1. Stoma-free Survival After Rectal Cancer Resection With Anastomotic Leakage: Development and Validation of a Prediction Model in a Large International Cohort
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Nynke G, Greijdanu, Kiedo, Wienholt, Sander, Ubel, Kevin, Talboom, Gerjon, Hannink, Albert, Wolthui, Francisco B, de Lacy, Jérémie H, Lefevre, Michael, Solomon, Matteo, Frasson, Nicolas, Rotholtz, Quentin, Denost, Rodrigo O, Perez, Tsuyoshi, Konishi, Yves, Pani, Martin, Rutegård, Roel, Hompe, Camiel, Rosman, Frans, van Workum, Pieter J, Tani, Wilt, De, H W, Johanne, A Bremers, Andreas J, T Ferenschild, Flori, de Vriendt, Stefanie, D'Hoore, André, Bislenghi, Gabriele, Farguell, Jordi, M Lacy, Antonio, González Atienza, Paula, S van Kessel, Charlotte, Parc, Yann, Voron, Thibault, K Collard, Maxime, Sancho Muriel, Jorge, Cholewa, Hannia, A Mattioni, Laura, Frontali, Alice, W Polle, Sebastiaan, Polat, Fatih, J Obihara, Ndidi, B Vailati, Bruna, Kusters, Miranda, B Tuynmann, Jurriaan, A Hazen, Sanne J, J Grüter, Alexander A, Amano, Takahiro, Fujiwara, Hajime, Salomon, Mario, Ruiz, Hernán, Gonzalez, Ricardo, Estefanía, Diego, Avellaneda, Nicola, Carrie, Augusto, Santillan, Mateo, A Pantoja Pachajoa, Diana, Parodi, Matia, Gielis, Manuel, Binder, Alf-Dorian, Gürtler, Thoma, Riedl, Peter, Badiani, Sarit, Berney, Christophe, Morgan, Matthew, Hollington, Paul, da Silva, Nigel, Nair, Gavin, M Ho, Yiu, Lamparelli, Michael, Kapadia, Raj, M Kroon, Hidde, N Dudi-Venkata, Nagendra, Liu, Jianliang, Sammour, Tarik, Flamey, Nicola, Pattyn, Paul, Chaoui, Ahmed, Vansteenbrugge, Loui, J van den Broek, Nathalie E, Vanclooster, Patrick, de Gheldere, Charle, Pletinckx, Pieter, Defoort, Barbara, Dewulf, Maxime, Slavchev, Mihail, Belev, Nikolay, Atanasov, Boyko, Krastev, Panche, Sokolov, Manol, Maslyankov, Svilen, Gribnev, Petar, Pavlov, Vasil, Ivanov, Tsvetomir, Karamanliev, Martin, Filipov, Emil, Tonchev, Pencho, Aigner, Felix, Mitteregger, Martin, Allmer, Caterina, Seitinger, Gerald, Colucci, Nicola, Buchs, Nicola, Ris, Frédéric, Toso, Christian, Gialamas, Eleftherio, Vuagniaux, Aurélie, Chautems, Roland, Sauvain, Marc-Olivier, Daester, Silvio, von Flüe, Marku, Guenin, Marc-Olivier, Taha-Mehlitz, Stephanie, F Hess, Gabriel, Martínek, Lubomír, Skrovina, Matej, Machackova, Maria, Benčurik, Vladimir, Uluk, Deniz, Pratschke, Johann, S Dittrich, Luca, Guel-Klein, Safak, Perez, Daniel, Grass, Julia-Kristin, Melling, Nathaniel, Mueller, Simone, H Iversen, Lene, D Eriksen, Jacob, Baatrup, Gunnar, Al-Najami, Issam, Bjørsum-Meyer, Thoma, Teras, Jüri, M Teras, Roland, A Monib, Fatma, Eldin Abu Elnga Ahmed, Nagm, Alkady, Eithar, K Ali, Ahmed, Abd Elatti Khedr, Gehan, Samir Abdelaal, Ahmed, M Bassyouni Ashoush, Fouad, Ewedah, Moataz, M Elshennawy, Eslam, Hussein, Mohamed, Fernández-Martínez, Daniel, J García-Flórez, Lui, Fernández-Hevia, María, Suárez-Sánchez, Aida, Del