A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease
Aim Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands. Method Patients with PSD who underwent surgica...
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| Veröffentlicht in: | Colorectal disease 2025-01, Vol.27 (1), p.n/a |
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| creator | Huurman, Eleonora A. Raaff, Christel A.L. Berg, Rosaline Baart, Sara J. Wijnhoven, Bas P. L. Schouten, Ruben Furnée, Edgar J. B. Smeenk, Robert M. Toorenvliet, Boudewijn R. Moekotte, A. Nierop, P.M.H. Bleeker, W. Bouwman, H. Erp, A. Ruler, O. Vermaas, M. Ottenhof, S. Veger, H. Willems, S. Han‐Geurts, I.J.M. Dekker, L. Oostendorp, J.Y. Konsten, J. Schok, T. Vijgen, G. Clermonts, S. Brokx, H. Diks, J. Steensel, L. Koeverden, I. Jonker, F.H.W. Emmen, A. Lettinga, T. Mulder, I. Klaassen, R. Jansen, K.P. Bronkhorst, M. W.G.A. Reiniers, M.J. Crolla, R. Lagendijk, M. Kelder, W. Vuurberg, N. Hoed, E. Smakman, N. Kort, J. Vissink, M. Stockmann, H. Stappen, R. Tjahjadi, N. Zoete, J.P. Rovers, K. Damen, S. Hijmans, R. Steenvoorde, P. Burg, S. Klinkenbijl, J. Lovern, C. Gijn, W. Warmerdam, M. Hem, J. Holzik, M. Lutke Masselink, I Morsink, L. Klicks, R. Stuijvenberg, M. Pool, M. Castro, S. Koremans, F. Wal, H.C. Apers, J. Haan, E. Jongh, M. Klerk, G. Vos tot Nederveen Cappel, R. Koperen, P. Baeten, C. Schaafsma, B. Janki, S. Kornmann, V. Sprundel, T. |
| description | Aim
Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands.
Method
Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with chronic PSD were included for analysis.
One‐year after surgical treatment for PSD, all patients received questionnaires on wound healing, quality of life (QoL), and patient reported experience measures (PREMs). Primary outcome was recurrence rate. Secondary outcomes included QoL and PREMs.
Results
Of 681 included patients, 405 patients presented with chronic PSD and underwent surgical treatment. One‐year questionnaires were completed by 289 out of 405 patients (71.4%). Patients underwent either excision with secondary wound healing (ESW, n = 73), excision with midline closure (EMC, n = 21), off‐midline closure (OMC, n = 17), or a minimally invasive technique (MIT, n = 178). Patient‐reported recurrence rates after ESW, EMC, OMC and MIT were 21.5%, 25%, 6.7% and 30.6%, respectively. Pain/discomfort and anxiety/depression were the most frequently reported problems affecting QoL. Patients that underwent OMC were satisfied the most with the care provided.
Conclusion
This study demonstrates variation in recurrence rates among surgical procedures for PSD. The highest rates were observed in the MIT and EMC group, while the OMC group exhibited the lowest rate. QoL outcomes differed among the surgical techniques. Patient satisfaction appears highest in the OMC group. |
| doi_str_mv | 10.1111/codi.17217 |
| format | Article |
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Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands.
Method
Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with chronic PSD were included for analysis.
One‐year after surgical treatment for PSD, all patients received questionnaires on wound healing, quality of life (QoL), and patient reported experience measures (PREMs). Primary outcome was recurrence rate. Secondary outcomes included QoL and PREMs.
Results
Of 681 included patients, 405 patients presented with chronic PSD and underwent surgical treatment. One‐year questionnaires were completed by 289 out of 405 patients (71.4%). Patients underwent either excision with secondary wound healing (ESW, n = 73), excision with midline closure (EMC, n = 21), off‐midline closure (OMC, n = 17), or a minimally invasive technique (MIT, n = 178). Patient‐reported recurrence rates after ESW, EMC, OMC and MIT were 21.5%, 25%, 6.7% and 30.6%, respectively. Pain/discomfort and anxiety/depression were the most frequently reported problems affecting QoL. Patients that underwent OMC were satisfied the most with the care provided.
