Diseases of the Colon & Rectum最新文献

{"title":"CRC Screening, A Long Way Off.","authors":"Fei Chen, Cheng Luo, Song Zhao","doi":"10.1097/DCR.0000000000003570","DOIUrl":"10.1097/DCR.0000000000003570","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2356"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-Port Robotic Transstomal End Colostomy Resection and Closure.","authors":"Madeline L D'Aquila, Kurt S Schultz, Haddon J Pantel","doi":"10.1097/DCR.0000000000004233","DOIUrl":"10.1097/DCR.0000000000004233","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2343-2344"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148149071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Being Artificially Intelligent.","authors":"James Church","doi":"10.1097/DCR.0000000000004302","DOIUrl":"10.1097/DCR.0000000000004302","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2223-2225"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148162209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply.","authors":"Jeongyoon Moon, Marylise Boutros","doi":"10.1097/DCR.0000000000004297","DOIUrl":"10.1097/DCR.0000000000004297","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2352"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to: CRC Screening, A Long Way Off.","authors":"Anyelin Almanzar, Sophia Dahmani, Sami Shoucair","doi":"10.1097/DCR.0000000000003569","DOIUrl":"10.1097/DCR.0000000000003569","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2357"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Primary Care Attachment to Continuity of Survivorship Care After Proctectomy: Nursing-Sensitive Targets to Reduce Emergency Department Utilization.","authors":"Hui Zang, Zubing Mei","doi":"10.1097/DCR.0000000000004296","DOIUrl":"10.1097/DCR.0000000000004296","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2350-2351"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-Effectiveness of Pelvic Floor Reconstruction Using Biological Mesh After Extralevator Abdominoperineal Resection for Rectal Cancer.","authors":"Rudolf van den Berg, Gijsbert D Musters, Cornelis Verhoef, Sarah Sharabiany, Roel Hompes, Baljit Singh, Sanjay S Chaudhri, Anna A W van Geloven, Ronald J C L M Vuylsteke, Johannes H W de Wilt, Jeroen W A Leijtens, Maarten Vermaas, Joost Rothbarth, Jacobus W A Burger, Bas Lamme, Anthony van de Ven, Hedwig M Blommestein, Pieter J Tanis","doi":"10.1097/DCR.0000000000004326","DOIUrl":"10.1097/DCR.0000000000004326","url":null,"abstract":"<p><strong>Background: </strong>Perineal complications are a major source of morbidity after extralevator abdominoperineal resection for low rectal cancer, especially after neoadjuvant (chemo)radiotherapy. Biological mesh reconstruction can reduce perineal hernia formation, but its cost-effectiveness remains unclear.</p><p><strong>Objective: </strong>To evaluate the cost-effectiveness of biological mesh reconstruction compared with primary perineal closure after extralevator abdominoperineal resection in patients with low rectal cancer.</p><p><strong>Design: </strong>This study was designed as a long-term economic evaluation conducted alongside a multicenter, parallel-group, randomized controlled trial.</p><p><strong>Settings: </strong>Eleven hospitals in the Netherlands and 1 hospital in the United Kingdom, including nonteaching, teaching, and university centers.</p><p><strong>Patients: </strong>Adult patients with primary low rectal cancer were enrolled in the study.</p><p><strong>Interventions: </strong>Primary layered perineal closure versus pelvic floor reconstruction using a biological, non-cross-linked porcine dermal mesh.</p><p><strong>Main outcome measures: </strong>Total health care costs from a health care payer perspective, incorporating surgery, hospitalization, outpatient care, wound management, readmissions, and reinterventions; and patient health outcomes measured as quality-adjusted life years calculated from standardized health utility scores.</p><p><strong>Results: </strong>Of 104 randomly assigned patients, 101 were included in the final analysis (53 primary closures, 48 biological mesh). Mean total health care costs were higher in the mesh group (€57,991 vs €56,232; mean difference €1571; 95% CI, -€9840 to €12,981; p  = 0.785). Perineal complications significantly reduced quality of life, but wound complication rates and quality-of-life gains were modest for mesh, with no significant differences between groups over time.</p><p><strong>Limitations: </strong>The study sample size limited the precision of cost and subgroup estimates.</p><p><strong>Conclusions: </strong>Biological mesh reconstruction increases procedural and hospitalization costs without improving long-term patient outcomes. Routine use cannot be recommended from a cost-effectiveness perspective. See Video Abstract .</p><p><strong>Costoefectividad de la reconstruccin del suelo plvico mediante malla biolgica tras la reseccin abdominoperineal extralevadora para el cncer rectal: </strong>ANTECEDENTES:Las complicaciones perineales constituyen una fuente importante de morbilidad tras la resección abdominoperineal extralevadora para el cáncer de recto bajo, especialmente después de recibir (quimio)radioterapia neoadyuvante. La reconstrucción con malla biológica puede reducir la formación de hernias perineales, pero su rentabilidad sigue sin estar clara.OBJETIVO:Evaluar la rentabilidad de la reconstrucción con malla biológica en comparación con el cierre perineal primar","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2312-2320"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148249767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Recurrence in Crohn's Disease: The Ongoing Challenge of Risk Stratification.","authors":"İbrahim Ethem Güven","doi":"10.1097/DCR.0000000000004294","DOIUrl":"10.1097/DCR.0000000000004294","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2347"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147981069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"September 2026 Translations.","authors":"","doi":"10.1097/DCR.0000000000004390","DOIUrl":"https://doi.org/10.1097/DCR.0000000000004390","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":"69 9","pages":"2358-2395"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Much Does It Cost to Become a Colorectal Surgeon? A Cost Comparison of Training in the United States, Australia and New Zealand, and the United Kingdom.","authors":"Cameron P Douglas, Kilian G M Brown, Paolo Goffredo, Paul A Sutton, Cameron I Law","doi":"10.1097/DCR.0000000000004168","DOIUrl":"10.1097/DCR.0000000000004168","url":null,"abstract":"","PeriodicalId":11299,"journal":{"name":"Diseases of the Colon & Rectum","volume":" ","pages":"2226-2229"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147873712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}