Assessment of long-term quality of life, bowel and voiding function outcomes in patients with anorectal malformation at a single UK centre
Topic overview
This retrospective study evaluates long-term outcomes in 94 pediatric ARM patients, finding significantly impaired quality of life, bowel continence, and voiding function compared to healthy controls. Over half experienced poor bowel function, with worse outcomes in high-type malformations and delayed diagnosis cases.
Key takeaways
- ARM patients show significantly impaired quality of life, bowel function (57% poor), and voiding function (32% poor) compared to healthy controls.
- High-type ARM and delayed diagnosis correlate with worse bowel continence outcomes, emphasizing importance of early detection and classification.
- 38% of ARM patients require ancillary aids for bowel/bladder management, which significantly reduces quality of life scores.
- Long-term functional monitoring beyond initial surgical repair is essential, as deficits persist into childhood and adolescence.
- Multidisciplinary support addressing both physical function and psychosocial impact is needed for ARM patients throughout development.
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How to cite: GlobalCastMD. Assessment of long-term quality of life, bowel and voiding function outcomes in patients with anorectal malformation at a single UK centre. GlobalCastMD Medical Library. 2024-04-03. https://dev.library.globalcastmd.com/article/8472?via_space=staycurrentmd
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