Hoyo Aretxabala, Izaskun, Losada Docampo, Iria, Gómez Zabala, Jesú, Tejedor, Patricia, T Morales Bernaldo de Quirós, Javier, Bodega Quiroga, Ignacio, Navarro-Sánchez, Antonio, Soto Darias, Iván, López Fernández, Cristina, de La Cruz Cuadrado, Cristina, Sánchez-Guillén, Lui, López-Rodríguez-Arias, Francisco, Soler-Silva, Álvaro, Arroyo, Antonio, C Bernal-Sprekelsen, Juan, Á Gómez-Abril, Segundo, Gonzálvez, Paula, T Torres, María, Rubio Sánchez, Teresa, Blanco Antona, Francisco, E Sánchez Lara, Juan, A Alcázar Montero, José, Colás-Ruiz, Enrique, M Tasende-Presedo, Marta, Fernández-Hurtado, Ignacio, A Cifuentes-Ródenas, José, Castro Suárez, Marta, Losada, Manuel, Hernández, Miguel, Alonso, Alfredo, Diéguez, Beatriz, Serralta, Daniel, E Medina Quintana, Rita, M Gil Lopez, Jose, Lima Pinto, Francisca, Nieto-Moreno, Elena, Correa Bonito, Alba, Cerdán Santacruz, Carlo, Bermejo Marcos, Elena, García Septiem, Javier, Calero-Lillo, Aránzazu, Alanez-Saavedra, Javier, Muñoz-Collado, Salvador, López-Lara, Manuel, Labalde Martínez, María, Ferrero Herrero, Eduardo, Javier García Borda, Francisco, García Villar, Óscar, Escartín, Jorge, L Blas, Juan, Ferrer, Rocío, García Egea, Jorge, Rodríguez-Infante, Antonio, Mínguez-Ruiz, Germán, Carreño-Villarreal, Guillermo, Pire-Abaitua, Gerardo, Dziakova, Jana, Sáez-Cazallas Rodríguez, Carlo, J Pizarro Aranda, María, M Muguerza Huguet, José, Borda-Arrizabalaga, Nerea, M Enriquez-Navascués, José, Elorza Echaniz, Garazi, Saralegui Ansorena, Yolanda, Estaire-Gómez, Mercede, Martínez-Pinedo, Carlo, Barbero-Valenzuela, Alejandro, Ruíz-García, Pablo, Kraft, Miquel, J Gómez-Jurado, María, Pellino, Gianluca, Espín-Basany, Eloy, Cotte, Eddy, Panel, Nathalie, Goutard, Claire-Angéline, Deángelis, Nicola, Lauka, Lelde, Shaikh, Shafaque, Osborne, Laura, Ramsay, George, Nichita, Vladimir-Ion, Bhandari, Santosh, Sarmah, Panchali, M Bethune, Rob, M Pringle, Heather C, Massey, Lisa, E Fowler, George, S Hamid, Hytham K, D de Simone, Belinda, Kynaston, Jame, Bradley, Nichola, M Stienstra, Roxane, Gurjar, Shashank, Mukherjee, Tanmoy, Chandio, Ashfaq, Ahmed, Safia, Singh, Baljit, Runau, Francoi, Chaudhri, Sanjay, Siaw, Oliver, Sarveswaran, Janahan, Miu, Victor, Ashmore, Daniel, Darwich, Haitham, Singh-Ranger, Deepak, Singh, Nirbhaibir, Shaban, Mohamed, Gareb, Fahed, Petropolou, Thalia, Polydorou, Adrea, Dattani, Mit, Afzal, Asma, Bavikatte, Akshay, Sebastian, Boby, Ward, Nichola, Mishra, Amitabh, Manatakis, Dimitrio, Agalianos, Christo, Tasis, Nikolao, Antonopoulou, Maria-Ioanna, Karavokyros, Ioanni, Charalabopoulos, Alexandro, Schizas, Dimitrio, Baili, Efstratia, Syllaios, Athanasio, Karydakis, Lysandro, Vailas, Michail, Balalis, Dimitrio, Korkolis, Dimitrio, Plastiras, Ari, Rompou, Aliki, Xenaki, Sofia, Xynos, Evangelo, Chrysos, Emmanuel, Venianaki, Maria, Christodoulidis, Grigorio, Perivoliotis, Konstantino, Tzovaras, George, Baloyiannis, Ioanni, Ho, Man-Fung, Siu-Man