Evidence map›Paper›PMID 38362797›Full record

ArticleAnnals of the Royal College of Surgeons of England2025

Long-term mental and physical quality of life outcomes following ileal pouch anal anastomosis surgery.

M Abdalkoddus, J Franklyn, S Balasubramanya, F Parker, Z Zhao, W Douie, S Smolarek

Open access · hybridAbstract read
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

7 authors at 1 institution in 1 country.

M AbdalkoddusUniversity Hospitals Plymouth NHS Trust, UK.
J FranklynUniversity Hospitals Plymouth NHS Trust, UK.
S BalasubramanyaUniversity Hospitals Plymouth NHS Trust, UK.
F ParkerUniversity Hospitals Plymouth NHS Trust, UK.
Z ZhaoUniversity Hospitals Plymouth NHS Trust, UK.
W DouieUniversity Hospitals Plymouth NHS Trust, UK.
S SmolarekUniversity Hospitals Plymouth NHS Trust, UK.
University Hospitals Plymouth NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study presents the authors' experience over 14 years of performing restorative procto-colectomy with ileal pouch anal anastomosis (IPAA). The aim was to study the long-term quality of life outcomes and analyse the predictors of pouch function as well as physical and mental wellbeing.

methodsThis is a single-centre retrospective study conducted in a specialised colorectal surgery unit in the UK. The study included patients who underwent two- or three-staged panproctocolectomy with defunctioning ileostomy for ulcerative colitis (UC) or familial adenomatous polyposis between 2004 and 2018. Data were collected from a prospectively, surgeon-maintained database. Pouch function and quality of life scores were obtained via validated questionnaires. A multivariate analysis was utilised to explore predictors of quality of life and pouch function.

resultsThe study reports 105 patients who underwent IPAA with a covering ileostomy. The majority of operations were performed for UC (97, 92.4%). The median age of patients was 36 years and the male to female ratio was 1:1. Thirty patients (28.5%) suffered early post-IPAA complications, while pouch failure rate was 11.4% (12/105). Late complications were reported at a rate of 45%. On long-term follow-up, the median Pouch Function Score was 7 (IQR 3-14). Both the physical and mental sections of the quality of life score were at a median indistinguishable from the normal population but had different predictors associated with them.

conclusionOur findings recognise the complex interplay between physical and psychological wellbeing after pouch surgery and advise psychological counselling where appropriate.

Indexed as

Adenomatous Polyposis ColiColitis, UlcerativeColonic PouchesProctocolectomy, RestorativeQuality of LifeAdultAgedFemaleHumansIleostomyMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeYoung AdultFamilial adenomatous polyposis (FAP)Ileal pouch anal anastomosis (IPAA)Inflammatory bowel disease (IBD)Quality of life

Identifiers

PMID38362797
PMCPMC11658883
OpenAlexW4391883314

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.