The Impact of Operative Approach on Postoperative Complications Following Colectomy for Colon Caner
Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of...
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| Autor*in: |
Mungo, Benedetto [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2017 |
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| Schlagwörter: |
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| Anmerkung: |
© Société Internationale de Chirurgie 2017 |
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| Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 41(2017), 8 vom: 22. März, Seite 2143-2152 |
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| Übergeordnetes Werk: |
volume:41 ; year:2017 ; number:8 ; day:22 ; month:03 ; pages:2143-2152 |
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| DOI / URN: |
10.1007/s00268-017-4001-z |
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SPR00346315X |
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| 520 | |a Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. | ||
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| 650 | 4 | |a Incisional Surgical Site Infection |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Stem, Miloslawa |4 aut | |
| 700 | 1 | |a Molena, Daniela |4 aut | |
| 700 | 1 | |a Lidor, Anne O. |4 aut | |
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10.1007/s00268-017-4001-z doi (DE-627)SPR00346315X (SPR)s00268-017-4001-z-e DE-627 ger DE-627 rakwb eng Mungo, Benedetto verfasserin aut The Impact of Operative Approach on Postoperative Complications Following Colectomy for Colon Caner 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2017 Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. Anastomotic Leak (dpeaa)DE-He213 Operative Approach (dpeaa)DE-He213 National Surgical Quality Improvement Program (dpeaa)DE-He213 Open Colectomy (dpeaa)DE-He213 Incisional Surgical Site Infection (dpeaa)DE-He213 Papageorge, Christina M. aut Stem, Miloslawa aut Molena, Daniela aut Lidor, Anne O. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 41(2017), 8 vom: 22. März, Seite 2143-2152 (DE-627)SPR003391159 nnns volume:41 year:2017 number:8 day:22 month:03 pages:2143-2152 https://dx.doi.org/10.1007/s00268-017-4001-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 41 2017 8 22 03 2143-2152 |
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10.1007/s00268-017-4001-z doi (DE-627)SPR00346315X (SPR)s00268-017-4001-z-e DE-627 ger DE-627 rakwb eng Mungo, Benedetto verfasserin aut The Impact of Operative Approach on Postoperative Complications Following Colectomy for Colon Caner 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2017 Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. Anastomotic Leak (dpeaa)DE-He213 Operative Approach (dpeaa)DE-He213 National Surgical Quality Improvement Program (dpeaa)DE-He213 Open Colectomy (dpeaa)DE-He213 Incisional Surgical Site Infection (dpeaa)DE-He213 Papageorge, Christina M. aut Stem, Miloslawa aut Molena, Daniela aut Lidor, Anne O. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 41(2017), 8 vom: 22. März, Seite 2143-2152 (DE-627)SPR003391159 nnns volume:41 year:2017 number:8 day:22 month:03 pages:2143-2152 https://dx.doi.org/10.1007/s00268-017-4001-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 41 2017 8 22 03 2143-2152 |
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10.1007/s00268-017-4001-z doi (DE-627)SPR00346315X (SPR)s00268-017-4001-z-e DE-627 ger DE-627 rakwb eng Mungo, Benedetto verfasserin aut The Impact of Operative Approach on Postoperative Complications Following Colectomy for Colon Caner 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2017 Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. Anastomotic Leak (dpeaa)DE-He213 Operative Approach (dpeaa)DE-He213 National Surgical Quality Improvement Program (dpeaa)DE-He213 Open Colectomy (dpeaa)DE-He213 Incisional Surgical Site Infection (dpeaa)DE-He213 Papageorge, Christina M. aut Stem, Miloslawa aut Molena, Daniela aut Lidor, Anne O. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 41(2017), 8 vom: 22. März, Seite 2143-2152 (DE-627)SPR003391159 nnns volume:41 year:2017 number:8 day:22 month:03 pages:2143-2152 https://dx.doi.org/10.1007/s00268-017-4001-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 41 2017 8 22 03 2143-2152 |
