Inpatient survival after gastrectomy for gastric cancer in the 21st century

Abstract Background Surgical treatment for gastric cancer has evolved substantially. To understand how changes in patient- and hospital-level factors are associated with outcomes over the last decade, we examined a nationally representative sample. Methods Retrospective cross-sectional discharge dat...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of surgical research 2014-07, Vol.190 (1), p.72-78
Main Authors: Wang, Han, MD, MPH, Pawlik, Timothy M., MD, MPH, PhD, Duncan, Mark D., MD, Hui, Xuan, MD, ScM, Selvarajah, Shalini, MD, MPH, Canner, Joseph K., MHS, Haider, Adil H., MD, MPH, Ahuja, Nita, MD, Schneider, Eric B., PhD
Format: Article
Language:English
Subjects:
Aged
Cross-Sectional Studies
Female
Gastrectomy
Gastrectomy - mortality
Gastric cancer
Hospital Mortality
Humans
Inpatients
Male
Retrospective Studies
Stomach Neoplasms - surgery
Surgery
Survival
Variation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background Surgical treatment for gastric cancer has evolved substantially. To understand how changes in patient- and hospital-level factors are associated with outcomes over the last decade, we examined a nationally representative sample. Methods Retrospective cross-sectional discharge data from the 2001–2010 Nationwide Inpatient Sample were analyzed using cross tabulation and multivariable regression modeling. Patients with a primary diagnosis of gastric cancer undergoing gastrectomy as primary procedure were included. We examined relationships between patient- and hospital-level factors, surgery type, and outcomes including in-hospital mortality and length of stay (LOS). Results A total of 67,327 patients with gastric cancer undergoing gastrectomy nationwide with complete information were included. Compared with patients treated in 2001, patients in 2010 were younger, more likely admitted electively, treated in a teaching hospital, or at an urban center. There was no difference in the type of procedure performed over time. Factors associated with an increased risk of in-hospital mortality included older age, male gender, and nonelective admission ( P  
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2014.03.015