Nationwide in‐hospital mortality rate following rectal resection for rectal cancer according to annual hospital volume in Germany
| Autor: | P. Baum, Niels Matthes, Armin Wiegering, Stefan Löb, Johannes Diers, C. Kastner, Harald Matthes, Sven Lichthardt, C.-T. Germer, Johanna Wagner |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Hospitals Low-Volume Colorectal cancer lcsh:Surgery Comorbidity Logistic regression Hospital volume Germany Internal medicine Outcome Assessment Health Care medicine Humans Rectal resection Hospital Mortality Registries ddc:610 Aged Retrospective Studies Aged 80 and over Rectal Neoplasms business.industry Mortality rate Postoperative complication Original Articles General Medicine Odds ratio lcsh:RD1-811 Middle Aged medicine.disease Pulmonary embolism Logistic Models Lower GI Original Article Female business Hospitals High-Volume |
| Zdroj: | BJS Open, Vol 4, Iss 2, Pp 310-319 (2020) BJS Open |
| ISSN: | 2474-9842 |
| Popis: | Background The impact of hospital volume after rectal cancer surgery is seldom investigated. This study aimed to analyse the impact of annual rectal cancer surgery cases per hospital on postoperative mortality and failure to rescue. Methods All patients diagnosed with rectal cancer and who had a rectal resection procedure code from 2012 to 2015 were identified from nationwide administrative hospital data. Hospitals were grouped into five quintiles according to caseload. The absolute number of patients, postoperative deaths and failure to rescue (defined as in‐hospital mortality after a documented postoperative complication) for severe postoperative complications were determined. Results Some 64 349 patients were identified. The overall in‐house mortality rate was 3·9 per cent. The crude in‐hospital mortality rate ranged from 5·3 per cent in very low‐volume hospitals to 2·6 per cent in very high‐volume centres, with a distinct trend between volume categories (P In‐hospital mortality after rectal cancer surgery is strongly correlated with annual hospital caseload. This is the result of an increased failure‐to‐rescue rate in the case of postoperative complications in low‐volume hospitals rather than the result of an increased overall rate of complications. Rectal cancer surgery and hospital volume |
| Databáze: | OpenAIRE |
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