{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T18:33:55Z","timestamp":1792953235427,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare 1-year outcomes of bedside and operating-room drainage of perianal abscesses using propensity score methods to address confounding by indication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This two-center retrospective cohort included 303 adults undergoing drainage of perianal or anorectal abscesses. Because all bedside procedures involved perianal abscesses, comparative analyses were restricted to 271 patients with perianal abscesses who were potentially eligible for either drainage approach (183 bedside and 88 operating room). We performed 1:1 propensity score matching, inverse probability of treatment weighting (IPTW), and doubly robust analysis using nine baseline covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Propensity score matching yielded 76 pairs. Recurrent abscess occurred in 6.6% of operating-room and 13.2% of bedside patients (OR, 0.38; 95% CI, 0.10-1.41;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.147), newly diagnosed anal fistula in 10.5% and 18.4% (OR, 0.50; 95% CI, 0.19-1.33;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.166), and reoperation in 11.8% and 28.9%, respectively (OR, 0.28; 95% CI, 0.10-0.75;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.011). The association with lower reoperation remained significant in the IPTW (OR, 0.33; 95% CI, 0.15-0.60;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and doubly robust analyses (OR, 0.20; 95% CI, 0.05-0.45;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Recurrent abscess and anal fistula consistently favored operating-room drainage, but their doubly robust findings were exploratory and hypothesis-generating because of low events-per-variable values (2.4 and 3.5, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A reduction in the co-primary outcomes was not established in the matched or IPTW analyses; their doubly robust findings are exploratory and hypothesis-generating. Reoperation, a prespecified secondary outcome, was consistently less frequent after operating-room drainage. Further prospective studies are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261501887","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:10:50Z","timestamp":1792638650000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Bedside Versus Operating Room Drainage on Outcomes of Perianal Abscess: A Two-Center Retrospective Cohort Study With Propensity Score Matching"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9305-5240","authenticated-orcid":false,"given":"Kerem","family":"\u00d6zg\u00fc","sequence":"first","affiliation":[{"name":"Gaziantep City Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1127-8051","authenticated-orcid":false,"given":"Ahmet","family":"G\u00fcnd\u00fcz","sequence":"additional","affiliation":[{"name":"Maltepe University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002473"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-021-00384-x"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10614"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-023-02840-z"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.09.005"},{"issue":"7","key":"e_1_3_7_7_2","first-page":"473","article-title":"Bedside drainage of perianal abscesses: is it safe and effective?","volume":"25","author":"Goldenshluger M","year":"2023","unstructured":"Goldenshluger M, Margalit C, Kodesh A, Katz E, Hazzan D, Segev L. Bedside drainage of perianal abscesses: is it safe and effective? Isr Med Assoc J. 2023;25(7):473-478.","journal-title":"Isr Med Assoc J"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348241248785"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.14744\/tjtes.2025.70776"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/70.1.41"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1214\/09-STS313"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/pst.433"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1541-0420.2005.00377.x"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10154"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234599"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001653"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2011.06.002"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2017.07.001"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000003334"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261501887","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261501887","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261501887","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T17:59:06Z","timestamp":1792951146000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261501887"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,21]]},"references-count":18,"alternative-id":["10.1177\/00031348261501887"],"URL":"https:\/\/doi.org\/10.1177\/00031348261501887","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,21]]},"article-number":"00031348261501887"}}