TITLE

In-hospital mortality after stomach cancer surgery in Spain and relationship with hospital volume of interventions

AUTHOR(S)
Baré, Marisa; Cabrol, Joan; Real, Jordi; Navarro, Gemma; Campo, Rafel; Pericay, Carles; Sarría, Antonio
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9 Issue 1, p312
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: There is no consensus about the possible relation between in-hospital mortality in surgery for gastric cancer and the hospital annual volume of interventions. The objectives were to identify factors associated to greater in-hospital mortality for surgery in gastric cancer and to analyze the possible independent relation between hospital annual volume and in-hospital mortality. Methods: We performed a retrospective cohort study of all patients discharged after surgery for stomach cancer during 2001-2002 in four regions of Spain using the Minimum Basic Data Set for Hospital Discharges. The overall and specific in-hospital mortality rates were estimated according to patient and hospital characteristics. We adjusted a logistic regression model in order to calculate the in-hospital mortality according to hospital volume. Results: There were 3241 discharges in 144 hospitals. In-hospital mortality was 10.3% (95% CI 9.3-11.4). A statistically significant relation was observed among age, type of admission, volume, and mortality, as well as diverse secondary diagnoses or the type of intervention. Hospital annual volume was associated to Charlson score, type of admission, region, length of stay and number of secondary diagnoses registered at discharge. In the adjusted model, increased age and urgent admission were associated to increased in-hospital mortality. Likewise, partial gastrectomy (Billroth I and II) and simple excision of lymphatic structure were associated with a lower probability of in-hospital mortality. No independent association was found between hospital volume and in-hospital mortality Conclusion: Despite the limitations of our study, our results corroborate the existence of patient, clinical, and intervention factors associated to greater hospital mortality, although we found no clear association between the volume of cases treated at a centre and hospital mortality.
ACCESSION #
45197399

 

Related Articles

  • Trends in the management of gastric cancer over a 32-year period: a French population-based study. Herbreteau, Elodie; Jooste, Valérie; Hamza, Samia; Lepage, Côme; Faivre, Jean; Bouvier, Anne-Marie // Gastric Cancer;Jan2015, Vol. 18 Issue 1, p129 

    Background: Gastric cancer is still generating interest because of its poor prognosis. The aim of this study was to investigate time trends in diagnostic assessment, patterns of care, and survival of gastric cancers. Methods: We considered 5,010 gastric cancers diagnosed between 1976 and 2007 in...

  • The volume-mortality relation for radical cystectomy in England: retrospective analysis of hospital episode statistics. Mayer, Erik K.; Bottle, Alex; Darzi, Ara W.; Athanasiou, Thanos; Vale, Justin A. // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;4/24/2010, Vol. 340 Issue 7752, p906 

    The article discusses a study which investigated the existence of a case mix adjusted volume-mortality relation for radical cystectomy in the English healthcare setting. The study involved patients with a primary diagnosis of cancer undergoing an inpatient elective cystectomy in English...

  • Comparison of Artificial Neural Network and Logistic Regression Models for Predicting In-Hospital Mortality after Primary Liver Cancer Surgery. Hon-Yi Shi; King-Teh Lee; Hao-Hsien Lee; Wen-Hsien Ho; Ding-Ping Sun; Jhi-Joung Wang; Chong-Chi Chiu // PLoS ONE;Apr2012, Vol. 7 Issue 4, p1 

    Background: Since most published articles comparing the performance of artificial neural network (ANN) models and logistic regression (LR) models for predicting hepatocellular carcinoma (HCC) outcomes used only a single dataset, the essential issue of internal validity (reproducibility) of the...

  • One Million March Against Colon Cancer. Baker, Michell // Skanner (Seattle, WA & Portland, OR Combined Edition);4/9/2014, Vol. 36 Issue 27, p7 

    A personal narrative is presented which explores the author's experience of facing his father's diagnoses of colon cancer, panic during his father's seven-hour surgery, pain while leaving his father and his father's death.

  • A systematic review of the characteristics associated with recall rates, detection rates and positive predictive values of computed tomography screening for lung cancer. Seigneurin, A.; Field, J. K.; Gachet, A.; Duffy, S. W. // Annals of Oncology;Apr2014, Vol. 25 Issue 4, p781 

    This systematic review of LDCT screening programs for lung cancer highlights the value of using a cut-off size for nodules warranting further investigation with lower recall rates at prevalent screens and no changes of detection rates, whereas volumetric assessment software at incident screens...

  • Laparoscopic vs open colectomy for colon cancer: results from a large nationwide population-based analysis. Steele, Scott R.; Brown, Tommy A.; Rush, Robert M.; Martin, Matthew J. // Journal of Gastrointestinal Surgery;Mar2008, Vol. 12 Issue 3, p583 

    Purpose: Laparoscopic colectomy has only recently become an accepted technique for the treatment of colon cancer. We sought to analyze factors that affect the type of resection performed and associated outcomes from a large nationwide database.Methods: All admissions...

  • Development of a Multiplex Autoantibody Test for Detection of Lung Cancer. Jia, Jing; Wang, Wenzhe; Meng, Wen; Ding, Mingjian; Ma, Shenglin; Wang, Xiaoju // PLoS ONE;Apr2014, Vol. 9 Issue 4, p1 

    Lung cancer is the leading cause of cancer-related deaths for both men and women. Early diagnosis of lung cancer has a 5-year survival rate of 48.8%, however, nearly 35% of stage I patients relapses after surgical resection, thus portending a poor prognosis. Therefore, detecting lung cancer in...

  • Surgery for obstructed colorectal malignancy in an Asian population: predictors of morbidity and comparison between left- and right-sided cancers. Ker-Kan Tan; Sim, Richard; Tan, Ker-Kan // Journal of Gastrointestinal Surgery;Feb2010, Vol. 14 Issue 2, p295 

    Introduction: Surgical treatment of obstructed colorectal cancers has been associated with significant perioperative morbidity and mortality. This study was performed to review the spectrum of surgery and early outcome of patients with acutely obstructed colorectal cancers. The...

  • Health Disparity in Complicated Colorectal Cancer. BOWMAN, KIMBERLY C.; TABRIZIAN, PARISSA; TELEM, DANA A.; BOUDOURAKIS, LEON; DIVINO, CELIA M. // American Surgeon;Feb2010, Vol. 76 Issue 2, p164 

    The purpose of this study was to assess for disparity within a cohort of patients presenting with complicated colorectal cancer. A retrospective study of 522 patients who underwent surgery for colorectal cancer at a tertiary care institution was performed. Complicated cancer was defined by...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics