 6.82%; RR: 1.36;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In the ostomy cohort (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096,748), emergent surgery was associated with higher rates of depression (7.44% vs 4.89%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), anxiety (8.20% vs 6.31%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and stress\u2010related disorders (2.79% vs 1.63%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), with a 35% increased relative\u2010risk of any adverse mental\u2010health event (14.26% vs 10.58%; RR: 1.35;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Emergent colorectal surgery was associated with significantly higher rates of postoperative mental\u2010health disorders compared with elective operations across both anastomosis and ostomy creation groups, suggesting that the acuity of surgical presentation is a critical determinant of postoperative psychological recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70524","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:58:59Z","timestamp":1781845139000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental health outcomes following emergent versus elective colorectal surgery"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9575-3727","authenticated-orcid":false,"given":"Samantha J.","family":"Scarola","sequence":"first","affiliation":[{"name":"Department of Surgery Luminis Health Anne Arundel Medical Center  Annapolis Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreyus S.","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Surgery Luminis Health Anne Arundel Medical Center  Annapolis Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott T.","family":"Rehrig","sequence":"additional","affiliation":[{"name":"Department of Surgery Luminis Health Anne Arundel Medical Center  Annapolis Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina B.","family":"Feather","sequence":"additional","affiliation":[{"name":"Department of Surgery Luminis Health Anne Arundel Medical Center  Annapolis Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5591-8033","authenticated-orcid":false,"given":"Justin J.","family":"Turcotte","sequence":"additional","affiliation":[{"name":"Department of Surgery Luminis Health Anne Arundel Medical Center  Annapolis Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R.","family":"Klune","sequence":"additional","affiliation":[{"name":"Department of Surgery Luminis Health Anne Arundel Medical Center  Annapolis Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzac075"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14986"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5988"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13018"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14905"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010023\u201004871\u20100"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18091"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000001617"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008646.pub2"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2024.07.039"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020\u20101383(02)00377\u20107"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.4274\/tjcd.87369"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/00031348241248690"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.12968\/gasn.2025.0028"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2025.05.005"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjao.2023.100223"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28750"},{"key":"e_1_2_13_19_1","unstructured":"American College of Surgeons Committee on Trauma.\u201cResources for Optimal Care of the Injured Patient: 2022 Standards. Standard 5.29 \u2013 Mental Health Screening.\u201d.https:\/\/www.facs.org\/quality\u2010programs\/trauma\/quality\/verification\u2010review\u2010and\u2010consultation\u2010program\/standards\/"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002371"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc10003"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70524","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.70524","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.70524","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:26:16Z","timestamp":1782451576000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.70524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/codi.70524"],"URL":"https:\/\/doi.org\/10.1111\/codi.70524","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2026-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70524"}}