Surgical Resection for Crohn's and Cancer: A Comparison of Disease-Specific Risk Factors and Outcomes.
Fiche du document
2021
- doi: 10.1159/000511909
- issn: 0253-4886
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1159/000511909
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/33503622
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/eissn/1421-9883
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_1427F9494D527
info:eu-repo/semantics/openAccess , CC BY-NC 4.0 , https://creativecommons.org/licenses/by-nc/4.0/
Sujets proches
Surgery--Complications and sequelae Complications of surgery Surgical complications Postoperative complications Intraoperative complications Surgery, Operative--ComplicationsCiter ce document
D.W. Larson et al., « Surgical Resection for Crohn's and Cancer: A Comparison of Disease-Specific Risk Factors and Outcomes. », Serveur académique Lausannois, ID : 10.1159/000511909
Métriques
Partage / Export
Résumé
The goal of this study was to compare disease-specific risk factors and 30-day outcomes between patients with Crohn's disease (CD) and colon cancer (CC) undergoing right-sided surgical resection. The American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP®) was interrogated to extract all patients ≥18 years undergoing elective right-sided resection for CD versus CC. Independent risk factors for surgical complications were identified through multivariable logistic regression for both groups. In a second step, surgical and medical 30-day morbidity was compared after risk adjustment. The cohort consisted of 17,516 patients, of which 2,899 (16.6%) underwent surgery for CD versus 14,617 (83.4%) for CC. Independent risk factors for surgical complications in patients with CD were male gender, African American race, ASA score (III or IV), active smoking, prolonged surgery, and preoperative anemia. Independent risk factors for surgical complications in the cancer group were age ≥70 years, male gender, ASA score (III or IV), respiratory and cardiovascular comorbidities, and preoperative hypoalbuminemia (