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CompletedNCT07929935ClinicalTrials.gov record

Rectal Prolapse Surgery in Switzerland: Hospital Volume and Patient Outcomes

Prolapse · Switzerland · Outcome Assessment · Rectopexy · Mortality

THE QUICK READ

What this study involves

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Study type
Observational
Phase
Not applicable / not listed
Age range
20 years - Not specified
Sex eligible
All sexes
Healthy volunteers
Not accepted
Participants
4257 Actual

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

Rectal Prolapse Surgery in Switzerland: Hospital Volume and Postoperative Outcomes

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

Inclusion Criteria:

  • Age 20 years or older.
  • Hospitalization in Switzerland between January 1, 2013, and December 31, 2022.
  • Diagnosis of rectal prolapse (ICD-10-GM K62.3).
  • Elective surgical treatment of rectal prolapse identified by Swiss CHOP codes 48.49, 48.74, 48.75, or 48.76.11.

Exclusion Criteria:

  • Age below 20 years.
  • Emergency surgery.
  • Non-operative treatment of rectal prolapse.
  • Incomplete documentation.
  • Unspecified surgical procedures or CHOP codes not corresponding to the predefined eligible procedures (e.g., 48.76.00).

Study population

This nationwide retrospective observational study included 4,257 adult patients aged 20 years or older who underwent elective surgery for rectal prolapse in Switzerland between January 1, 2013, and December 31, 2022. Patients were identified using ICD-10 and Swiss CHOP procedure codes from the anonymized national inpatient database of the Swiss Federal Statistical Office. The study included abdominal rectopexy, Delorme's procedure, perineal stapled prolapse resection, and Altemeier's procedure. Postoperative outcomes were evaluated according to annual hospital procedure volume.

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Treatment, groups and participation

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Assignment
Not reported
Masking
Not reported
Rectal Prolapse Surgery Cohort

Adult patients aged 20 years or older who underwent elective surgery for rectal prolapse in Switzerland between 2013 and 2022. The cohort includes patients treated by abdominal rectopexy, Delorme's procedure, perineal stapled prolapse resection, or Altemeier's procedure. Postoperative outcomes were evaluated according to annual hospital procedure volume. All surgical procedures were performed as part of routine clinical care without study-assigned interventions.

Procedure: Surgical Treatment of Rectal Prolapse

Surgical Treatment of Rectal Prolapse PROCEDURE

Patients underwent elective surgical treatment for rectal prolapse as part of routine clinical care. Procedures included abdominal rectopexy (open, laparoscopic, or robotic), Delorme's procedure, perineal stapled prolapse resection (PSP), and Altemeier's procedure. Surgical approaches were identified using Swiss CHOP procedure codes. No interventions were assigned by the investigators, as this was a retrospective observational study.

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

In-Hospital mortality following rectal prolapse surgery

Time frame: During the index hospitalization, from admission until hospital discharge or in-hospital death. As data from the Federal statistical office was completely anonymised no longer follow-up was possible. Mean length of stay was 7 days.

In-hospital mortality was defined as death from any cause during the index hospitalization following elective rectal prolapse surgery. Mortality was assessed using anonymized inpatient data from the Swiss Federal Statistical Office and analysed in relation to annual hospital procedure volume.

Secondary measures

Postoperative complication rate

Time frame: During the index hospitalization, from admission until hospital discharge or in-hospital death. As data from the Federal statistical office was completely anonymised no longer follow-up was possible. Mean length of stay was 7 days.

Occurrence of postoperative complications during the index hospitalization following elective rectal prolapse surgery. Complications were identified using predefined ICD-10 and CHOP codes from the Swiss national inpatient database.

Failure-to-rescue rate

Time frame: During the index hospitalization, from admission until hospital discharge or in-hospital death. As data from the Federal statistical office was completely anonymised no longer follow-up was possible. Mean length of stay was 7 days.

Failure-to-rescue was defined as in-hospital death following at least one major postoperative complication. The rate was calculated as the proportion of patients with major complications who died during the index hospitalization.

Length of hospital stay

Time frame: During the index hospitalization, from admission until hospital discharge or in-hospital death. As data from the Federal statistical office was completely anonymised no longer follow-up was possible. Mean length of stay was 7 days.

Duration of the index hospitalization, measured in days. Length of stay was assessed using administrative inpatient data.

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

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Research locations (0)

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No locations are listed. Use the official study contact.

Study team and timeline

Lead sponsor
Lukas Marti
Study start
Jan 1, 2013 Actual
Primary completion
Dec 31, 2022 Actual
Study completion
Dec 31, 2022 Actual
First posted
Nov 10, 2026 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

No central contact is listed. Check the locations and the official record.

Official study title

Mortality After Rectal Prolapse Surgery in Switzerland: a Nationwide Population-based Analysis of Hospital Volume and Shorterm Outcomes (2013-2022)

A HUMAN NEXT STEP

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 11, 2026 · Last registry update: Nov 10, 2026