Conclusion
This study demonstrates variation in recurrence rates among surgical procedures for PSD. The highest rates were observed in the MIT and EMC group, while the OMC group exhibited the lowest rate. QoL outcomes differed among the surgical techniques. Patient satisfaction appears highest in the OMC group.</description><identifier>ISSN: 1462-8910</identifier><identifier>ISSN: 1463-1318</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.17217</identifier><identifier>PMID: 39618338</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>excision with midline closure ; excision with secondary wound healing ; minimally invasive technique ; Morbidity ; off‐midline closure ; patient reported experience measures ; Patient satisfaction ; Patients ; pilonidal sinus disease ; Quality of life ; Questionnaires ; recurrence rate ; Wound healing</subject><ispartof>Colorectal disease, 2025-01, Vol.27 (1), p.n/a</ispartof><rights>2024 Association of Coloproctology of Great Britain and Ireland.</rights><rights>2025 The Association of Coloproctology of Great Britain and Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2467-672919225e1af4c9e2215e52efc0e249945e14573e8b1b9d928f79ab0fbd52cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcodi.17217$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcodi.17217$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39618338$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huurman, Eleonora A.</creatorcontrib><creatorcontrib>Raaff, Christel A.L.</creatorcontrib><creatorcontrib>Berg, Rosaline</creatorcontrib><creatorcontrib>Baart, Sara J.</creatorcontrib><creatorcontrib>Wijnhoven, Bas P. L.</creatorcontrib><creatorcontrib>Schouten, Ruben</creatorcontrib><creatorcontrib>Furnée, Edgar J. B.</creatorcontrib><creatorcontrib>Smeenk, Robert M.</creatorcontrib><creatorcontrib>Toorenvliet, Boudewijn R.</creatorcontrib><creatorcontrib>Moekotte, A.</creatorcontrib><creatorcontrib>Nierop, P.M.H.</creatorcontrib><creatorcontrib>Bleeker, W.</creatorcontrib><creatorcontrib>Bouwman, H.</creatorcontrib><creatorcontrib>Erp, A.</creatorcontrib><creatorcontrib>Ruler, O.</creatorcontrib><creatorcontrib>Vermaas, M.</creatorcontrib><creatorcontrib>Ottenhof, S.</creatorcontrib><creatorcontrib>Veger, H.</creatorcontrib><creatorcontrib>Willems, S.</creatorcontrib><creatorcontrib>Han‐Geurts, I.J.M.</creatorcontrib><creatorcontrib>Dekker, L.</creatorcontrib><creatorcontrib>Oostendorp, J.Y.</creatorcontrib><creatorcontrib>Konsten, J.</creatorcontrib><creatorcontrib>Schok, T.</creatorcontrib><creatorcontrib>Vijgen, G.</creatorcontrib><creatorcontrib>Clermonts, S.</creatorcontrib><creatorcontrib>Brokx, H.</creatorcontrib><creatorcontrib>Diks, J.</creatorcontrib><creatorcontrib>Steensel, L.</creatorcontrib><creatorcontrib>Koeverden, I.</creatorcontrib><creatorcontrib>Jonker, F.H.W.</creatorcontrib><creatorcontrib>Emmen, A.</creatorcontrib><creatorcontrib>Lettinga, T.</creatorcontrib><creatorcontrib>Mulder, I.</creatorcontrib><creatorcontrib>Klaassen, R.</creatorcontrib><creatorcontrib>Jansen, K.P.</creatorcontrib><creatorcontrib>Bronkhorst, M. W.G.A.</creatorcontrib><creatorcontrib>Reiniers, M.J.