ArticleBMC surgery2026
Severe fecal incontinence predicts higher recurrence risk in complete rectal prolapse: a retrospective cohort study.
Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative recurrence poses a major challenge in the management of complete rectal prolapse (CRP). However, the association between fecal incontinence (FI) and recurrence risk remains unclear. In this study, we aimed to examine the relationship between FI severity and postoperative recurrence in patients with CRP.
methodsPatients with CRP who underwent surgical treatment at Guang’anmen Hospital, China Academy of Traditional Chinese Medicine, between January 1, 2013, and August 31, 2025, were enrolled. Multivariate survival analysis was conducted to investigate the relationship between FI and postoperative recurrence of rectal prolapse. A restricted cubic spline regression was used to assess the linearity of this relationship.
resultsAmong 211 patients with CRP, including 50 with severe FI, FI was significantly associated with postoperative recurrence risk after adjusting for covariates in multivariate survival analysis (P < 0.05). Compared with the baseline group (FI score ≤ 5), the risk of recurrence was 6 times higher in patients with FI scores ≥ 16 (unadjusted model: HR = 5.57 [2.29–13.53]; model 1: HR = 4.49 [1.86–10.88]; model 2: HR = 6.06 [2.38–15.39]; P < 0.05). FI showed a linear and positive correlation with recurrence risk (P for nonlinearity > 0.05). Survival curves demonstrated significant differences in recurrence-free survival among FI subgroups, with a sharp decrease in survival probability at scores ≥ 16, indicating the highest risk of recurrence.
conclusionFI is an important predictor of postoperative recurrence in rectal prolapse, with severe FI serving as an independent high-risk factor. The severity of FI provides an evidence-based foundation for optimizing surgical protocols, stratifying postoperative management, and preventing recurrence.
Indexed as
Identifiers
What OpenQuestion holds
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.