Evidence map›Paper›PMID 25888423›Full record

ArticleBMC surgery2015

Perineal pseudocontinent colostomy is safe and efficient technique for perineal reconstruction after abdominoperineal resection for rectal adenocarcinoma.

Amine Souadka, Mohammed Anass Majbar, Tijani El Harroudi, Amine Benkabbou, Abdelilah Souadka

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04141566 (Pseudo Continent Perineal Colostomy vs Permanent Left Iliac Colostomy After Abdominoperineal Resection for Ultra Low Rectal Adenocarcinoma), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04141566 completednot on this mapstarted 2018, after this paper: background citation

Pseudo Continent Perineal Colostomy vs Permanent Left Iliac Colostomy After Abdominoperineal Resection for Ultra Low Rectal Adenocarcinoma: Comparaison of Out of Pocket Costs, Hospital Bills and Quality of Life

TypeobservationalSponsorMoroccan Society of SurgeryRan2018 to 2020Enrolled35ConditionsRectal Neoplasms, Colostomy Stoma, Quality of LifeArmsPerineal pseudocontinent colostomy, Permanent left iliac colostomy
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Perineal colostomy: advantages and disadvantages.Przeglad gastroenterologiczny · 2022
    Review
  10. Observational
  11. Article
  12. Perineal colostomy prolapse: a novel application of mesh sacral pexy.Annals of the Royal College of Surgeons of England · 2018
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Amine SouadkaSurgical Department, National Institut of Oncology, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco. souadka@gmail.com.
Mohammed Anass MajbarDepartment of General Surgery, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco.
Tijani El HarroudiSurgical Department, National Institut of Oncology, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco.
Amine BenkabbouSurgical Department, National Institut of Oncology, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco.
Abdelilah SouadkaSurgical Department, National Institut of Oncology, University Mohammed Vth Souissi, Rabat, Medical School, Rabat, Morocco.
Mohammed V University · MAInstitut National d'Oncologie · MA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate oncologic results and satisfaction rate results of pseudocontinent perineal colostomy (PCPC) using Schmidt's technique in patients undergoing abdominoperineal resection (APR) for managing low rectal adenocarcinoma.

methodsFrom January 1993 and December 2007, One hundred and forty six patients underwent successfully PCPC after abdominoperineal resection for lower rectal adenocarcinoma. There were 75 women, with an average age of 47 years old. All patients received neoadjuvant radiotherapy with or without chemotherapy. Long-term oncological results and satisfaction rate were evaluated.

resultsAfter a median follow up of 36 months (range 12-156) months, the five-year overall survival and disease free survival rate were 74.6% and 60.3% respectively. Local and distant recurrences occurred respectively in 10 (6,8%) and 29 (20%) patients. Seventy-seven percent (77%) of the patients were highly satisfied with this technique and only one patient was unsatisfied. However, none of them accepted the conversion to an abdominal colostomy neither would have changed PCPC for an iliac colostomy at first intent.

conclusionThis study showed that pseudocontinent perineal colostomy is a safe and reliable pelvic reconstruction technique after abdominoperineal resection for low rectal adenocarcinoma. It provides high degree of patient satisfaction without compromising oncological results. It is a good option in selected patients, especially in Muslim countries.

Indexed as

AbdomenAdenocarcinomaAdultAgedColostomyCombined Modality TherapyDisease-Free SurvivalFemaleHumansMaleMiddle AgedMoroccoPatient SatisfactionPerineumRectal NeoplasmsTreatment Outcome

Identifiers

PMID25888423
PMCPMC4406037
OpenAlexW2121970506

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.