2019
DOI: 10.1007/s00384-019-03436-6
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Does it matter where you get your surgery for colorectal cancer?

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Cited by 20 publications
(15 citation statements)
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“…Longer operative time for ileostomy reversal while only one indicator, might be associated with modifiable and nonmodifiable factors that can interplay and potentiate the negative risks on postoperative outcomes and thus it is important indicator to help identify patients at increased risk before the complications occur. Complexity of cases and intraoperative events are mostly non-modifiable factors, while for surgeon's expertise, there has been support for regionalization of care to specialty centers to mitigate the disparities and improve outcomes [30][31][32][33]. The same planning could be applied to ileostomy reversal cases, where patients identified as highrisk are directed to specialty care centers that are better equipped to manage higher complexity patients.…”
Section: Discussionmentioning
confidence: 99%
“…Longer operative time for ileostomy reversal while only one indicator, might be associated with modifiable and nonmodifiable factors that can interplay and potentiate the negative risks on postoperative outcomes and thus it is important indicator to help identify patients at increased risk before the complications occur. Complexity of cases and intraoperative events are mostly non-modifiable factors, while for surgeon's expertise, there has been support for regionalization of care to specialty centers to mitigate the disparities and improve outcomes [30][31][32][33]. The same planning could be applied to ileostomy reversal cases, where patients identified as highrisk are directed to specialty care centers that are better equipped to manage higher complexity patients.…”
Section: Discussionmentioning
confidence: 99%
“…The control of risk factors for complications after colorectal surgery has been actively pursued throughout the years. Many short-and long-term outcomes have been considerably ameliorated by the standardization of the surgical procedures and centralization to high-volume hospitals [6,7]. Nevertheless, a substantial number of patients undergoing colorectal surgery experience postoperative morbidity, mainly in terms of postoperative ileus (POI) (10-30%), surgical-site infections (SSIs) (6.5-20%), anastomotic leak (AL) (2.7-20%) and re-admission (8.1-11.8%) [8][9][10][11][12][13].…”
Section: Introductionmentioning
confidence: 99%
“…A US study of colon cancer resection in 2011 12 reported a slightly lower range of serious postoperative complications (19.4% in urban populations and 24.9% in rural populations) among all cases undergoing resection at age 518 years; however, among US colorectal cancer resections in 2014-2015, serious complications were reported in 21.3% to 33.9%, depending on hospital volume, of all resections among those aged 518. 13 Reports of postoperative mortality following major large bowel resection for CRC in the contemporary era are characterized by substantial variability in terminology, which causes difficulties in making comparisons between reports, or between our study and other reports. Some of the reports cited above define 30-day and/or 90-day mortality, while others define a composite measure comprised of 30-day mortality plus in-hospital mortality occurring at any time during the index admission regardless of length of stay prior to death, or in-hospital mortality only without any dimension of time since resection.…”
Section: Discussionmentioning
confidence: 85%