{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T06:00:28Z","timestamp":1780639228984,"version":"3.54.1"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"\n Background<\/jats:title>\n Mixed hemorrhoids represent a prevalent anorectal condition requiring surgical intervention, yet postoperative complications and suboptimal recovery outcomes remain significant clinical challenges. Internet-based multidisciplinary management models have emerged as promising approaches for enhancing continuity of care, though their effectiveness in hemorrhoid surgery populations remains inadequately characterized.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This retrospective cohort study aimed to evaluate the impact of an internet-based multidisciplinary management model delivering continuity of care intervention on postoperative outcomes in patients undergoing surgery for mixed hemorrhoids.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Medical records of 186 patients who underwent mixed hemorrhoid surgery between January 2023 and December 2025 were retrospectively analyzed. Patients were categorized into the intervention group (\n n<\/jats:italic>\n \u202f=\u202f94), receiving internet-based multidisciplinary continuity care, and the control group (\n n<\/jats:italic>\n \u202f=\u202f92), receiving conventional postoperative care. Primary outcomes included wound healing time, postoperative complication rates, and pain scores. Secondary outcomes encompassed quality of life, patient satisfaction, anxiety and depression levels, and self-care ability at 4-week follow-up.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The intervention group demonstrated significantly shorter wound healing time (28.6\u202f\u00b1\u202f3.2 vs. 32.8\u202f\u00b1\u202f3.7\u202fdays,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001), lower overall complication rates (1.1% vs. 7.6%,\n p<\/jats:italic>\n \u202f=\u202f0.012), postoperative complications were categorized as: bleeding (requiring intervention), wound infection, urinary retention (requiring catheterization), anal stenosis, and fecal incontinence and reduced pain scores at postoperative days 7 and 14 (all\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). Quality of life scores were significantly higher in the intervention group (78.5\u202f\u00b1\u202f8.2 vs. 68.3\u202f\u00b1\u202f9.6,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001), alongside improved patient satisfaction (92.6% vs. 76.1%,\n p<\/jats:italic>\n \u202f=\u202f0.002). Anxiety and depression scores decreased more substantially in the intervention group, while self-care ability scores demonstrated greater improvement (all\n p<\/jats:italic>\n \u202f&lt;\u202f0.01).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The internet-based multidisciplinary management model for continuity of care significantly improves postoperative outcomes in mixed hemorrhoid patients, including accelerated wound healing, reduced complications, decreased pain, and enhanced psychosocial wellbeing. These findings support the integration of digital health platforms with multidisciplinary team approaches in perioperative hemorrhoid care.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fmed.2026.1817812","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:07:14Z","timestamp":1780636034000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of internet-based multidisciplinary management model on continuity of care intervention for postoperative outcomes in patients with mixed hemorrhoids: a retrospective cohort study"],"prefix":"10.3389","volume":"13","author":[{"given":"Pengfei","family":"Dai","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Ruian People's Hospital","place":["Ruian City, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhangyi","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Ruian People's Hospital","place":["Ruian City, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Ruian People's Hospital","place":["Ruian City, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhao","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Ruian People's Hospital","place":["Ruian City, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dakai","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Ruian People's Hospital","place":["Ruian City, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e52366","DOI":"10.7759\/cureus.51612","article-title":"Prevalence of hemorrhoids and the associated risk factors among the general adult population in Makkah, Saudi Arabia","volume":"16","author":"Al-Masoudi","year":"2024","journal-title":"Cureus"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s10151-024-02943-1","article-title":"Evaluation and management of chronic anorectal and pelvic pain syndromes: Italian Society of Colorectal Surgery (SICCR) position statement","volume":"28","author":"Menconi","year":"2024","journal-title":"Tech Coloproctol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"650","DOI":"10.1111\/codi.14975","article-title":"European Society of Coloproctology: guideline for haemorrhoidal disease","volume":"22","author":"van Tol","year":"2020","journal-title":"Color Dis"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1097\/DCR.0000000000001030","article-title":"The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of hemorrhoids","volume":"61","author":"Davis","year":"2018","journal-title":"Dis"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"105","DOI":"10.3390\/pharmacy13040105","article-title":"Improving hemorrhoid outcomes: a narrative review and best practices guide for pharmacists","volume":"13","author":"Nakhla","year":"2025","journal-title":"Pharmacy (Basel)"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1007\/s00384-022-04294-5","article-title":"Comparing the efficacy and safety of different analgesic strategies after open hemorrhoidectomy: a systematic review and network meta-analysis","volume":"38","author":"Yang","year":"2023","journal-title":"Int J Color Dis"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1186\/s12913-022-08023-0","article-title":"What is needed for continuity of care and how can we achieve it?\u2013perceptions among multiprofessionals on the chronic care trajectory","volume":"22","author":"Ljungholm","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e0267030","DOI":"10.1371\/journal.pone.0267030","article-title":"Patients\u2019 experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis","volume":"17","author":"Carfora","year":"2022","journal-title":"PLoS One"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e021161","DOI":"10.1136\/bmjopen-2017-021161","article-title":"Continuity of care with doctors\u2014a matter of life and death? 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