Ng, Simon, Wing-Chung Mak, Tony, Futaba, Kaori, Šantak, Goran, Šimleša, Damir, Osić, Jurica, Zukanović, Goran, E Kelly, Michael, O Larkin, John, H McCormick, Paul, J Mehigan, Brian, M Connelly, Tara, Neary, Peter, Ryan, Jessica, Mccullough, Peter, A Al-Juaifari, Maytham, Hammoodi, Hayder, Hashim Abbood, Ali, Calabrò, Marcello, Muratore, Andrea, La Terra, Antonio, Farnesi, Francesca, V Feo, Carlo, Fabbri, Nicolò, Pesce, Antonio, Fazzin, Marta, Roscio, Francesco, Clerici, Federico, Lucchi, Andrea, Vittori, Laura, Agostinelli, Laura, Cristina Ripoli, Maria, Sambucci, Daniele, Porta, Andrea, Sinibaldi, Giovanni, Crescentini, Giacomo, Larcinese, Antonella, Picone, Emanuele, Persiani, Roberto, Biondi, Alberto, Pezzuto, Roberto, Lorenzon, Laura, Rizzo, Gianluca, Coco, Claudio, D'Agostino, Luca, Spinelli, Antonino, M Sacchi, Matteo, Carvello, Michele, Foppa, Caterina, Maroli, Annalisa, M Palini, Gian, Garulli, Gianluca, Zanini, Nicola, Delrio, Paolo, Rega, Daniela, Carbone, Fabio, Aversano, Alessia, Pirozzolo, Giovanni, Recordare, Alfonso, D'Alimonte, Lucrezia, Vignotto, Chiara, Corbellini, Carlo, M Sampietro, Gianluca, Lorusso, Leonardo, A Manzo, Carlo, Ghignone, Federico, Ugolini, Giampaolo, Montroni, Isacco, Pasini, Franceso, Pasini, Francesco, Ballabio, Michele, Bisagni, Pietro, T Armao, Francesca, Longhi, Marco, Ghazouani, Omar, Galleano, Raffaele, Tamini, Nicolò, Oldani, Massimo, Nespoli, Luca, Picciariello, Arcangelo, F Altomare, Donato, Tomasicchio, Giovanni, Lantone, Giuliano, Catena, Fausto, Giuffrida, Mario, Annicchiarico, Alfredo, Perrone, Gennaro, Grossi, Ugo, A Santoro, Giulio, Zanus, Giacomo, Iacomino, Alessandro, Novello, Simone, Passuello, Nicola, Zucchella, Martino, Puca, Lucia, Degiuli, Maurizio, Reddavid, Rossella, Scabini, Stefano, Aprile, Alessandra, Soriero, Domenico, Fioravanti, Emanuela, Rottoli, Matteo, Romano, Angela, Tanzanu, Marta, Belvedere, Angela, M Mariani, Nicolò, P Ceretti, Andrea, Opocher, Enrico, Gallo, Gaetano, Sammarco, Giuseppe, de Paola, Gilda, Pucciarelli, Salvatore, Marchegiani, Francesco, Spolverato, Gaya, Buzzi, Gianluca, Di Saverio, Salomone, Meroni, Paola, Parise, Cristiano, I Bottazzoli, Elisa, Lapolla, Pierfrancesco, Brachini, Gioia, Cirillo, Bruno, Mingoli, Andrea, Sica, Giuseppe, Siragusa, Leandro, Bellato, Vittoria, Cerbo, Daniele, A de Pasqual, Carlo, de Manzoni, Giovanni, A di Cosmo, Maria, H Alrayes, Bourhan M, M Qandeel, Mahmoud W, Bani Hani, Mohammad, Rabadi, Alexander, S El Muhtaseb, Mohammad, Abdeen, Basel, Karmi, Fahed, Žilinskas, Justa, Latkauskas, Tada, Tamelis, Algimanta, Pikūnienė, Ingrida, Šlenfuktas, Vyginta, Poskus, Toma, Kryzauskas, Mariu, Jakubauskas, Mata, Mikalauskas, Sauliu, Jakubauskiene, Lina, Y Hassan, Soha, Altrabulsi, Amani, Abdulwahed, Eman, Ghmagh, Reem, Deeknah, Abdulqudu, Alshareea, Entisar, Elhadi, Muhammed, Abujamra, Saleh, A