Risk prediction models for permanence of temporary stoma after radical surgery of rectal cancer: a systematic review
Abstract Objective To methodologically assess the prediction model for temporary stoma permanence in patients with rectal cancer and provide evidence-based guidance for the construction and clinical application of related models. Methods From launch to January 3, 2025, computer searches were perform...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-06-01
|
| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-025-03895-y |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849234710818979840 |
|---|---|
| author | Wenjing Tan Shiyin Cai Juanqin Wu Wenke Wu Shan Wang Yaqiu Li Lulu Liu Liping Tang Ying Cao |
| author_facet | Wenjing Tan Shiyin Cai Juanqin Wu Wenke Wu Shan Wang Yaqiu Li Lulu Liu Liping Tang Ying Cao |
| author_sort | Wenjing Tan |
| collection | DOAJ |
| description | Abstract Objective To methodologically assess the prediction model for temporary stoma permanence in patients with rectal cancer and provide evidence-based guidance for the construction and clinical application of related models. Methods From launch to January 3, 2025, computer searches were performed in nine databases. Two researchers independently searched the literature, and the Critical Appraisal and Data Extraction Checklist for Systematic Evaluation of Predictive Modelling was used to extract data. The Predictive Modelling Research Risk of Bias Assessment Tool was used to assess the studies’ applicability and risk of bias. Results Nine studies were incorporated, exhibiting AUC/C-index values between 0.612 and 0.942, signifying good predictive efficacy in some models. Nonetheless, the included studies showed restricted applicability and a high risk of bias, especially regarding the selection of research populations and data analysis. The predominant determinants across models encompassed T-stage, neoadjuvant chemoradiotherapy, American Society of Anesthesiologists score, carcinoembryonic antigen level, distant metastasis, lymph node metastasis, anastomotic leakage, and age. Conclusion Current prediction models for temporary stoma permanence in rectal cancer patients exhibit significant limitations. In order to improve the accuracy of clinical predictions and inform clinical decision-making, future research should improve study design and reporting standards, as well as build and verify a prediction model that is highly applicable to real-world clinical demands and has a low risk of bias. Trial registration PROSPERO: CRD420250637947. |
| format | Article |
| id | doaj-art-a8e01107c9b5457f9d3e02d29a5d63fe |
| institution | Kabale University |
| issn | 1477-7819 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj-art-a8e01107c9b5457f9d3e02d29a5d63fe2025-08-20T04:03:03ZengBMCWorld Journal of Surgical Oncology1477-78192025-06-0123111210.1186/s12957-025-03895-yRisk prediction models for permanence of temporary stoma after radical surgery of rectal cancer: a systematic reviewWenjing Tan0Shiyin Cai1Juanqin Wu2Wenke Wu3Shan Wang4Yaqiu Li5Lulu Liu6Liping Tang7Ying Cao8Nursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityNursing Department, The 1st Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityAbstract Objective To methodologically assess the prediction model for temporary stoma permanence in patients with rectal cancer and provide evidence-based guidance for the construction and clinical application of related models. Methods From launch to January 3, 2025, computer searches were performed in nine databases. Two researchers independently searched the literature, and the Critical Appraisal and Data Extraction Checklist for Systematic Evaluation of Predictive Modelling was used to extract data. The Predictive Modelling Research Risk of Bias Assessment Tool was used to assess the studies’ applicability and risk of bias. Results Nine studies were incorporated, exhibiting AUC/C-index values between 0.612 and 0.942, signifying good predictive efficacy in some models. Nonetheless, the included studies showed restricted applicability and a high risk of bias, especially regarding the selection of research populations and data analysis. The predominant determinants across models encompassed T-stage, neoadjuvant chemoradiotherapy, American Society of Anesthesiologists score, carcinoembryonic antigen level, distant metastasis, lymph node metastasis, anastomotic leakage, and age. Conclusion Current prediction models for temporary stoma permanence in rectal cancer patients exhibit significant limitations. In order to improve the accuracy of clinical predictions and inform clinical decision-making, future research should improve study design and reporting standards, as well as build and verify a prediction model that is highly applicable to real-world clinical demands and has a low risk of bias. Trial registration PROSPERO: CRD420250637947.https://doi.org/10.1186/s12957-025-03895-yPermanence of temporary stomaRisk prediction modelSystematic review |
| spellingShingle | Wenjing Tan Shiyin Cai Juanqin Wu Wenke Wu Shan Wang Yaqiu Li Lulu Liu Liping Tang Ying Cao Risk prediction models for permanence of temporary stoma after radical surgery of rectal cancer: a systematic review World Journal of Surgical Oncology Permanence of temporary stoma Risk prediction model Systematic review |
| title | Risk prediction models for permanence of temporary stoma after radical surgery of rectal cancer: a systematic review |
| title_full | Risk prediction models for permanence of temporary stoma after radical surgery of rectal cancer: a systematic review |
| title_fullStr | Risk prediction models for permanence of temporary stoma after radical surgery of rectal cancer: a systematic review |
| title_full_unstemmed | Risk prediction models for permanence of temporary stoma after radical surgery of rectal cancer: a systematic review |
| title_short | Risk prediction models for permanence of temporary stoma after radical surgery of rectal cancer: a systematic review |
| title_sort | risk prediction models for permanence of temporary stoma after radical surgery of rectal cancer a systematic review |
| topic | Permanence of temporary stoma Risk prediction model Systematic review |
| url | https://doi.org/10.1186/s12957-025-03895-y |
| work_keys_str_mv | AT wenjingtan riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview AT shiyincai riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview AT juanqinwu riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview AT wenkewu riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview AT shanwang riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview AT yaqiuli riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview AT lululiu riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview AT lipingtang riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview AT yingcao riskpredictionmodelsforpermanenceoftemporarystomaafterradicalsurgeryofrectalcancerasystematicreview |