</creatorcontrib><creatorcontrib>Crolla, R.</creatorcontrib><creatorcontrib>Lagendijk, M.</creatorcontrib><creatorcontrib>Kelder, W.</creatorcontrib><creatorcontrib>Vuurberg, N.</creatorcontrib><creatorcontrib>Hoed, E.</creatorcontrib><creatorcontrib>Smakman, N.</creatorcontrib><creatorcontrib>Kort, J.</creatorcontrib><creatorcontrib>Vissink, M.</creatorcontrib><creatorcontrib>Stockmann, H.</creatorcontrib><creatorcontrib>Stappen, R.</creatorcontrib><creatorcontrib>Tjahjadi, N.</creatorcontrib><creatorcontrib>Zoete, J.P.</creatorcontrib><creatorcontrib>Rovers, K.</creatorcontrib><creatorcontrib>Damen, S.</creatorcontrib><creatorcontrib>Hijmans, R.</creatorcontrib><creatorcontrib>Steenvoorde, P.</creatorcontrib><creatorcontrib>Burg, S.</creatorcontrib><creatorcontrib>Klinkenbijl, J.</creatorcontrib><creatorcontrib>Lovern, C.</creatorcontrib><creatorcontrib>Gijn, W.</creatorcontrib><creatorcontrib>Warmerdam, M.</creatorcontrib><creatorcontrib>Hem, J.</creatorcontrib><creatorcontrib>Holzik, M. Lutke</creatorcontrib><creatorcontrib>Masselink, I</creatorcontrib><creatorcontrib>Morsink, L.</creatorcontrib><creatorcontrib>Klicks, R.</creatorcontrib><creatorcontrib>Stuijvenberg, M.</creatorcontrib><creatorcontrib>Pool, M.</creatorcontrib><creatorcontrib>Castro, S.</creatorcontrib><creatorcontrib>Koremans, F.</creatorcontrib><creatorcontrib>Wal, H.C.</creatorcontrib><creatorcontrib>Apers, J.</creatorcontrib><creatorcontrib>Haan, E.</creatorcontrib><creatorcontrib>Jongh, M.</creatorcontrib><creatorcontrib>Klerk, G.</creatorcontrib><creatorcontrib>Vos tot Nederveen Cappel, R.</creatorcontrib><creatorcontrib>Koperen, P.</creatorcontrib><creatorcontrib>Baeten, C.</creatorcontrib><creatorcontrib>Schaafsma, B.</creatorcontrib><creatorcontrib>Janki, S.</creatorcontrib><creatorcontrib>Kornmann, V.</creatorcontrib><creatorcontrib>Sprundel, T.</creatorcontrib><creatorcontrib>PITS collaborative study group</creatorcontrib><creatorcontrib>the PITS collaborative study group</creatorcontrib><title>A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim
Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands.
Method
Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with chronic PSD were included for analysis.
One‐year after surgical treatment for PSD, all patients received questionnaires on wound healing, quality of life (QoL), and patient reported experience measures (PREMs). Primary outcome was recurrence rate. Secondary outcomes included QoL and PREMs.
Results
Of 681 included patients, 405 patients presented with chronic PSD and underwent surgical treatment. One‐year questionnaires were completed by 289 out of 405 patients (71.4%). Patients underwent either excision with secondary wound healing (ESW, n = 73), excision with midline closure (EMC, n = 21), off‐midline closure (OMC, n = 17), or a minimally invasive technique (MIT, n = 178). Patient‐reported recurrence rates after ESW, EMC, OMC and MIT were 21.5%, 25%, 6.7% and 30.6%, respectively. Pain/discomfort and anxiety/depression were the most frequently reported problems affecting QoL. Patients that underwent OMC were satisfied the most with the care provided.
