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Emergency surgery for colonic cancer in a defined population.
- Source :
-
The British journal of surgery [Br J Surg] 2005 Jan; Vol. 92 (1), pp. 94-100. - Publication Year :
- 2005
-
Abstract
- Background: The aim of this study was to identify risk factors in emergency surgery for colonic cancer in a large population and to investigate the economic impact of such surgery.<br />Methods: Data from the colonic cancer registry (1997-2001) of the Uppsala/Orebro Regional Oncological Centre were analysed and classified by hospital category. Some 3259 patients were included; 806 had an emergency and 2453 an elective procedure. Data for calculating effects on health economy were derived from a national case-costing register.<br />Results: Patients who had emergency surgery had more advanced tumours and a lower survival rate than those who had an elective procedure (5-year survival rate 29.8 versus 52.4 per cent; P < 0.001). There was a stage-specific difference in survival, with poorer survival both for patients with stage I and II tumours and for those with stage III tumours after emergency compared with elective surgery (P < 0.001). Emergency surgery was associated with a longer hospital stay (mean 18.0 versus 10.0 days; P < 0.001) and higher costs (relative cost 1.5 (95 per cent confidence interval 1.4 to 1.6)) compared with elective surgery. The duration of hospital stay was the strongest determinant of cost (r(2) = 0.52, P < 0.001).<br />Conclusion: Emergency surgery for colonic cancer is associated with a stage-specific increase in mortality rate.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Child
Colonic Neoplasms economics
Colonic Neoplasms epidemiology
Cost of Illness
Elective Surgical Procedures economics
Elective Surgical Procedures mortality
Emergency Treatment mortality
Female
Humans
Length of Stay economics
Male
Middle Aged
Multivariate Analysis
Neoplasm Staging
Prognosis
Prospective Studies
Registries
Risk Factors
Survival Analysis
Sweden epidemiology
Colonic Neoplasms surgery
Emergency Treatment economics
Subjects
Details
- Language :
- English
- ISSN :
- 0007-1323
- Volume :
- 92
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The British journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 15521083
- Full Text :
- https://doi.org/10.1002/bjs.4780