Observational studyTechniques in coloproctology2023
Clinical characterization of patients with anal fistula during follow-up of anorectal abscess: a large population-based study.
Observational study in Techniques in coloproctology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 11 citations in OpenAlex.
- Quality and content evaluation of anal fistula information on TikTok and Bilibili: A cross-sectional study.Medicine · 2026Article
- Comparison of incision and drainage procedure with drainage and ligation of the intersphincteric fistula tract in the treatment of deep perianal abscess.Scientific reports · 2026Article
- Five-year trends in proctological practice in Dubai: Insights from a high-volume referral centre.BMC surgery · 2026Article
- Risk factors for fecal incontinence after surgery for cryptoglandular anal fistula: Protocol of a meta-analytic study.PloS one · 2026Article
- Ligation of the intersphincteric fistula tract vs. fistulotomy for complex anal fistula: a retrospective study.American journal of translational research · 2026Article
- Ultrasound assessment of low type intersphincteric perianal fistulas in Yemen.Scientific reports · 2025Article
- Clinical application of the intersphincteric approach with internal incision combined with counter- drainage for deep perianal abscess.BMC gastroenterology · 2025Article
- Recurrence rate and postoperative fistula formation: A retrospective analysis of surgically managed cases of anorectal abscess.Qatar medical journal · 2025Article
- Anorectal Abscess.Clinics in colon and rectal surgery · 2024Review
- Perianal Fistula; from Etiology to Treatment - A Review.Middle East journal of digestive diseases · 2024Review
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeApproximately 15-50% of patients with an anorectal abscess will develop an anal fistula, but the true incidence of this entity is currently unknown. The aim of the study was to determine the incidence of anorectal abscess and development of a fistula in a specific population area and to identify potential risk factors associated with demographic, socioeconomic and pre-existing disease (e.g. diabetes and inflammatory bowel disease).
methodsA longitudinal observational study was designed including a large cohort study in an area with 7,553,650 inhabitants in Spain 1st january 2014 to 31st december 2019. Adults who attended for the first time with an anorectal abscess and had a minimum of 1-year follow-up were included. The diagnosis was made using ICD-10 codes for anorectal abscess and anal fistula.
resultsDuring the study period, we included 27,821 patients with anorectal abscess. There was a predominance of men (70%) and an overall incidence of 596 per million population. The overall incidence of anal fistula developing from abscesses was 20%, with predominance in men, and a lower incidence in the lowest income level. The cumulative incidence of fistula was higher in men and in younger patients (p < 0.0001). On multivariate analysis, patients aged 60-69 years (hazard ratio 2.0) and those with inflammatory bowel disease (hazard ratio 1.8-2.0) had a strong association with fistula development (hazard ratio 2.0).
conclusionsOne in five patients with an anorectal abscess will develop a fistula, with a higher likelihood in men. Fistula formation was strongly associated with inflammatory bowel disease.
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