{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:03:03Z","timestamp":1790143383566,"version":"4.0.1"},"reference-count":34,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Reporting of colorectal anastomotic leakage (CAL) risk factors and outcomes is not standardized worldwide. This study searched a cohort of national surgical registries to assess the scope of CAL\u2010related elements that are routinely reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This international audit was conducted between June 2025 and April 2026. Surgeons were contacted to determine whether their country maintained a national registry and to provide the list of CAL\u2010related variables collected. Registry variables were compared to the 79 CoReAL (Consensus for Reporting of colorectal Anastomotic Leaks) variables, an evidence\u2010based framework developed to standardize how key CAL\u2010related variables are reported. The primary outcome was the proportion of countries with a national registry reporting CAL and CAL\u2010associated variables. The secondary outcome was the proportion and type of CoReAL variables included across registries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010eight countries across all continents participated. Among these, seven countries (18.4%) maintain national registries that centrally capture post\u2010operative outcomes. Across all registries, the median number of registered variables was 28 (range 18\u201337, IQR 4). Completeness differed significantly between countries, with 10 elements being captured by all (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). Registries reported a median of 11\/25 preoperative (8\u201319, 6), 6\/16 intraoperative (3\u20138, 2), 8\/16 early post\u2010operative (5\u201312, 4) and 2\/22 (0\u201313, 4) of the long\u2010term post\u2010operative elements.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The majority of countries lack a national registry for systematic CAL reporting. Among existing registries, substantial heterogeneity in reported variables was observed, including CAL risk factors and outcomes, particularly beyond 30\u2009days. We propose global adoption of the CoReAL reporting framework to fill this gap in quality reporting of CAL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.70619","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:49:01Z","timestamp":1788846541000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reporting of colorectal anastomotic leakage: Worldwide audit of national databases"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7955-5291","authenticated-orcid":false,"given":"Anne","family":"de Wit","sequence":"first","affiliation":[{"name":"Department of Surgery Amsterdam University Medical Center  Amsterdam The Netherlands"},{"name":"Cancer Center Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6323-6342","authenticated-orcid":false,"given":"Freek","family":"Daams","sequence":"additional","affiliation":[{"name":"Department of Surgery Amsterdam University Medical Center  Amsterdam The Netherlands"},{"name":"Cancer Center Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Surgery Mount Sinai Hospital  New York New York USA"},{"name":"Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Donovan","sequence":"additional","affiliation":[{"name":"Department of Surgery Mount Sinai Hospital  New York New York USA"},{"name":"Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Ramos\u2010Delgado","sequence":"additional","affiliation":[{"name":"Department of Surgery Mount Sinai Hospital  New York New York USA"},{"name":"Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5352-8704","authenticated-orcid":false,"given":"Danique J. I.","family":"Heuvelings","sequence":"additional","affiliation":[{"name":"Department of Surgery Maastricht University Medical Center  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole D.","family":"Bouvy","sequence":"additional","affiliation":[{"name":"Department of Surgery Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Francis","sequence":"additional","affiliation":[{"name":"Department 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":"Marylise","family":"Boutros","sequence":"additional","affiliation":[{"name":"Department of Surgery Cleveland Clinic Florida  Weston Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9737-994X","authenticated-orcid":false,"given":"Patricia","family":"Sylla","sequence":"additional","affiliation":[{"name":"Department of Surgery Mount Sinai Hospital  New York New York USA"},{"name":"Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/dcr.0000000000003475"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102015\u2010003932"},{"key":"e_1_2_13_4_1","unstructured":"BanfiG SlawomirskiL.The importance of evaluation of outcomes in healthcare and hospital experiences.2019. 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