Management of anal fistula in Australia and New Zealand: a survey of colorectal surgeons

Aksakal, Gamze; Keck, James; Mirbagheri, Naseem

doi:10.1111/ans.15945

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…The response rate of 39% is a considerable limitation of this study, and the results may not be reflective of the entire population of surgeons across Australia and Aotearoa New Zealand. However, the response rate is comparable to similar surveys of surgeons in Australia and Aotearoa New Zealand [34][35][36][37] as well as research exploring the response rates of physicians to web-based surveys in which 35% of physicians responded, and surgeons were less likely to respond than other medical specialties [38,39]. In addition, the proportion of respondents from Australia and Aotearoa New Zealand, and across jurisdictions, is representative of those contributing to the Bariatric Surgery Registry, with no significant differences identified between responding and non-responding surgeons, reducing the likelihood of nonresponse bias.…”

Section: Strengths and Limitationssupporting

confidence: 64%

Surgeon Engagement with Patient-Reported Measures in Australian and Aotearoa New Zealand Bariatric Practices

et al. 2022

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Purpose Patient-reported measures are an important emerging metric in outcome monitoring; however, they remain ill-defined and underutilized in bariatric clinical practice. This study aimed to determine the characteristics of patient-reported measures employed in bariatric practices across Australia and Aotearoa New Zealand, including barriers to their implementation and to what extent clinicians are receptive to their use. Methods An online survey was distributed to all bariatric surgeons actively contributing to the Australian and Aotearoa New Zealand Bariatric Surgery Registry (n = 176). Participants reported their use of patient-reported measures and identified the most important and useful outcomes of patient-reported data for clinical practice. Results Responses from 64 participants reported on 120 public and private bariatric practices across Australia and Aotearoa New Zealand. Most participants reported no collection of any patient-reported measure (39 of 64; 60.9%), citing insufficient staff time or resources as the primary barrier to the collection of both patient-reported experience measures (34 of 102 practices; 33.3%) and patient-reported outcome measures (30 of 84 practices; 35.7%). Participants indicated data collection by the Registry would be useful (47 of 57; 82.5%), highlighting the most valuable application to be a monitoring tool, facilitating increased understanding of patient health needs, increased reporting of symptoms, and enhanced patient-physician communication. Conclusion Despite the current lack of patient-reported measures, there is consensus that such data would be valuable in bariatric practices. Widespread collection of patient-reported measures by registries could improve the collective quality of the data, while avoiding implementation barriers faced by individual surgeons and hospitals. Graphical abstract

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Section: Strengths and Limitationssupporting

confidence: 64%

Surgeon Engagement with Patient-Reported Measures in Australian and Aotearoa New Zealand Bariatric Practices

et al. 2022

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“…Aksakal et al . evaluated CSSANZ colorectal surgeon management of perianal fistulas in a case‐based survey 10 . Of 108 respondents, most surgeons preferred ligation of intersphincteric fistula tract procedure for fistulas involving more than one‐third of the sphincter muscle; with long‐term seton placement prioritized third or fourth.…”

Section: Figmentioning

confidence: 99%

“…1,9 Aksakal et al evaluated CSSANZ colorectal surgeon management of perianal fistulas in a case-based survey. 10 Of 108 respondents, most surgeons preferred ligation of intersphincteric fistula tract procedure for fistulas involving more than one-third of the sphincter muscle; with long-term seton placement prioritized third or fourth. Aksakal et al included both cryptoglandular and CPF, which likely accounts for the differences in preferred techniques compared with our survey.…”

mentioning

confidence: 99%

Preferred definitive surgical management of Crohn's perianal fistulas and factors influencing surgical decision making in Australia and New Zealand

Gregorio

Sidhu

Behrenbruch

et al. 2023

ANZ Journal of Surgery

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Efficacy and safety of ligation of intersphincteric fistula tract in the treatment of anal fistula

et al. 2021

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Background: Anal fistula is characterized with perianal cellulitis, anorectal pain, smelly or bloody drainage of pus, and difficulty in controlling bowel movements. Ligation of intersphincteric fistula tract (LIFT) technique is a recently developed approach against anal fistula, and it could alleviate the pain of the patient, with little postoperative trauma, which can greatly shorten the wound healing time and hospitalization stay. We conduct the meta-analysis and systematic review to systematically evaluate the clinical efficacy and safety of LIFT in the treatment of anal fistula. Methods: Randomized controlled trials of LIFT against anal fistula will be searched in several Chinese and English databases. Two reviewers will independently conduct the literature extraction and risk of bias assessment. Statistical analysis will be conducted in RevMan 5.3. Results and conclusions: The study will help to systematically evaluate the clinical efficacy and safety of LIFT in the treatment of anal fistula. OSF Registration number: DOI 10.17605/OSF.IO/T4FUH

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Management of anal fistula in Australia and New Zealand: a survey of colorectal surgeons

Abstract: Improving wound healing and preventing surgical site complications of closed surgical incisions: a possible role of incisional negative pressure wound therapy. A systematic review of the literature.

Cited by 4 publications

References 7 publications

Surgeon Engagement with Patient-Reported Measures in Australian and Aotearoa New Zealand Bariatric Practices

Surgeon Engagement with Patient-Reported Measures in Australian and Aotearoa New Zealand Bariatric Practices

Preferred definitive surgical management of Crohn's perianal fistulas and factors influencing surgical decision making in Australia and New Zealand

Efficacy and safety of ligation of intersphincteric fistula tract in the treatment of anal fistula

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