Msherghi, Ahmed, E Tababa, Osama W, A Majbar, Mohammed, Souadka, Amine, Benkabbou, Amine, Mohsine, Raouf, Echiguer, Sabrillah, Moctezuma-Velázquez, Paulina, Salgado-Nesme, Noel, Vergara-Fernández, Omar, C Sainz-Hernández, Juan, E Alvarez-Bautista, Francisco, D Zakaria, Andee, Zakaria, Zaidi, K Wong, Michael P, Ismail, Razif, F Ibrahim, Aini, N Abdullah, Nik A, Julaihi, Rokayah, Bhat, Sameer, O'Grady, Greg, Bissett, Ian, Lamme, Ba, D Musters, Gijsbert, M Dinaux, Anne, A Grotenhuis, Brechtje, J Aalbers, Ernst J Steller Arend G, M Leeuwenburgh, Marjolein, T Rutten, Harm J, A Burger, Jacobus W, G Bloemen, Johanne, J Ketelaers, Stijn H, Waqar, Usama, Chawla, Tabish, Rauf, Hareem, Rani, Pallavi, K Talsma, Aaldert, Scheurink, Lieke, B van Praagh, Jasper, Segelman, Josefin, Nygren, Jona, Anderin, Kajsa, Tiefenthal, Marit, de Andrés, Beatriz, P Beltrán de Heredia, Juan, Vázquez, Andrea, Gómez, Tania, Golshani, Parisa, Kader, Rawaz, Mohamed, Abudi, Westerterp, Marinke, Marinelli, Andrea, Niemer, Quirine, G Doornebosch, Pascal, Shapiro, Joël, Vermaas, Maarten, R de Graaf, Eelco J, L van Westreenen, Hendrik, Zwakman, Marije, D van Dalsen, Annette, J Vles, Wouter, Nonner, Joost, R Toorenvliet, Boudewijn, J Janssen, Paul T, G Verdaasdonk, Emiel G, J Amelung, Femke, R Bahadoer, Koen C M J Peeters Renu, A Holman, Fabian, Heemskerk, Jeroen, Vosbeek, Noortje, A Leijtens, Jeroen W, M Taverne, Sophie B, M Heijnen, Bob H, El-Massoudi, Youssef, de Groot-van Veen, Irene, Hoff, Christiaan, Jou-Valencia, Daniela, J Consten, Esther C, A Burghgraef, Thij, Geitenbeek, Ritch, L Hulshof, Lorenzo G W, D Slooter, Gerrit, Reudink, Muriël, D Bouvy, Nicole, L Wildeboer, Aurelia C, Verstappen, Sonja, J Pennings, Alexander, van den Hengel, Berber, G Wijma, Allard, de Haan, Jael, F de Nes, Lindsey C, Heesink, Vera, Karsten, Tom, M Heidsma, Charlotte, J Koemans, Willem, T Dekker, Jan-Willem, J van der Zijden, Charlène, Roos, Daphne, Demirkiran, Ahmet, van der Burg, Sjirk, J Oosterling, Steven, J Hoogteijling, Tij, Wiering, Bastiaan, J Smeeing, Diederik P, Havenga, Klaa, Lutfi, Hamid, Tsimogiannis, Konstantino, Sköldberg, Filip, Folkesson, Joakim, den Boer, Frank, G van Schaik, Ted, van Gerven, Pieter, Sietses, Colin, C Hol, Jeroen, G Boerma, Evert-Jan, J Creemers, Davy M, K Schultz, Johanne, Frivold, Tone, Riis, Rolf, Gregussen, Hilde, Busund, Sondre, H Sjo, Ole, Gaard, Maria, Krohn, Nina, L Ersryd, Amanda, Leung, Edmund, Sultan, Hytham, Nabil Hajjaj, Baraa, Jehad Alhisi, Ahmed, E Khader, Ahmed A, Filipa Dias Mendes, Ana, Semião, Miguel, Queiroz Faria, Lui, Azevedo, Constança, M da Costa Devesa, Helena, Fortuna Martins, Sónia, M Rodrigues Jarimba, Aldo, M Ribeiro Marques, Sónia, Marques Ferreira, Rita, Oliveira, António, Ferreira, Cátia, Pereira, Ricardo, M Surlin, Valeriu, M Graure, Giorgiana, D Ramboiu, Stefan Patrascu Sandu, Negoi, Ionut, Ciubotaru, Cezar, Stoica, Bogdan, Tanase, Ioan, M