Decreasing rates of colectomy for benign neoplasms: A nationwide analysis

BACKGROUNDDespite advances in endoscopic techniques for management of benign colonic neoplasms, a rise in rates of surgical treatment has been reported. We used a nationally representative cohort to characterize temporal trends, patient characteristics, and outcomes associated with colectomy for col...

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Bibliographic Details
Published in:PloS one 2023-10, Vol.18 (10), p.e0293389-e0293389
Main Authors: Sakowitz, Sara, Bakhtiyar, Syed Shahyan, Mallick, Saad, Khoraminejad, Baran, Olmedo, Manuel, Croman, Millicent, Benharash, Peyman, Lee, Hanjoo
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Medicine and Health Sciences
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Summary:BACKGROUNDDespite advances in endoscopic techniques for management of benign colonic neoplasms, a rise in rates of surgical treatment has been reported. We used a nationally representative cohort to characterize temporal trends, patient characteristics, and outcomes associated with colectomy for colonic neoplasms.METHODSAll patients undergoing elective partial colectomy for benign or malignant colonic neoplasms were identified using the 2012-2019 National Inpatient Sample. Those presenting with inflammatory bowel disease, or experiencing intestinal perforation were excluded. Patients with benign neoplasms were classified as the Benign cohort (others: Malignant). Trends, characteristics, and outcomes were assessed between groups.RESULTSOf 569,280 colectomy procedures included for analysis, 153,435 (27.0%) were performed for benign lesions. The proportion of Benign operations decreased from 28.6% in 2012 to 23.7% in 2019 (P for trend
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0293389