Evidence map›Paper›PMID 39440840›Full record

SynthesisDiseases of the colon and rectum2025

Impact of Anastomotic Leakage After Colorectal Cancer Surgery on Quality of Life: A Systematic Review.

Anke H C Gielen, Danique J I Heuvelings, Patricia Sylla, Yu-Ting van Loon, Jarno Melenhorst, Nicole D Bouvy, Merel L Kimman, Stephanie O Breukink, CoReAL Collaborative

Abstract readSystematic Review
In one paragraph

Synthesis in Diseases of the colon and rectum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  3. Management of anastomotic leak after elective anterior resection for rectal cancer: A systematic review and pooled analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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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

9 authors.

Anke H C GielenDepartment of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
Danique J I HeuvelingsDepartment of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
Patricia SyllaDivision of Colon and Rectal Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Yu-Ting van LoonDepartment of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
Jarno MelenhorstDepartment of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
Nicole D BouvyDepartment of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
Merel L KimmanDepartment of Clinical Epidemiology and Medical Technology Assessment (KEMTA), Maastricht University Medical Centre, Maastricht, The Netherlands.
Stephanie O BreukinkDepartment of Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.
CoReAL Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal anastomotic leakage remains one of the most frequent and dreaded postoperative complications after colorectal resection. However, limited research has been conducted on the impact of this complication on the quality of life of patients who have undergone colorectal cancer surgery.

objectiveThe aim of this systematic review was to identify, appraise, and synthesize the available evidence regarding the quality of life in patients with anastomotic leakage after oncological colorectal resections to inform clinical decision-making. DATA SOURCES AND STUDY SELECTION: PubMed, Embase, and the Cochrane Library were searched for studies reporting quality of life using validated questionnaires in patients with anastomotic leakage after oncological colorectal resections. The literature search was performed systematically and according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. OUTCOMES: Outcomes from quality-of-life questionnaires of patients with and without anastomotic leakage were analyzed.

resultsThirteen articles reporting on 4618 individual patients were included, among which 527 patients developed anastomotic leakage. Quality of life was evaluated using 10 distinct questionnaires administered at various postoperative time points, ranging from 1 month to 14 years. Quality-of-life outcomes differed across studies and time points, but overall scores were most negatively affected by anastomotic leakage up to 12 months postoperatively. LIMITATIONS: There was a high heterogeneity between the included studies based on the questionnaires used and the time of assessment.

conclusionsThe published evidence suggests that anastomotic leakage after oncologic colorectal resection is associated with impaired quality of life, especially within the first postoperative year. The impact of anastomotic leakage on quality of life warrants further evaluation and discussion with patients.

Indexed as

Anastomotic LeakColectomyColorectal NeoplasmsQuality of LifeAnastomosis, SurgicalHumansSurveys and Questionnaires

Identifiers

PMID39440840
PMCPMC11748909

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.