Conclusion
This study demonstrates variation in recurrence rates among surgical procedures for PSD. The highest rates were observed in the MIT and EMC group, while the OMC group exhibited the lowest rate. QoL outcomes differed among the surgical techniques. Patient satisfaction appears highest in the OMC group.</description><subject>excision with midline closure</subject><subject>excision with secondary wound healing</subject><subject>minimally invasive technique</subject><subject>Morbidity</subject><subject>off‐midline closure</subject><subject>patient reported experience measures</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>pilonidal sinus disease</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>recurrence rate</subject><subject>Wound healing</subject><issn>1462-8910</issn><issn>1463-1318</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNp9kE1r3DAQhkVoyObr0h9QBL2EghONLH_ouGzSJBDIJTkbWRo3Cl5rq7FZ_O-r3U176CFzeQfm4WV4GPsK4hrS3Njg_DVUEqojdgqqzDPIof6y32VWaxALdkb0LgSUFdQnbJHrEuo8r09Zu-SDGX0Ytt4hp8Fs6C2MnMbJzTwMPEyjDWuktCOf0URuuhEjpyn-wjjzLkRu32IYvOUb36d0pufkh4m484SG8IIdd6YnvPzIc_b68-5l9ZA9Pd8_rpZPmZWqrLKykhq0lAWC6ZTVKCUUWEjsrECptFbpoooqx7qFVjst667SphVd6wppXX7Org69mxh-T0hjs_Zkse_NgGGiJgclNNSFUgn9_h_6HqY4pO8SVWixl5OoHwfKxkAUsWs20a9NnBsQzc58szPf7M0n-NtH5dSu0f1D_6pOAByAre9x_qSqWT3fPh5K_wD1co4q</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Huurman, Eleonora A.</creator><creator>Raaff, Christel A.L.</creator><creator>Berg, Rosaline</creator><creator>Baart, Sara J.</creator><creator>Wijnhoven, Bas P. L.</creator><creator>Schouten, Ruben</creator><creator>Furnée, Edgar J. B.</creator><creator>Smeenk, Robert M.</creator><creator>Toorenvliet, Boudewijn R.</creator><creator>Moekotte, A.</creator><creator>Nierop, P.M.H.</creator><creator>Bleeker, W.</creator><creator>Bouwman, H.</creator><creator>Erp, A.</creator><creator>Ruler, O.</creator><creator>Vermaas, M.</creator><creator>Ottenhof, S.</creator><creator>Veger, H.</creator><creator>Willems, S.</creator><creator>Han‐Geurts, I.J.M.</creator><creator>Dekker, L.</creator><creator>Oostendorp, J.Y.</creator><creator>Konsten, J.</creator><creator>Schok, T.</creator><creator>Vijgen, G.</creator><creator>Clermonts, S.</creator><creator>Brokx, H.</creator><creator>Diks, J.</creator><creator>Steensel, L.</creator><creator>Koeverden, I.</creator><creator>Jonker, F.H.W.</creator><creator>Emmen, A.</creator><creator>Lettinga, T.</creator><creator>Mulder, I.</creator><creator>Klaassen, R.</creator><creator>Jansen, K.P.</creator><creator>Bronkhorst, M. W.G.A.</creator><creator>Reiniers, M.J.</creator><creator>Crolla, R.</creator><creator>Lagendijk, M.</creator><creator>Kelder, W.</creator><creator>Vuurberg, N.</creator><creator>Hoed, E.</creator><creator>Smakman, N.</creator><creator>Kort, J.</creator><creator>Vissink, M.</creator><creator>Stockmann, H.</creator><creator>Stappen, R.</creator><creator>Tjahjadi, N.</creator><creator>Zoete, J.P.</creator><creator>Rovers, K.</creator><creator>Damen, S.</creator><creator>Hijmans, R.</creator><creator>Steenvoorde, P.</creator><creator>Burg, S.</creator><creator>Klinkenbijl, J.</creator><creator>Lovern, C.</creator><creator>Gijn, W.</creator><creator>Warmerdam, M.</creator><creator>Hem, J.</creator><creator>Holzik, M. Lutke</creator><creator>Masselink, I</creator><creator>Morsink, L.</creator><creator>Klicks, R.</creator><creator>Stuijvenberg, M.</creator><creator>Pool, M.</creator><creator>Castro, S.</creator><creator>Koremans, F.</creator><creator>Wal, H.C.</creator><creator>Apers, J.