Patient-reported outcomes of Children with an Anorectal Malformation

You have a patient with an anal rectal malformation. Are you using the sacral ratio to counsel them? I'm Jill Knetreth with Stay Current MD, and this is an article you should know about. In 2024, what at All. with Nationwide Children's published a survey in the Annals of Surgery that looked at over 900 patients with anal rectal malformation. Authors found that found that improved. Importantly, they found that there was actually there was no difference incontinence for patients for patients on sacral ratio ratio alone in regards to quality of quality of life. Patients who are incontinent incontinence had a 20/20 quality of quality of life compared to patients who were continent incontinent or clean or clean on enemas. So what's the takeaways the takeaway here when it comes to when it comes to patients rectal rectal malformation, the sacral ratio ratio may not be as predictor of continence as we as we age and bowel may actually matter more. Additionally, quality of quality of life significant for patients incontinence enemas. Does this change this change your practice?