Functional Outcomes for Patients With Congenital Anorectal Malformations: A Systematic Review and Evidence-based Guideline From the APSA Outcomes and Evidence Based Practice Committee

Topic overview

Key takeaways

• Functional outcomes in ARM vary widely; standardized assessment tools are needed for consistent patient counseling and outcome reporting.
• Long-term follow-up must address bowel/urinary continence, sexual function, psychosocial health, and quality of life beyond childhood.
• Heterogeneity in current literature limits evidence-based consensus; systematic outcome tracking improves transitional care planning.
• Optimal counseling requires discussing both short-term surgical results and lifelong functional expectations with families.
• Multidisciplinary care coordination is essential for addressing the spectrum of ARM-related functional challenges into adulthood.

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