</creator><creator>Haan, E.</creator><creator>Jongh, M.</creator><creator>Klerk, G.</creator><creator>Vos tot Nederveen Cappel, R.</creator><creator>Koperen, P.</creator><creator>Baeten, C.</creator><creator>Schaafsma, B.</creator><creator>Janki, S.</creator><creator>Kornmann, V.</creator><creator>Sprundel, T.</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>202501</creationdate><title>A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease</title><author>Huurman, Eleonora A. ; Raaff, Christel A.L. ; Berg, Rosaline ; Baart, Sara J. ; Wijnhoven, Bas P. L. ; Schouten, Ruben ; Furnée, Edgar J. B. ; Smeenk, Robert M. ; Toorenvliet, Boudewijn R. ; Moekotte, A. ; Nierop, P.M.H. ; Bleeker, W. ; Bouwman, H. ; Erp, A. ; Ruler, O. ; Vermaas, M. ; Ottenhof, S. ; Veger, H. ; Willems, S. ; Han‐Geurts, I.J.M. ; Dekker, L. ; Oostendorp, J.Y. ; Konsten, J. ; Schok, T. ; Vijgen, G. ; Clermonts, S. ; Brokx, H. ; Diks, J. ; Steensel, L. ; Koeverden, I. ; Jonker, F.H.W. ; Emmen, A. ; Lettinga, T. ; Mulder, I. ; Klaassen, R. ; Jansen, K.P. ; Bronkhorst, M. W.G.A. ; Reiniers, M.J. ; Crolla, R. ; Lagendijk, M. ; Kelder, W. ; Vuurberg, N. ; Hoed, E. ; Smakman, N. ; Kort, J. ; Vissink, M. ; Stockmann, H. ; Stappen, R. ; Tjahjadi, N. ; Zoete, J.P. ; Rovers, K. ; Damen, S. ; Hijmans, R. ; Steenvoorde, P. ; Burg, S. ; Klinkenbijl, J. ; Lovern, C. ; Gijn, W. ; Warmerdam, M. ; Hem, J. ; Holzik, M. Lutke ; Masselink, I ; Morsink, L. ; Klicks, R. ; Stuijvenberg, M. ; Pool, M. ; Castro, S. ; Koremans, F. ; Wal, H.C. ; Apers, J. ; Haan, E. ; Jongh, M. ; Klerk, G. ; Vos tot Nederveen Cappel, R. ; Koperen, P. ; Baeten, C. ; Schaafsma, B. ; Janki, S. ; Kornmann, V. ; Sprundel, T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2467-672919225e1af4c9e2215e52efc0e249945e14573e8b1b9d928f79ab0fbd52cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>excision with midline closure</topic><topic>excision with secondary wound healing</topic><topic>minimally invasive technique</topic><topic>Morbidity</topic><topic>off‐midline closure</topic><topic>patient reported experience measures</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>pilonidal sinus disease</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>recurrence rate</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huurman, Eleonora A.</creatorcontrib><creatorcontrib>Raaff, Christel A.L.</creatorcontrib><creatorcontrib>Berg, Rosaline</creatorcontrib><creatorcontrib>Baart, Sara J.</creatorcontrib><creatorcontrib>Wijnhoven, Bas P. L.</creatorcontrib><creatorcontrib>Schouten, Ruben</creatorcontrib><creatorcontrib>Furnée, Edgar J. B.</creatorcontrib><creatorcontrib>Smeenk, Robert M.</creatorcontrib><creatorcontrib>Toorenvliet, Boudewijn R.</creatorcontrib><creatorcontrib>Moekotte, A.</creatorcontrib><creatorcontrib>Nierop, P.M.H.</creatorcontrib><creatorcontrib>Bleeker, W.</creatorcontrib><creatorcontrib>Bouwman, H.</creatorcontrib><creatorcontrib>Erp, A.</creatorcontrib><creatorcontrib>Ruler, O.</creatorcontrib><creatorcontrib>Vermaas, M.</creatorcontrib><creatorcontrib>Ottenhof, S.</creatorcontrib><creatorcontrib>Veger, H.</creatorcontrib><creatorcontrib>Willems, S.</creatorcontrib><creatorcontrib>Han‐Geurts, I.J.M.</creatorcontrib><creatorcontrib>Dekker, L.</creatorcontrib><creatorcontrib>Oostendorp, J.Y.</creatorcontrib><creatorcontrib>Konsten, J.</creatorcontrib><creatorcontrib>Schok, T.</creatorcontrib><creatorcontrib>Vijgen, G.</creatorcontrib><creatorcontrib>Clermonts, S.</creatorcontrib><creatorcontrib>Brokx, H.</creatorcontrib><creatorcontrib>Diks, J.