ArticlePediatric surgery international2023
Fecal continence outcomes and potential disparities for patients with anorectal malformations treated at referral institutions for pediatric colorectal surgery.
Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Indirect evidence for the volume-outcome relationship for corrective surgery for anorectal malformations using the IQWIG V24-07 rapid report methodology.Pediatric surgery international · 2026Article
- Outcomes and revision rates after antegrade continence enema (ACE) appendicostomy in a single-center LMIC paediatric cohort.Pediatric surgery international · 2026Article
- Bowel and bladder outcomes in patients with anorectal malformations and sacral agenesis: a retrospective cohort study.Pediatric surgery international · 2026Article
- Article
- Bladder dysfunction in children with anorectal malformations: identification of risk factors and development of a predictive scoring tool.Pediatric surgery international · 2025Article
- Assessment of long-term quality of life, bowel and voiding function outcomes in patients with anorectal malformation at a single UK centre.Pediatric surgery international · 2024Article
- Anorectal Malformations and Late-Term Problems.Turkish archives of pediatrics · 2023Article
- Children with an Anorectal Malformation Going to Primary School: The Parent's Perspective.Children (Basel, Switzerland) · 2023Article
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Authors and funding
17 authors at 12 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFecal incontinence is a problem for many patients born with an anorectal malformation (ARM) that can impact quality of life. It is unknown if racial, ethnic, and socioeconomic disparities relate to fecal continence in these children. We sought to examine outcomes and potential disparities in care.
methodsWe performed a multicenter retrospective study of children > 3y with ARM evaluated at sites participating in the Pediatric Colorectal and Pelvic Learning Consortium (PCPLC). The primary outcome was fecal continence. We evaluated for associations between fecal continence and race, sex, age, and insurance status.
results509 patients with ARM from 11 institutions were included. Overall, 24% reported complete fecal continence, and fecal continence was associated with older age (p < .001). For school-aged children, 27% reported complete continence, while 53% reported none. On univariate analysis, patients with combined private and public insurance showed lower rates of continence when compared to those with private insurance (23 vs. 12%; p = 0.02). Age was associated with continence on univariate and multivariable analyses.
conclusionRates of complete fecal continence in this population are low. Differences based on payor status may exist. There were no observed disparities related to sex and race. Further investigation is warranted to improve care for this patient population. LEVEL OF EVIDENCE: III. TYPE OF STUDY: Multi-institutional retrospective comparative study.
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