Negoita, Valentina, Florea, Sabrina, Macau, Florin, Vasile, Mihai, Stefanescu, Victor, Dimofte, Gabriel-Mihail, Luncă, Sorinel, Roată, Cristian-Ene, Mușină, Ana-Maria, Garmanova, Tatiana, N Agapov, Mikhail, G Markaryan, Daniil, Eduard, Galliamov, Yanishev, Alexey, Abelevich, Alexander, Bazaev, Andrey, V Rodimov, Sergey, B Filimonov, Victor, A Melnikov, Andrey, A Suchkov, Igor, Drozdov, Evgeniy, N Kostromitskiy, Dmitriy, Sjöström, Olle, Matthiessen, Peter, Baban, Bayar, Gadan, Soran, Dehlaghi Jadid, Kaveh, Staffan, Maria, M Park, Jennifer, Rydbeck, Daniel, Lydrup, Marie-Louise, Buchwald, Pamela, Jutesten, Henrik, Darlin, Lotten, Lindqvist, Ebba, Nilsson, Karl, Larsson, Per-Ander, Jangmalm, Staffan, A Košir, Jurij, Tomažič, Aleš, Grosek, Jan, Košir Božič, Tajda, Zazo, Aya, Zazo, Rama, Fares, Hala, Ayoub, Kusay, Niazi, Ammar, Mansour, Ali, Abbas, Ayman, Tantoura, Mohammad, Hamdan, Alaa, Hassan, Naya, Hasan, Bassam, Saad, Ahmad, Sebai, Amine, Haddad, Ani, Maghrebi, Houcine, Kacem, Montasser, Yalkın, Ömer, Veysi Samsa, Mehmet, Atak, İbrahim, Balci, Bengi, Haberal, Elifcan, Dogan, Lütfi, E Gecim, Ibrahim, Akyol, Cihangir, A Koc, Mehmet, Sivrikoz, Emre, Piyadeoğlu, Deniz, O Avanagh, Dara, Sökmen, Selman, Bişgin, Tayfun, Günenç, Erşan, Güzel, Melek, Leventoğlu, Sezai, Yüksel, Osman, Kozan, Ramazan, Göbüt, Hüseyin, Cengiz, Fevzi, Erdinc, Kemal, Coşgun Acar, Nihan, Kamer, Erdinc, Özgür, İlker, Aydın, Oguzhan, Keskin, Metin, Türker Bulut, Mehmet, B Kulle, Cemil, Kara, Yasin, Sıbıç, Osman, H Özata, İbrahim, Buğra, Dursun, Balık, Emre, Çakır, Murat, Alhardan, Ana, Colak, Elif, B CiftciEngin Aybar, Ahmet, Can Sari, Ahmet, Demirli Atici, Semra, Kaya, Tayfun, Dursun, Ayberk, Calik, Bulent, Faruk Özkan, Ömer, Şeyda Ülgür, Hanife, Düzgün, Özgül, Monson, John, George, Sarah, Woods, Kayla, Al-Eryani, Fatima, Albakry, Rudaina, Coetzee, Emile, Boutall, Adam, Herman, Ayesiga, Warden, Claire, Mugla, Naser, Forgan, Tim, Mia, Imraan, Lambrechts, Anton, Roberto Persiani (ORCID:0000-0002-1537-5097), Alberto Biondi (ORCID:0000-0002-2470-7858), Nynke G, Greijdanu, Kiedo, Wienholt, Sander, Ubel, Kevin, Talboom, Gerjon, Hannink, Albert, Wolthui, Francisco B, de Lacy, Jérémie H, Lefevre, Michael, Solomon, Matteo, Frasson, Nicolas, Rotholtz, Quentin, Denost, Rodrigo O, Perez, Tsuyoshi, Konishi, Yves, Pani, Martin, Rutegård, Roel, Hompe, Camiel, Rosman, Frans, van Workum, Pieter J, Tani, Wilt, De, H W, Johanne, A Bremers, Andreas J, T Ferenschild, Flori, de Vriendt, Stefanie, D'Hoore, André, Bislenghi, Gabriele, Farguell, Jordi, M Lacy, Antonio, González Atienza, Paula, S van Kessel, Charlotte, Parc, Yann, Voron, Thibault, K Collard, Maxime, Sancho Muriel, Jorge, Cholewa, Hannia, A Mattioni, Laura, Frontali, Alice, W Polle, Sebastiaan, Polat, Fatih, J Obihara, Ndidi, B Vailati, Bruna, Kusters, Miranda, B Tuynmann, Jurriaan, A Hazen, Sanne