{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T20:01:55Z","timestamp":1772136115297,"version":"3.50.1"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: identificar fatores preditivos da s\u00edndrome da ressec\u00e7\u00e3o anterior do reto (SRAR) que podem contribuir para o seu diagn\u00f3stico e tratamento precoces.  M\u00e9todos: estudo de coorte retrospectivo de pacientes submetidos \u00e0 ressec\u00e7\u00e3o anterior do reto entre 2007 e 2017 no Servi\u00e7o de Coloproctologia do Hospital de Cl\u00ednicas da Universidade Federal do Paran\u00e1. Foram realizadas an\u00e1lises de curva ROC (Receiver Operating Characteristic Curve Analysis) ou COR (Caracter\u00edstica de Opera\u00e7\u00e3o do Receptor) para identificar os fatores preditivos da SRAR.  Resultados: foram inclu\u00eddos 64 pacientes com dados completos. A idade dos homens foi de 60,1\u00b111,4 anos e 37,10% eram do sexo masculino. Vinte pacientes (32,26%) apresentaram SRAR. Os sintomas mais relatados foram evacua\u00e7\u00e3o incompleta (60%) e urg\u00eancia (55%). Na an\u00e1lise univariada, a dist\u00e2ncia da anastomose \u00e0 margem anal (p&lt;0,001), terapia neoadjuvante (p=0,0014) e confec\u00e7\u00e3o de ileostomia no momento da ressec\u00e7\u00e3o (p=0,0023) foram preditivos da SRAR. An\u00e1lise da curva ROC mostrou um ponto de corte de 6,5cm na dist\u00e2ncia da anastomose \u00e0 margem anal como preditor da SRAR.  Conclus\u00e3o: dist\u00e2ncia entre anastomose e margem anal, hist\u00f3ria de terapia neoajuvante e confec\u00e7\u00e3o de estoma s\u00e3o condi\u00e7\u00f5es que podem ajudar a predizer o desenvolvimento da SRAR. A orienta\u00e7\u00e3o e o envolvimento na educa\u00e7\u00e3o do paciente, bem como, o manejo precoce podem reduzir potencialmente o impacto desses sintomas na qualidade de vida dos pacientes.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192361","type":"journal-article","created":{"date-parts":[[2020,1,31]],"date-time":"2020-01-31T09:26:37Z","timestamp":1580462797000},"source":"Crossref","is-referenced-by-count":12,"title":["S\u00edndrome da ressec\u00e7\u00e3o anterior do reto: fatores preditivos."],"prefix":"10.1590","volume":"46","author":[{"given":"Fernanda Let\u00edcia Cavalcante","family":"Miacci","sequence":"first","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camila Roginski","family":"Guetter","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4941-029X","authenticated-orcid":false,"given":"Paula Heroso","family":"Moreira","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Cristina","family":"Sartor","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariane Christina","family":"Savio","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Baldin J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norton Luiz","family":"N\u00f3brega","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"key":"ref1","series-title":"Coordena\u00e7\u00e3o de Preven\u00e7\u00e3o e Vigil\u00e2ncia. 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