Scores values tended to decrease postoperatively .
The comparison between haemorrhoidal treatments is still unclear .
Attempts have been made to adopt a unifying postoperative scoring system and thus ensure adequate comparison between clinical trials .
We aim ed to systematic ally review the available outcome scores of haemorrhoidal treatment .
The prevalence of hemorrhoids in adults
Introduction Exact data on the prevalence of hemorrhoids are rare . Therefore , we design ed a study to investigate the prevalence of hemorrhoids and associated risk factors in an adult general population . Methods Between 2008 and 2009 , consecutive patients were included in a prospect i ve study . They attended the Austrian national wide health care program for colorectal cancer screening at four medical institutions . A flexible colonoscopy and detailed examination were conducted in all patients . Hemorrhoids were defined according to a st and ardized grading system . Independent variables included baseline characteristics , sociodemographic data , and health status . Potential risk factors were calculated by univariate and multivariate analysis . Results Of 976 participants , 380 patients ( 38.93 % ) suffered from hemorrhoids . In 277 patients ( 72.89 % ) , hemorrhoids were classified as grade I , in 70 patients ( 18.42 % ) as grade II , in 31 patients ( 8.16 % ) as grade III , and in 2 patients ( 0.53 % ) as grade IV . One hundred seventy patients ( 44.74 % ) complained about symptoms associated with hemorrhoids , whereas 210 patients ( 55.26 % ) reported no symptoms . In the univariate and multivariate analysis , body mass index ( BMI ) had a significant effect on the occurrence of hemorrhoids with p = 0.0391 and p = 0.0282 , respectively . Even when correcting for other potential risk factors , an increase in the BMI of one increased the risk of hemorrhoids by 3.5 % . Conclusion Hemorrhoids occur frequently in the adult general population . Notably , a considerable number of people with hemorrhoids do not complain about symptoms . In addition , a high BMI can be regarded as an independent risk factor for hemorrhoids
Scores values tended to decrease postoperatively .
The comparison between haemorrhoidal treatments is still unclear .
Attempts have been made to adopt a unifying postoperative scoring system and thus ensure adequate comparison between clinical trials .
We aim ed to systematic ally review the available outcome scores of haemorrhoidal treatment .