</creatorcontrib><creatorcontrib>Steensel, L.</creatorcontrib><creatorcontrib>Koeverden, I.</creatorcontrib><creatorcontrib>Jonker, F.H.W.</creatorcontrib><creatorcontrib>Emmen, A.</creatorcontrib><creatorcontrib>Lettinga, T.</creatorcontrib><creatorcontrib>Mulder, I.</creatorcontrib><creatorcontrib>Klaassen, R.</creatorcontrib><creatorcontrib>Jansen, K.P.</creatorcontrib><creatorcontrib>Bronkhorst, M. W.G.A.</creatorcontrib><creatorcontrib>Reiniers, M.J.</creatorcontrib><creatorcontrib>Crolla, R.</creatorcontrib><creatorcontrib>Lagendijk, M.</creatorcontrib><creatorcontrib>Kelder, W.</creatorcontrib><creatorcontrib>Vuurberg, N.</creatorcontrib><creatorcontrib>Hoed, E.</creatorcontrib><creatorcontrib>Smakman, N.</creatorcontrib><creatorcontrib>Kort, J.</creatorcontrib><creatorcontrib>Vissink, M.</creatorcontrib><creatorcontrib>Stockmann, H.</creatorcontrib><creatorcontrib>Stappen, R.</creatorcontrib><creatorcontrib>Tjahjadi, N.</creatorcontrib><creatorcontrib>Zoete, J.P.</creatorcontrib><creatorcontrib>Rovers, K.</creatorcontrib><creatorcontrib>Damen, S.</creatorcontrib><creatorcontrib>Hijmans, R.</creatorcontrib><creatorcontrib>Steenvoorde, P.</creatorcontrib><creatorcontrib>Burg, S.</creatorcontrib><creatorcontrib>Klinkenbijl, J.</creatorcontrib><creatorcontrib>Lovern, C.</creatorcontrib><creatorcontrib>Gijn, W.</creatorcontrib><creatorcontrib>Warmerdam, M.</creatorcontrib><creatorcontrib>Hem, J.</creatorcontrib><creatorcontrib>Holzik, M. Lutke</creatorcontrib><creatorcontrib>Masselink, I</creatorcontrib><creatorcontrib>Morsink, L.</creatorcontrib><creatorcontrib>Klicks, R.</creatorcontrib><creatorcontrib>Stuijvenberg, M.</creatorcontrib><creatorcontrib>Pool, M.</creatorcontrib><creatorcontrib>Castro, S.</creatorcontrib><creatorcontrib>Koremans, F.</creatorcontrib><creatorcontrib>Wal, H.C.</creatorcontrib><creatorcontrib>Apers, J.</creatorcontrib><creatorcontrib>Haan, E.</creatorcontrib><creatorcontrib>Jongh, M.</creatorcontrib><creatorcontrib>Klerk, G.</creatorcontrib><creatorcontrib>Vos tot Nederveen Cappel, R.</creatorcontrib><creatorcontrib>Koperen, P.</creatorcontrib><creatorcontrib>Baeten, C.</creatorcontrib><creatorcontrib>Schaafsma, B.</creatorcontrib><creatorcontrib>Janki, S.</creatorcontrib><creatorcontrib>Kornmann, V.</creatorcontrib><creatorcontrib>Sprundel, T.</creatorcontrib><creatorcontrib>PITS collaborative study group</creatorcontrib><creatorcontrib>the PITS collaborative study group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huurman, Eleonora A.</au><au>Raaff, Christel A.L.</au><au>Berg, Rosaline</au><au>Baart, Sara J.</au><au>Wijnhoven, Bas P. L.</au><au>Schouten, Ruben</au><au>Furnée, Edgar J. B.</au><au>Smeenk, Robert M.</au><au>Toorenvliet, Boudewijn R.</au><au>Moekotte, A.</au><au>Nierop, P.M.H.</au><au>Bleeker, W.</au><au>Bouwman, H.</au><au>Erp, A.</au><au>Ruler, O.</au><au>Vermaas, M.</au><au>Ottenhof, S.</au><au>Veger, H.</au><au>Willems, S.</au><au>Han‐Geurts, I.J.M.</au><au>Dekker, L.</au><au>Oostendorp, J.Y.</au><au>Konsten, J.</au><au>Schok, T.</au><au>Vijgen, G.</au><au>Clermonts, S.</au><au>Brokx, H.</au><au>Diks, J.</au><au>Steensel, L.</au><au>Koeverden, I.</au><au>Jonker, F.H.W.</au><au>Emmen, A.</au><au>Lettinga, T.</au><au>Mulder, I.</au><au>Klaassen, R.</au><au>Jansen, K.P.</au><au>Bronkhorst, M. W.G.A.</au><au>Reiniers, M.J.</au><au>Crolla, R.</au><au>Lagendijk, M.</au><au>Kelder, W.</au><au>Vuurberg, N.</au><au>Hoed, E.</au><au>Smakman, N.</au><au>Kort, J.</au><au>Vissink, M.</au><au>Stockmann, H.</au><au>Stappen, R.