J, J Grüter, Alexander A, Amano, Takahiro, Fujiwara, Hajime, Salomon, Mario, Ruiz, Hernán, Gonzalez, Ricardo, Estefanía, Diego, Avellaneda, Nicola, Carrie, Augusto, Santillan, Mateo, A Pantoja Pachajoa, Diana, Parodi, Matia, Gielis, Manuel, Binder, Alf-Dorian, Gürtler, Thoma, Riedl, Peter, Badiani, Sarit, Berney, Christophe, Morgan, Matthew, Hollington, Paul, da Silva, Nigel, Nair, Gavin, M Ho, Yiu, Lamparelli, Michael, Kapadia, Raj, M Kroon, Hidde, N Dudi-Venkata, Nagendra, Liu, Jianliang, Sammour, Tarik, Flamey, Nicola, Pattyn, Paul, Chaoui, Ahmed, Vansteenbrugge, Loui, J van den Broek, Nathalie E, Vanclooster, Patrick, de Gheldere, Charle, Pletinckx, Pieter, Defoort, Barbara, Dewulf, Maxime, Slavchev, Mihail, Belev, Nikolay, Atanasov, Boyko, Krastev, Panche, Sokolov, Manol, Maslyankov, Svilen, Gribnev, Petar, Pavlov, Vasil, Ivanov, Tsvetomir, Karamanliev, Martin, Filipov, Emil, Tonchev, Pencho, Aigner, Felix, Mitteregger, Martin, Allmer, Caterina, Seitinger, Gerald, Colucci, Nicola, Buchs, Nicola, Ris, Frédéric, Toso, Christian, Gialamas, Eleftherio, Vuagniaux, Aurélie, Chautems, Roland, Sauvain, Marc-Olivier, Daester, Silvio, von Flüe, Marku, Guenin, Marc-Olivier, Taha-Mehlitz, Stephanie, F Hess, Gabriel, Martínek, Lubomír, Skrovina, Matej, Machackova, Maria, Benčurik, Vladimir, Uluk, Deniz, Pratschke, Johann, S Dittrich, Luca, Guel-Klein, Safak, Perez, Daniel, Grass, Julia-Kristin, Melling, Nathaniel, Mueller, Simone, H Iversen, Lene, D Eriksen, Jacob, Baatrup, Gunnar, Al-Najami, Issam, Bjørsum-Meyer, Thoma, Teras, Jüri, M Teras, Roland, A Monib, Fatma, Eldin Abu Elnga Ahmed, Nagm, Alkady, Eithar, K Ali, Ahmed, Abd Elatti Khedr, Gehan, Samir Abdelaal, Ahmed, M Bassyouni Ashoush, Fouad, Ewedah, Moataz, M Elshennawy, Eslam, Hussein, Mohamed, Fernández-Martínez, Daniel, J García-Flórez, Lui, Fernández-Hevia, María, Suárez-Sánchez, Aida, Del Hoyo Aretxabala, Izaskun, Losada Docampo, Iria, Gómez Zabala, Jesú, Tejedor, Patricia, T Morales Bernaldo de Quirós, Javier, Bodega Quiroga, Ignacio, Navarro-Sánchez, Antonio, Soto Darias, Iván, López Fernández, Cristina, de La Cruz Cuadrado, Cristina, Sánchez-Guillén, Lui, López-Rodríguez-Arias, Francisco, Soler-Silva, Álvaro, Arroyo, Antonio, C Bernal-Sprekelsen, Juan, Á Gómez-Abril, Segundo, Gonzálvez, Paula, T Torres, María, Rubio Sánchez, Teresa, Blanco Antona, Francisco, E Sánchez Lara, Juan, A Alcázar Montero, José, Colás-Ruiz, Enrique, M Tasende-Presedo, Marta, Fernández-Hurtado, Ignacio, A Cifuentes-Ródenas, José, Castro Suárez, Marta, Losada, Manuel, Hernández, Miguel, Alonso, Alfredo, Diéguez, Beatriz, Serralta, Daniel, E Medina Quintana, Rita, M Gil Lopez, Jose, Lima Pinto, Francisca, Nieto-Moreno, Elena, Correa Bonito, Alba, Cerdán Santacruz, Carlo, Bermejo Marcos, Elena, García Septiem, Javier, Calero-Lillo, Aránzazu, Alanez-Saavedra, Javier, Muñoz-Collado, Salvador, López-Lara, Manuel, Labalde