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Erschienen in:

06.09.2023 | Originalien

Worldwide trends in pilonidal sinus disease recurrence rate

verfasst von: Prof. Dr. med. Dr. phil. Dietrich Doll, MD PhD, Myriam Braun-Münker, RPh PhD, Christina Oetzmann von Sochaczewski, MD PhD, Igors Iesalnieks, MD PhD

Erschienen in: coloproctology | Ausgabe 5/2023

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Abstract

Background

With the emergence of new techniques and increasing knowledge about pilonidal sinus disease (PSD), there is curiosity regarding the trends in recurrence rate.

Objective

The objective of this study is to analyze trends in the recurrence rates associated with PSD treatments over the past decades, spanning from the discovery of PSD to the present. This analysis was conducted by examining the proportion of recurrent patients among all patients undergoing pilonidal sinus surgery.

Methods

A comprehensive search was performed in global literature databases, including PubMed, Embase, ScienceDirect, and others, to gather reported data on PSD recurrence rates from 1833 to the present. The collected articles were grouped and analyzed.

Results

The published patient group sizes ranged from n = 6439 patients with n = 130 cases of recurrent disease in 1930 to n = 42,537 patients with n = 3548 cases of recurrent disease in 2000. While the rate of recurrent patients seeking surgery varied between 2% in 1930 and 14% in 1940, no clear trend could be established. Notably, there was no significant decrease in the raw recurrence rate between 1930 and the past two decades. No limitations were identified in this study.

Conclusion

The findings suggest that the published recurrence rate of PSD is not decreasing. As the incidence of PSD is increasing, it is possible that the effectiveness of superior therapies is being overshadowed by unknown factors influencing the outcomes. Alternatively, it is plausible that more challenging cases are being published or that available superior therapies are not being adequately utilized. The next step would involve analyzing global trends in the choice of treatment for pilonidal sinus disease.

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Titel: Worldwide trends in pilonidal sinus disease recurrence rate
verfasst von: Prof. Dr. med. Dr. phil. Dietrich Doll, MD PhD
Myriam Braun-Münker, RPh PhD
Christina Oetzmann von Sochaczewski, MD PhD
Igors Iesalnieks, MD PhD
Publikationsdatum: 06.09.2023
Verlag: Springer Medizin
Erschienen in: coloproctology / Ausgabe 5/2023
Print ISSN: 0174-2442
Elektronische ISSN: 1615-6730
DOI: https://doi.org/10.1007/s00053-023-00727-z

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Worldwide trends in pilonidal sinus disease recurrence rate