Long-term outcomes of adult patients following surgery for congenital colorectal conditions: analysis of psychosocial functioning

Abstract

Purpose: This study aimed to obtain information about the psychosocial functioning of adults with various congenital colorectal conditions (e.g., anorectal malformation, Hirschsprung disease).Methods: A research registry of adult patients with colorectal conditions was developed. Items included demographics, medical diagnosis/treatment, and measures of anxiety and depression. Descriptive and inferential statistical approaches were applied to summarize data and determine signi cant differences in the average scores for depression and anxiety between various groupings of diagnoses, gender, race, and the use of psychotropic medication.Results: Study measures were completed by 131 adults. Depression and anxiety scores were signi cantly higher for women than men and those self-identi ed as non-binary (p=0.012, <0.001, respectively). No signi cant differences in depression and anxiety scores were found due to colorectal diagnosis (p>0.05). Participants who identi ed as Asian had signi cantly higher depression scores than participants of other races (p=0.002); but no signi cant difference was noted for anxiety scores (p=0.065).Conclusions: Results suggest that depression and anxiety scores were signi cantly in uenced by gender and race. However, colorectal diagnosis was not a predictor of depression or anxiety. It is important for colorectal providers to be aware of the psychosocial implications of congenital colorectal conditions and consider how to provide adequate support to address patients' psychosocial needs.No 52.8 ± 10.6Prescribed with psychotropic medication Not prescribed with any medication

Fertility concerns and outcomes in females with anorectal malformations

“…Outcome data regarding fertility concerns and the in uence on quality of life in patients with ARM is lacking. Because female patients with a history of surgical correction of a congenital colorectal condition have higher rates of depression and anxiety [10], we hypothesize that patients with history of ARM and fertility concerns may have impaired quality of life. The purpose of this study is to report fertility concerns, compare fertility quality of life scores to published reference scores, and describe pregnancy outcomes in female patients with ARM.…”