000132800 001__ 132800
000132800 005__ 20240315113108.0
000132800 0247_ $$2doi$$a10.4240/wjgs.v11.i5.261
000132800 0248_ $$2sideral$$a137552
000132800 037__ $$aART-2019-137552
000132800 041__ $$aeng
000132800 100__ $$a2015 European Society of Coloproctology (ESCP) collaborating group
000132800 245__ $$aPatients with Crohn’s disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications’ rate
000132800 260__ $$c2019
000132800 5060_ $$aAccess copy available to the general public$$fUnrestricted
000132800 5203_ $$aAbstract
Background: Right hemicolectomy or ileocecal resection are used to treat benign conditions like Crohn's disease (CD) and malignant ones like colon cancer (CC).
Aim: To investigate differences in pre- and peri-operative factors and their impact on post-operative outcome in patients with CC and CD.
Methods: This is a sub-group analysis of the European Society of Coloproctology's prospective, multi-centre snapshot audit. Adult patients with CC and CD undergoing right hemicolectomy or ileocecal resection were included. Primary outcome measure was 30-d post-operative complications. Secondary outcome measures were post-operative length of stay (LOS) at and readmission.
Results: Three hundred and seventy-five patients with CD and 2,515 patients with CC were included. Patients with CD were younger (median = 37 years for CD and 71 years for CC (P < 0.01), had lower American Society of Anesthesiology score (ASA) grade (P < 0.01) and less comorbidity (P < 0.01), but were more likely to be current smokers (P < 0.01). Patients with CD were more frequently operated on by colorectal surgeons (P < 0.01) and frequently underwent ileocecal resection (P < 0.01) with higher rate of de-functioning/primary stoma construction (P < 0.01). Thirty-day post-operative mortality occurred exclusively in the CC group (66/2515, 2.3%). In multivariate analyses, the risk of post-operative complications was similar in the two groups (OR 0.80, 95%CI: 0.54-1.17; P = 0.25). Patients with CD had a significantly longer LOS (Geometric mean 0.87, 95%CI: 0.79-0.95; P < 0.01). There was no difference in re-admission rates. The audit did not collect data on post-operative enhanced recovery protocols that are implemented in the different participating centers.
Conclusion: Patients with CD were younger, with lower ASA grade, less comorbidity, operated on by experienced surgeons and underwent less radical resection but had a longer LOS than patients with CC although complications' rate was not different between the two groups.
000132800 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000132800 590__ $$a1.863$$b2019
000132800 591__ $$aSURGERY$$b109 / 209 = 0.522$$c2019$$dQ3$$eT2
000132800 591__ $$aGASTROENTEROLOGY & HEPATOLOGY$$b77 / 88 = 0.875$$c2019$$dQ4$$eT3
000132800 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000132800 700__ $$aEchazarreta-Gallego, E.
000132800 773__ $$g11, 5 (2019), 261-270$$pWorld j. gastrointest. surg.$$tWorld journal of gastrointestinal surgery$$x1948-9366
000132800 8564_ $$s571136$$uhttps://zaguan.unizar.es/record/132800/files/texto_completo.pdf$$yVersión publicada
000132800 8564_ $$s2600761$$uhttps://zaguan.unizar.es/record/132800/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000132800 909CO $$ooai:zaguan.unizar.es:132800$$particulos$$pdriver
000132800 951__ $$a2024-03-15-08:50:03
000132800 980__ $$aARTICLE