{"id":10223,"date":"2026-10-07T14:35:24","date_gmt":"2026-10-07T13:35:24","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=10223"},"modified":"2026-10-07T14:35:24","modified_gmt":"2026-10-07T13:35:24","slug":"factors-associated-with-time-to-stoma-reversal-after-anterior-resection-across-england-an-observational-study-using-administrative-data-2026","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2026\/10\/07\/factors-associated-with-time-to-stoma-reversal-after-anterior-resection-across-england-an-observational-study-using-administrative-data-2026\/","title":{"rendered":"Factors associated with time to stoma reversal after anterior resection across England: an observational study using administrative data (2026)"},"content":{"rendered":"\n

Type of publication:<\/strong><\/p>\n\n\n\n

Conference abstract<\/p>\n\n\n\n

Author(s):<\/strong><\/p>\n\n\n\n

*Olagunju N.; *Cheetham M.; Savage K.; Briggs T.W.R.; Gray W.K.<\/p>\n\n\n\n

Citation:<\/strong><\/p>\n\n\n\n

Surgical Endoscopy. Conference: 33rd Annual Congress of the European Association for Endoscopic Surgery. Belgrade Serbia. 40(1 Supplement) (pp S210), 2026. Date of Publication: 01 Apr 2026.<\/p>\n\n\n\n

Abstract:<\/strong><\/p>\n\n\n\n

Aims: A diverting stoma (DS) has been shown to reduce the impact of anastomotic leak following anterior resection for rectal cancer. While these are designed to be temporary, patients may wait over 18 months for reversal. This impacts quality of life, long-term bowel function, health care costs, and resource utilization. The National Bowel Cancer Audit (NBOCA) highlights stoma reversal within 18 months of anterior resection as a performance indicator. Our study aims to compare stoma closure rates across various service providers in England, trends over time and determine the factors associated with unreversed stoma beyond 18 months following anterior resection.
Method(s): This was an exploratory analysis of administrative data from the Hospital Episode Statistics (HES) database for England of patients who had anterior resection procedures with stoma creation during the same admission for rectal cancer. The study covered the period from 1st April 2016 to 30th September 2024. A subset of data up to 31st March 2023 for the index procedure were used for some analyses allowing all patients to have 18 months of follow-up. The primary outcome was stoma closure within 18 months of stoma creation. The secondary outcomes were 30-day emergency readmission, post-operative complications, and death after surgery.
Result(s): 5275 patients had anterior resections with DS and 3338 (63.5%) had stoma reversal within 18 months. Patients who had stoma reversal [ 18 months had higher rates of anastomotic leak during their index stay, 30-day readmission, and death within 1 year of discharge. Socio-economic deprivation (odds ratio (OR) for highest vs lowest quintile 1.67 (95% confidence interval (CI) 1.34 to 2.09), p \\ 0.001), and frailty (OR for severe vs no frailty 3.03 (95% CI 1.08 to 8.53), p = 0.035) were associated with stoma reversal [ 18 months. Stoma closure within 18 months fell from 70.5% in 2016\/17 to 62.0% in 2022\/23.
Conclusion(s): More patients are waiting longer to have their stoma reversed. Frailty and socioeconomic deprivation were associated with stoma closure after 18 months. There was no association between age, sex, ethnicity or hospital volumes, and time to stoma reversal.<\/p>\n\n\n\n

DOI<\/strong>: 10.1007\/s00464-026-12641-8<\/p>\n","protected":false},"excerpt":{"rendered":"

Type of publication: Conference abstract Author(s): *Olagunju N.; *Cheetham M.; Savage K.; Briggs T.W.R.; Gray W.K. Citation: Surgical Endoscopy. Conference: 33rd Annual Congress of the European Association for Endoscopic Surgery. Belgrade Serbia. 40(1 Supplement) (pp S210), 2026. Date of Publication:…<\/span><\/p>\n

Read more Factors associated with time to stoma reversal after anterior resection across England: an observational study using administrative data (2026)<\/span> ›<\/span><\/a><\/div>\n

<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[200],"tags":[1106,221,709],"class_list":["post-10223","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1106","tag-gastroenterology","tag-gastroinstestinal-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10223","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=10223"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10223\/revisions"}],"predecessor-version":[{"id":10224,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10223\/revisions\/10224"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=10223"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=10223"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=10223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}