</au><au>Tjahjadi, N.</au><au>Zoete, J.P.</au><au>Rovers, K.</au><au>Damen, S.</au><au>Hijmans, R.</au><au>Steenvoorde, P.</au><au>Burg, S.</au><au>Klinkenbijl, J.</au><au>Lovern, C.</au><au>Gijn, W.</au><au>Warmerdam, M.</au><au>Hem, J.</au><au>Holzik, M. Lutke</au><au>Masselink, I</au><au>Morsink, L.</au><au>Klicks, R.</au><au>Stuijvenberg, M.</au><au>Pool, M.</au><au>Castro, S.</au><au>Koremans, F.</au><au>Wal, H.C.</au><au>Apers, J.</au><au>Haan, E.</au><au>Jongh, M.</au><au>Klerk, G.</au><au>Vos tot Nederveen Cappel, R.</au><au>Koperen, P.</au><au>Baeten, C.</au><au>Schaafsma, B.</au><au>Janki, S.</au><au>Kornmann, V.</au><au>Sprundel, T.</au><aucorp>PITS collaborative study group</aucorp><aucorp>the PITS collaborative study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2025-01</date><risdate>2025</risdate><volume>27</volume><issue>1</issue><epage>n/a</epage><issn>1462-8910</issn><issn>1463-1318</issn><eissn>1463-1318</eissn><abstract>Aim
Managing pilonidal sinus disease (PSD) remains challenging due to high recurrence rates and morbidity associated with treatment. The aim of this study was to evaluate the outcomes one year after surgical treatment for chronic PSD in the Netherlands.
Method
Patients with PSD who underwent surgical treatment between March 1, 2020, and March 1, 2021, at 36 participating hospitals were included in a prospective observational cohort study. For the present study, only patients with chronic PSD were included for analysis.
One‐year after surgical treatment for PSD, all patients received questionnaires on wound healing, quality of life (QoL), and patient reported experience measures (PREMs). Primary outcome was recurrence rate. Secondary outcomes included QoL and PREMs.
Results
Of 681 included patients, 405 patients presented with chronic PSD and underwent surgical treatment. One‐year questionnaires were completed by 289 out of 405 patients (71.4%). Patients underwent either excision with secondary wound healing (ESW, n = 73), excision with midline closure (EMC, n = 21), off‐midline closure (OMC, n = 17), or a minimally invasive technique (MIT, n = 178). Patient‐reported recurrence rates after ESW, EMC, OMC and MIT were 21.5%, 25%, 6.7% and 30.6%, respectively. Pain/discomfort and anxiety/depression were the most frequently reported problems affecting QoL. Patients that underwent OMC were satisfied the most with the care provided.
Conclusion
This study demonstrates variation in recurrence rates among surgical procedures for PSD. The highest rates were observed in the MIT and EMC group, while the OMC group exhibited the lowest rate. QoL outcomes differed among the surgical techniques. Patient satisfaction appears highest in the OMC group.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39618338</pmid><doi>10.1111/codi.17217</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1462-8910 |
| ispartof | Colorectal disease, 2025-01, Vol.27 (1), p.n/a |
| issn | 1462-8910 1463-1318 1463-1318 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3140918544 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | excision with midline closure excision with secondary wound healing minimally invasive technique Morbidity off‐midline closure patient reported experience measures Patient satisfaction Patients pilonidal sinus disease Quality of life Questionnaires recurrence rate Wound healing |
| title | A nationwide snapshot study on outcomes one year after surgery for chronic pilonidal sinus disease |
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