Decentralized colorectal cancer care in Germany over the last decade is associated with high in-hospital morbidity and mortality
| Autor: | Matthias Reeh, Faik G. Uzunoglu, Jakob R. Izbicki, Maximillian Bockhorn, Kai Bachmann, Daniel Perez, Rainer Grotelueschen, Katharina Grupp, Tarik Ghadban |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty business.industry Colorectal cancer General surgery Mortality rate Deep vein Cancer Perioperative Anastomosis medicine.disease Thrombosis 03 medical and health sciences Pneumonia 030104 developmental biology 0302 clinical medicine medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Medicine business |
| Zdroj: | Cancer Management and Research. 11:2101-2107 |
| ISSN: | 1179-1322 |
| Popis: | Purpose Despite several national initiatives, centralization of cancer care in Germany remains insufficient for most malignancies. Currently, there is a plethora of centers, including 290 voluntary certified and audited colorectal cancer (CRC) centers by the end of 2017, in the nation with many patients still being treated outside of such centers. This study aimed to assess morbidity and mortality rates of surgical procedures for primary colorectal CRC in Germany over the last decade through a comprehensive unbiased analysis. Patients and methods We performed an analysis of the national diagnosis-related group inpatient statistics from 2005 to 2015 including all German hospitals. All patients who underwent surgeries for primary CRC during the study period were included. Results A total of 351,028 cases were analyzed (61.6% colonic and 38.4% rectal resections). The mortality rate of colonic resections remained high during the study period (4.9% in 2005 vs 4.5% in 2015; P=0.57). Reduced perioperative mortality after rectal surgery was observed only after 2012 compared to previous years (3.8% in 2005 vs 3.0% in 2015; P |
| Databáze: | OpenAIRE |
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