Jiang D, Shang FJ, Yu W. Association of Watson-based humanistic fast track surgery with stoma colorectal cancer recovery: A propensity matched study. World J Gastrointest Surg 2026; 18(7): 120222 [DOI: 10.4240/wjgs.v18.i7.120222]
Corresponding Author of This Article
Wei Yu, Associate Chief Physician, Department of Colorectal Surgery, The Second Norman Bethune Hospital of Jilin University, No. 4026 Yatai Street, Changchun 130000, Jilin Province, China. 15526891356@163.com
Research Domain of This Article
Gastroenterology & Hepatology
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research-article
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Jiang D, Shang FJ, Yu W. Association of Watson-based humanistic fast track surgery with stoma colorectal cancer recovery: A propensity matched study. World J Gastrointest Surg 2026; 18(7): 120222 [DOI: 10.4240/wjgs.v18.i7.120222]
World J Gastrointest Surg. Jul 27, 2026; 18(7): 120222 Published online Jul 27, 2026. doi: 10.4240/wjgs.v18.i7.120222
Association of Watson-based humanistic fast track surgery with stoma colorectal cancer recovery: A propensity matched study
Dan Jiang, Feng-Jia Shang, Wei Yu
Dan Jiang, Feng-Jia Shang, Wei Yu, Department of Colorectal Surgery, The Second Norman Bethune Hospital of Jilin University, Changchun 130000, Jilin Province, China
Co-first authors: Dan Jiang and Feng-Jia Shang.
Author contributions: Jiang D and Yu W designed the research and analyzed the data; Jiang D and Shang FJ performed the research, and collected and verified the clinical data; Jiang D wrote the paper; Shang FJ and Yu W critically revised the manuscript for important intellectual content; Yu W supervised the study; and all authors have read and approved the final manuscript. Jiang D and Shang FJ contributed equally to this work as co-first authors.
AI contribution statement: This manuscript was written entirely by human authors without the use of artificial intelligence tools.
Institutional review board statement: This retrospective study was reviewed and approved by the Institutional Review Board of the Second Norman Bethune Hospital of Jilin University (No. 2026-097). All study procedures were conducted in accordance with the ethical standards of the institutional committee and the Declaration of Helsinki.
Informed consent statement: The requirement for written informed consent was explicitly waived by the Institutional Review Board of the Second Norman Bethune Hospital of Jilin University because this was a retrospective observational study using anonymized patient information. All data were handled with strict confidentiality to protect patient privacy.
Conflict-of-interest statement: All authors declare that they have no financial or personal relationships with other people or organizations that could inappropriately influence or bias their work. There are no conflicts of interest associated with this research or its publication.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement checklist of items.
Data sharing statement: The original anonymized dataset and the statistical analysis code used to support the findings of this study are available from the corresponding author upon reasonable request.
Corresponding author: Wei Yu, Associate Chief Physician, Department of Colorectal Surgery, The Second Norman Bethune Hospital of Jilin University, No. 4026 Yatai Street, Changchun 130000, Jilin Province, China. 15526891356@163.com
Received: February 24, 2026 Revised: March 18, 2026 Accepted: May 14, 2026 Published online: July 27, 2026 Processing time: 157 Days and 21.4 Hours
Core Tip
Core Tip: This study innovatively integrates Jean Watson’s humanistic caring theory into fast track surgery (Watson-FTS) for colorectal cancer patients with stomas. While traditional fast track surgery protocols prioritize physiological milestones, they often overlook individualized psychological needs. Utilizing robust propensity score matching and generalized estimating equations for longitudinal analysis, we demonstrated that the Watson-FTS model significantly accelerates gastrointestinal recovery, reduces stoma-specific complications, and improves postoperative nutritional trajectories. This holistic approach proves that addressing humanistic needs enhances protocol adherence, offering a clinically superior alternative to standardized procedural care for vulnerable ostomy patients.
