Your browser doesn't support javascript.
loading
Nationwide volume-outcome relationship concerning in-hospital mortality and failure-to-rescue in surgery of sigmoid diverticulitis.
Pietryga, Sebastian; Lock, Johan Friso; Diers, Johannes; Baum, Philip; Uttinger, Konstantin L; Baumann, Nikolas; Flemming, Sven; Wagner, Johanna C; Germer, Christoph-Thomas; Wiegering, Armin.
Afiliación
  • Pietryga S; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
  • Lock JF; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
  • Diers J; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
  • Baum P; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
  • Uttinger KL; Department of Thoracic Surgery, Thoraxklinik at Heidelberg University Hospital, Heidelberg, Germany.
  • Baumann N; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
  • Flemming S; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
  • Wagner JC; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
  • Germer CT; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
  • Wiegering A; Department of General, Visceral, Transplant, Vascular and Pediatric Surgery at, Würzburg University Hospital, Würzburg, Germany.
Int J Colorectal Dis ; 38(1): 203, 2023 Jul 31.
Article en En | MEDLINE | ID: mdl-37522984
PURPOSE: A correlation between the hospital volume and outcome is described for multiple entities of oncological surgery. To date, this has not been analyzed for the surgical treatment of sigmoid diverticulitis. The aim of this study was to explore the impact of the annual caseload per hospital of colon resection on the postoperative incidence of complications, failure to rescue, and mortality in patients with diverticulitis. METHODS: Patients receiving colorectal resection independent from the diagnosis from 2012 to 2017 were selected from a German nationwide administrative dataset. The hospitals were grouped into five equal caseload quintiles (Q1-Q5 in ascending caseload order). The outcome analysis was focused on patients receiving surgery for sigmoid diverticulitis. RESULTS: In total, 662,706 left-sided colon resections were recorded between 2012 and 2017. Of these, 156,462 resections were performed due to sigmoid diverticulitis and were included in the analysis. The overall in-house mortality rate was 3.5%, ranging from 3.8% in Q1 (mean of 9.5 procedures per year) to 3.1% in Q5 (mean 62.8 procedures per year; p < 0.001). Q5 hospitals revealed a risk-adjusted odds ratio of 0.85 (95% CI 0.78-0.94; p < 0.001) for in-hospital mortality compared to Q1 during multivariable logistic regression analysis. High-volume centers showed overall lower complication rates, whereas the failure-to-rescue did not differ significantly. CONCLUSION: Surgical treatment of sigmoid diverticulitis in high-volume colorectal centers shows lower postoperative mortality rates and fewer postoperative complications.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colon Sigmoide / Mortalidad Hospitalaria / Colectomía / Diverticulitis Tipo de estudio: Incidence_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Int J Colorectal Dis Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colon Sigmoide / Mortalidad Hospitalaria / Colectomía / Diverticulitis Tipo de estudio: Incidence_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Int J Colorectal Dis Asunto de la revista: GASTROENTEROLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania