A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease
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Le résumé fourni par la source
AIM: Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands. METHOD: Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with chronic PSD were included for analysis. One-year after surgical treatment for PSD, all patients received questionnaires on wound healing, quality of life (QoL), and patient reported experience measures (PREMs). Primary outcome was recurrence rate. Secondary outcomes included QoL and PREMs. RESULTS: Of 681 included patients, 405 patients presented with chronic PSD and underwent surgical treatment. One-year questionnaires were completed by 289 out of 405 patients (71.4%). Patients underwent either excision with secondary wound healing (ESW, n = 73), excision with midline closure (EMC, n = 21), off-midline closure (OMC, n = 17), or a minimally invasive technique (MIT, n = 178). Patient-reported recurrence rates after ESW, EMC, OMC and MIT were 21.5%, 25%, 6.7% and 30.6%, respectively. Pain/discomfort and anxiety/depression were the most frequently reported problems affecting QoL. Patients that underwent OMC were satisfied the most with the care provided. CONCLUSION: This study demonstrates variation in recurrence rates among surgical procedures for PSD. The highest rates were observed in the MIT and EMC group, while the OMC group exhibited the lowest rate. QoL outcomes differed among the surgical techniques. Patient satisfaction appears highest in the OMC group.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease
- Date Crossref
- 02/12/2024
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Albert Schweitzer Ziekenhuis pays non établi dans la noticeÉtablissement de santé
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Erasmus MC Cancer Institute pays non établi dans la noticeÉtablissement de santé
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Erasmus MC pays non établi dans la noticeÉtablissement de santé
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Erasmus University Rotterdam pays non établi dans la noticeUniversité ou école supérieure
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Flevoziekenhuis pays non établi dans la noticeÉtablissement de santé
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University Medical Center Groningen pays non établi dans la noticeÉtablissement de santé
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Ikazia Ziekenhuis pays non établi dans la noticeÉtablissement de santé
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Department of Surgery Albert Schweitzer Hospital Dordrecht the Netherlands pays non établi dans la noticeÉtablissement de santé
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Department of Science and Research Albert Schweitzer Hospital Dordrecht the Netherlands pays non établi dans la noticeÉtablissement de santé
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Department of Surgery Ikazia Hospital Rotterdam the Netherlands pays non établi dans la noticeÉtablissement de santé
Albert Schweitzer Ziekenhuis, Erasmus MC Cancer Institute et Erasmus MC, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.