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10.1007/s00268-017-4001-z doi (DE-627)SPR00346315X (SPR)s00268-017-4001-z-e DE-627 ger DE-627 rakwb eng Mungo, Benedetto verfasserin aut The Impact of Operative Approach on Postoperative Complications Following Colectomy for Colon Caner 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2017 Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. Anastomotic Leak (dpeaa)DE-He213 Operative Approach (dpeaa)DE-He213 National Surgical Quality Improvement Program (dpeaa)DE-He213 Open Colectomy (dpeaa)DE-He213 Incisional Surgical Site Infection (dpeaa)DE-He213 Papageorge, Christina M. aut Stem, Miloslawa aut Molena, Daniela aut Lidor, Anne O. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 41(2017), 8 vom: 22. März, Seite 2143-2152 (DE-627)SPR003391159 nnns volume:41 year:2017 number:8 day:22 month:03 pages:2143-2152 https://dx.doi.org/10.1007/s00268-017-4001-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 41 2017 8 22 03 2143-2152 |
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10.1007/s00268-017-4001-z doi (DE-627)SPR00346315X (SPR)s00268-017-4001-z-e DE-627 ger DE-627 rakwb eng Mungo, Benedetto verfasserin aut The Impact of Operative Approach on Postoperative Complications Following Colectomy for Colon Caner 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2017 Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. Anastomotic Leak (dpeaa)DE-He213 Operative Approach (dpeaa)DE-He213 National Surgical Quality Improvement Program (dpeaa)DE-He213 Open Colectomy (dpeaa)DE-He213 Incisional Surgical Site Infection (dpeaa)DE-He213 Papageorge, Christina M. aut Stem, Miloslawa aut Molena, Daniela aut Lidor, Anne O. aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 41(2017), 8 vom: 22. März, Seite 2143-2152 (DE-627)SPR003391159 nnns volume:41 year:2017 number:8 day:22 month:03 pages:2143-2152 https://dx.doi.org/10.1007/s00268-017-4001-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA AR 41 2017 8 22 03 2143-2152 |
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A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. 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The Impact of Operative Approach on Postoperative Complications Following Colectomy for Colon Caner |
| abstract |
Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. © Société Internationale de Chirurgie 2017 |
| abstractGer |
Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. © Société Internationale de Chirurgie 2017 |
| abstract_unstemmed |
Background Colectomy is one of the most common major abdominal procedures performed in the USA. A better understanding of risk factors and the effect of operative approach on adverse postoperative outcomes may significantly improve quality of care. Methods Adult patients with a primary diagnosis of colon cancer undergoing colectomy were selected from the National Surgical Quality Improvement Program 2013–2015 targeted colectomy database. Patients were stratified into five groups based on specific operative approach. Univariate and multivariate analyses were used to compare the five groups and identify risk factors for 30-day anastomotic leak, readmission, and mortality. Results In total, 25,097 patients were included in the study, with a 3.32% anastomotic leak rate, 1.20% mortality rate, and 9.57% readmission rate. After adjusting for other factors, open surgery and conversion to open significantly increased the odds for leak, mortality, and readmission compared to laparoscopy. Additionally, smoking and chemotherapy increased the risk for leak and readmission, while total resection was associated with increased mortality and leak. Conclusions Operative approach and several other potentially modifiable perioperative factors have a significant impact on risk for adverse postoperative outcomes following colectomy. To improve quality of care for these patients, efforts should be made to identify and minimize the influence of such risk factors. © Société Internationale de Chirurgie 2017 |
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| title_short |
The Impact of Operative Approach on Postoperative Complications Following Colectomy for Colon Caner |
| url |
https://dx.doi.org/10.1007/s00268-017-4001-z |
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| author2 |
Papageorge, Christina M. Stem, Miloslawa Molena, Daniela Lidor, Anne O. |
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Papageorge, Christina M. Stem, Miloslawa Molena, Daniela Lidor, Anne O. |
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10.1007/s00268-017-4001-z |
| up_date |
2024-07-03T19:36:50.202Z |
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