219 The patient perspective on colorectal anastomotic leaks: A qualitative study CONCLUSIONS This study provides multidimensional and novel insights into the lived experiences of patients with anastomotic leakage. The findings highlight the physical and emotional impact of AL, as well as identified coping strategies, emphasizing clear communication, comprehensive care, and sustained attention beyond the early postoperative and treatment phase. These findings highlight the broad impact of AL and its treatment on patients’ lives and the importance to raise more awareness among clinicians, urging them to consider patients’ experiences and values when making AL treatment decisions. The findings could inform future larger research and the development of a patient-reported outcome measure to systematically assess ALrelated outcomes in future research and clinical practice. CONTRIBUTORS, ACKNOWLEDGEMENTS AND STATEMENTS CoReAL collaborative: Michel Adamina, Alberto Arezzo, Mahdi Al-Taher, Tan Arulampalam, Saba Balvardi, Paul Barach, Himani Bhatt, Marta Botti, Stephanie O. Breukink, David A. Clark, Freek Daams, Jennifer S. Davids, Anse De Sadeleer, Abe Fingerhut, Zoe Garoufalia, Anke H.C. Gielen, Mukesh G. Harisinghani, Roel Hompes, Neil H. Hyman, Mehraneh D. Jafari, John T. Jenkins, Audrey C.H.M. Jongen, Deborah S. Keller, Samuel H. Lai, Jérémie H. Lefevre, Bibi Martens, Justin A. Maykel, Jeongyoon Moon, Nariaki Okomoto, Ian Paquette, Gianluca Pellino, Sherief F. Shawki, Benjamin D. Shogan, Chelliah Selvasekar, Simon Siu-Man Ng, Jasper Stijns, Patricia Tejedor, William Tzu-Liang Chen, Yu-Ting T van Loon, Christiaan van Der Leij, Steven D. Wexner, Elizabeth Wick, Marina Yiasemidou. We want to thank all CoReAL patient partners for participating in this study. The research team would also like to thank Stichting Darmkanker, Cancer Colorectal Canada, and Dr. Evangelos Messaris to help finding the CoReAL patient partners. The study was initiated by the CoReAL project, which is funded by the American Society of Colon and Rectal Surgeons (ASCRS) Research Foundation Anastomotic Leakage Grant. 10
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