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Emergency surgery f...
Emergency surgery for colonic cancer in a defined population
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- Jestin, Pia (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery,Department of Surgical Sciences, Federation of County Councils, Stockholm
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Nilsson, J. (author)
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Heurgren, M. (author)
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- Påhlman, Lars (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery
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- Glimelius, Bengt (author)
- Karolinska Institutet,Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi,Gastrointestinal oncology
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- Gunnarsson, U. (author)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Gastrointestinal Surgery,Department of Surgical Sciences, University Hospital, Uppsala, Sweden
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(creator_code:org_t)
- 2004-11-01
- 2005
- English.
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In: British Journal of Surgery. - : Oxford University Press (OUP). - 0007-1323 .- 1365-2168. ; 92:1, s. 94-100
- Related links:
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http://www.ncbi.nlm....
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- BACKGROUND: The aim of this study was to identify risk factors in emergency surgery for colonic cancer in a large population and to investigate the economic impact of such surgery. METHODS: Data from the colonic cancer registry (1997-2001) of the Uppsala/Orebro Regional Oncological Centre were analysed and classified by hospital category. Some 3259 patients were included; 806 had an emergency and 2453 an elective procedure. Data for calculating effects on health economy were derived from a national case-costing register. RESULTS: Patients who had emergency surgery had more advanced tumours and a lower survival rate than those who had an elective procedure (5-year survival rate 29.8 versus 52.4 per cent; P < 0.001). There was a stage-specific difference in survival, with poorer survival both for patients with stage I and II tumours and for those with stage III tumours after emergency compared with elective surgery (P < 0.001). Emergency surgery was associated with a longer hospital stay (mean 18.0 versus 10.0 days; P < 0.001) and higher costs (relative cost 1.5 (95 per cent confidence interval 1.4 to 1.6)) compared with elective surgery. The duration of hospital stay was the strongest determinant of cost (r(2) = 0.52, P < 0.001). CONCLUSION: Emergency surgery for colonic cancer is associated with a stage-specific increase in mortality rate.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Keyword
- Adolescent
- Adult
- Aged
- Aged; 80 and over
- Child
- Colonic Neoplasms/economics/epidemiology/*surgery
- Cost of Illness
- Emergency Treatment/*economics/mortality
- Female
- Humans
- Length of Stay/economics
- Male
- Middle Aged
- Multivariate Analysis
- Neoplasm Staging
- Prognosis
- Prospective Studies
- Registries
- Research Support; Non-U.S. Gov't
- Risk Factors
- Surgical Procedures; Elective/economics/mortality
- Survival Analysis
- Sweden/epidemiology
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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