Martínez, María, Ferrero Herrero, Eduardo, Javier García Borda, Francisco, García Villar, Óscar, Escartín, Jorge, L Blas, Juan, Ferrer, Rocío, García Egea, Jorge, Rodríguez-Infante, Antonio, Mínguez-Ruiz, Germán, Carreño-Villarreal, Guillermo, Pire-Abaitua, Gerardo, Dziakova, Jana, Sáez-Cazallas Rodríguez, Carlo, J Pizarro Aranda, María, M Muguerza Huguet, José, Borda-Arrizabalaga, Nerea, M Enriquez-Navascués, José, Elorza Echaniz, Garazi, Saralegui Ansorena, Yolanda, Estaire-Gómez, Mercede, Martínez-Pinedo, Carlo, Barbero-Valenzuela, Alejandro, Ruíz-García, Pablo, Kraft, Miquel, J Gómez-Jurado, María, Pellino, Gianluca, Espín-Basany, Eloy, Cotte, Eddy, Panel, Nathalie, Goutard, Claire-Angéline, Deángelis, Nicola, Lauka, Lelde, Shaikh, Shafaque, Osborne, Laura, Ramsay, George, Nichita, Vladimir-Ion, Bhandari, Santosh, Sarmah, Panchali, M Bethune, Rob, M Pringle, Heather C, Massey, Lisa, E Fowler, George, S Hamid, Hytham K, D de Simone, Belinda, Kynaston, Jame, Bradley, Nichola, M Stienstra, Roxane, Gurjar, Shashank, Mukherjee, Tanmoy, Chandio, Ashfaq, Ahmed, Safia, Singh, Baljit, Runau, Francoi, Chaudhri, Sanjay, Siaw, Oliver, Sarveswaran, Janahan, Miu, Victor, Ashmore, Daniel, Darwich, Haitham, Singh-Ranger, Deepak, Singh, Nirbhaibir, Shaban, Mohamed, Gareb, Fahed, Petropolou, Thalia, Polydorou, Adrea, Dattani, Mit, Afzal, Asma, Bavikatte, Akshay, Sebastian, Boby, Ward, Nichola, Mishra, Amitabh, Manatakis, Dimitrio, Agalianos, Christo, Tasis, Nikolao, Antonopoulou, Maria-Ioanna, Karavokyros, Ioanni, Charalabopoulos, Alexandro, Schizas, Dimitrio, Baili, Efstratia, Syllaios, Athanasio, Karydakis, Lysandro, Vailas, Michail, Balalis, Dimitrio, Korkolis, Dimitrio, Plastiras, Ari, Rompou, Aliki, Xenaki, Sofia, Xynos, Evangelo, Chrysos, Emmanuel, Venianaki, Maria, Christodoulidis, Grigorio, Perivoliotis, Konstantino, Tzovaras, George, Baloyiannis, Ioanni, Ho, Man-Fung, Siu-Man Ng, Simon, Wing-Chung Mak, Tony, Futaba, Kaori, Šantak, Goran, Šimleša, Damir, Osić, Jurica, Zukanović, Goran, E Kelly, Michael, O Larkin, John, H McCormick, Paul, J Mehigan, Brian, M Connelly, Tara, Neary, Peter, Ryan, Jessica, Mccullough, Peter, A Al-Juaifari, Maytham, Hammoodi, Hayder, Hashim Abbood, Ali, Calabrò, Marcello, Muratore, Andrea, La Terra, Antonio, Farnesi, Francesca, V Feo, Carlo, Fabbri, Nicolò, Pesce, Antonio, Fazzin, Marta, Roscio, Francesco, Clerici, Federico, Lucchi, Andrea, Vittori, Laura, Agostinelli, Laura, Cristina Ripoli, Maria, Sambucci, Daniele, Porta, Andrea, Sinibaldi, Giovanni, Crescentini, Giacomo, Larcinese, Antonella, Picone, Emanuele, Persiani, Roberto, Biondi, Alberto, Pezzuto, Roberto, Lorenzon, Laura, Rizzo, Gianluca, Coco, Claudio, D'Agostino, Luca, Spinelli, Antonino, M Sacchi, Matteo, Carvello, Michele, Foppa, Caterina, Maroli, Annalisa, M Palini, Gian, Garulli, Gianluca, Zanini, 