Best period to replace or change plastic stents with self-expandable metallic stents using multivariate competing risk regression analysis
| Autor: | Yuichi Torisu, Masayuki Kato, Kazuki Sumiyama, Masanori Nakano, Kazuki Takakura, Keisuke Kanazawa, Shintaro Tsukinaga, Yosuke Kawahara, Yuji Kinoshita, Hirobumi Toyoizumi, Nana Shimamoto, Hiroshi Arakawa, Seita Koyama, Keiichi Ikeda, Youichi Tomita, Takahiro Abe, Masafumi Chiba |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Multivariate analysis medicine.medical_treatment Self Expandable Metallic Stents lcsh:Medicine Risk Assessment Article Bile duct cancer Young Adult 03 medical and health sciences 0302 clinical medicine Recurrence Self-expandable metallic stent Interquartile range Biliary tract disease Pancreatic cancer Humans Medicine Pancreatic disease lcsh:Science Gastrointestinal diseases Survival analysis Aged Retrospective Studies Aged 80 and over Multidisciplinary business.industry lcsh:R Stent Middle Aged medicine.disease Surgery Biliary Tract Neoplasms 030104 developmental biology Quartile Multivariate Analysis Feasibility Studies Regression Analysis Female lcsh:Q business Plastics 030217 neurology & neurosurgery |
| Zdroj: | Scientific Reports, Vol 10, Iss 1, Pp 1-14 (2020) Scientific Reports |
| ISSN: | 2045-2322 |
| DOI: | 10.1038/s41598-020-70081-3 |
| Popis: | In endoscopic biliary drainage (EBD) for various benign and malignant biliary disorders, the appropriate timing to replace or change a plastic stent (PS) with a self-expandable metallic stent (SEMS) remains unclear. This study aimed to define the best period to replace or change a PS with a SEMS. Between January 1, 2012, and December 31, 2018, 1,887 consecutive EBD procedures, including 170 SEMS placements, were retrospectively identified. The period to recurrent biliary obstruction (PRBO) was estimated and compared between the malignant and benign groups and according to each disease using time to event analysis and competing risk analysis. Compared with the benign group, the malignant group had significantly shorter median PRBO with interquartile range (IQR) after PS placement [108 (39 – 270) vs. 613 (191 – 1,329) days, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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