Objective The author's objective was to determine whether the length of postoperative stay for patients after colorectal cancer surgery is associated with prognosis.
Summary Background Data Financial pressure to reduce hospital costs has caused physicians to reduce hospital stays by changes in patient care, which reduce hospital stay but may compromise long-term results.
Methods Using multivariate analysis, the author examined the relationship between postoperative stay and prognosis in a consecutive series of 341 prospectively studied patients with colorectal cancer undergoing potentially curative surgery.
Results In multivariate analysis, patients staying beyond the median of 11 days had more complications (p=0.000), more left hemicolectomies and procedures with colostomies (p=0.000), were older (p=0.002), and lost more blood (p=0.012) than patients staying less than the median.
Disease-free survival was significantly and independently related to Dukes'stage (p=0.000), postoperative stay (p=0.001), and blood transfusion (p=0.011).
The mean postoperative stay for the 98 patients who later developed recurrence was 15 days compared to 12 days for the 243 patients who remained disease free (p=0.0008).
Cumulative disease-free survival of the 142 patients who stayed more than the median of 11 days was 60% compared to 77% for the 199 patients with shorter stays (p=0.000).
Conclusions These data indicate that shorter hospital stays do not compromise disease-free...
Mots-clés Pascal : Tumeur maligne, Côlon, Rectum, Hospitalisation, Durée, Postopératoire, Coût, Etats Unis, Amérique du Nord, Amérique, Pronostic, Homme, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie
Mots-clés Pascal anglais : Malignant tumor, Colon, Rectum, Hospitalization, Duration, Postoperative, Costs, United States, North America, America, Prognosis, Human, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0235661
Code Inist : 002B13B01. Création : 199608.