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Piyadeoğlu, Deniz, O Avanagh, Dara, Sökmen, Selman, Bişgin, Tayfun, Günenç, Erşan, Güzel, Melek, Leventoğlu, Sezai, Yüksel, Osman, Kozan, Ramazan, Göbüt, Hüseyin, Cengiz, Fevzi, Erdinc, Kemal, Coşgun Acar, Nihan, Kamer, Erdinc, Özgür, İlker, Aydın, Oguzhan, Keskin, Metin, Türker Bulut, Mehmet, B Kulle, Cemil, Kara, Yasin, Sıbıç, Osman, H Özata, İbrahim, Buğra, Dursun, Balık, Emre, Çakır, Murat, Alhardan, Ana, Colak, Elif, B CiftciEngin Aybar, Ahmet, Can Sari, Ahmet, Demirli Atici, Semra, Kaya, Tayfun, Dursun, Ayberk, Calik, Bulent, Faruk Özkan, Ömer, Şeyda Ülgür, Hanife, Düzgün, Özgül, Monson, John, George, Sarah, Woods, Kayla, Al-Eryani, Fatima, Albakry, Rudaina, Coetzee, Emile, Boutall, Adam, Herman, Ayesiga, Warden, Claire, Mugla, Naser, Forgan, Tim, Mia, Imraan, Lambrechts, Anton, Roberto Persiani (ORCID:0000-0002-1537-5097), and Alberto Biondi (ORCID:0000-0002-2470-7858)
- Abstract
Objective:To develop and validate a prediction model (STOMA score) for 1-year stoma-free survival in patients with rectal cancer (RC) with anastomotic leakage (AL).Background:AL after RC resection often results in a permanent stoma.Methods:This international retrospective cohort study (TENTACLE-Rectum) encompassed 216 participating centres and included patients who developed AL after RC surgery between 2014 and 2018. Clinically relevant predictors for 1-year stoma-free survival were included in uni and multivariable logistic regression models. The STOMA score was developed and internally validated in a cohort of patients operated between 2014 and 2017, with subsequent temporal validation in a 2018 cohort. The discriminative power and calibration of the models' performance were evaluated.Results:This study included 2499 patients with AL, 1954 in the development cohort and 545 in the validation cohort. Baseline characteristics were comparable. One-year stoma-free survival was 45.0% in the development cohort and 43.7% in the validation cohort. The following predictors were included in the STOMA score: sex, age, American Society of Anestesiologist classification, body mass index, clinical M-disease, neoadjuvant therapy, abdominal and transanal approach, primary defunctioning stoma, multivisceral resection, clinical setting in which AL was diagnosed, postoperative day of AL diagnosis, abdominal contamination, anastomotic defect circumference, bowel wall ischemia, anastomotic fistula, retraction, and reactivation leakage. The STOMA score showed good discrimination and calibration (c-index: 0.71, 95% CI: 0.66-0.76).Conclusions:The STOMA score consists of 18 clinically relevant factors and estimates the individual risk for 1-year stoma-free survival in patients with AL after RC surgery, which may improve patient counseling and give guidance when analyzing the efficacy of different treatment strategies in future studies.
- Published
- 2023