Effectiveness of colonic stent placement for obstructive colorectal cancers: An analysis of short‐term results using a nationwide database in Japan

Moroi, Rintaro; Tarasawa, Kunio; Kuroha, Masatake; Shiga, Hisashi; Kakuta, Yoichi; Fushimi, Kiyohide; Fujimori, Kenji; Kinouchi, Yoshitaka; Masamune, Atsushi

doi:10.1111/jgh.15857

Cited by 11 publications

(12 citation statements)

References 48 publications

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“…A previous study showed that application of SEMS as BTS for OLCC seems to be an oncologically safe alternative to emergency resection ( 22 ). SEMS as a BTS for OLCC was associated with lower short-term overall morbidity and lower rates of temporary and permanent stoma ( 23 ), and which can reduce in-hospital death and medical costs compared with emergency surgery ( 24 ). Recent studies have shown that adoption of SEMS as BTS yields favorable long-term oncological outcomes when compared with direct emergency surgery ( 9 , 25 ).…”

Section: Discussionmentioning

confidence: 99%

Colon cancer patient with long-term colon stent placement: Case report and literature review

Huang

Zou²,

Liang³

et al. 2022

Front. Oncol.

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Colorectal cancer (CRC) is the third most common cancer and the second leading cause of cancer mortality globally. Large bowel obstruction (occurring in 15-30% of patients with CRCs) accounts for approximately 80% of medical emergencies related to CRC. Currently, there is no standard treatment of this condition. The European Society of Gastrointestinal Endoscopy (ESGE) recommends self-expandable metal stent (SEMS) as a bridge (two weeks) to surgery for left-sided obstructing colon cancer. In the present report, we describe an 81-year-old male with colon cancer who underwent colon stent placement for 32 months, but later underwent radical resection. A follow-up of more than four-months revealed that his condition was normal. The history as well as application and advantages of SEMS are discussed in this report.

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Section: Discussionmentioning

confidence: 99%

Colon cancer patient with long-term colon stent placement: Case report and literature review

Huang

Zou²,

Liang³

et al. 2022

Front. Oncol.

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“…In addition, analytical studies using this DPC data have been published from various perspectives. (Tarasawa et al 2020;Fujimori et al 2021a, Fujimori et al 2021bFujimori et al 2021c ;Noda et al 2021;Moroi et al 2022) On the other hand, the Japanese National Data Base (NDB) is also managed by the MHLW. NDB focused on the "Act on Securing Medical Care for the Elderly" that collects receipt information from insurers.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Effect of Postoperative Pain Management after Robot-Assisted Radical Prostatectomy: A Study on Reducing Hospital Length of Stay and Medical Costs Using Japanese Nationwide Database

Mizuta

Tarasawa

Fushimi

et al. 2023

Tohoku J. Exp. Med.

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Prostate cancer has a high incidence rate. Many articles reported its usefulness with the advent of robotic surgery in 2001. However, epidural analgesia is declining due to the spread of minimally invasive treatment. There have been no studies using nationwide databases on the impact of epidural analgesia use on length of hospital stay and medical costs. Therefore, we used a Japanese national inpatient database from April 2016 to March 2020. The study population included 46,166 patients. We compared a postoperative analgesia management group using epidural analgesia (EA Group: 5,354) and a group not using epidural analgesia (non-EA Group: 40,812). We found significant differences among the two groups regarding the length of stay, Days from Surgery to Discharge, and Inpatient cost of surgery to discharge. Hospital length of stay and postoperative hospital stay was statistically shorter in the EA group than in the non-EA group (11.3 ±2.8 days vs. 12.1 ± 3.1 days, p-value <0.001 and 8.9 ±2.5days vs. 9.3 ±2.7days, p-value <0.001) respectively, and medical costs were also significantly lower in the EA group (￥284,566 vs. ￥294,277, p-value <0.001). Also, the ADL assessment at discharge determined a considerably higher score in the EA group than in the non-EA groups. Epidural analgesia for postoperative pain management largely depends on each medical institution's treatment A c c e p t e d M a n u s c r i p t 4 policy. However, epidural analgesia is declining due to the spread of minimally invasive treatment. Therefore, epidural analgesia should be reconsidered because it can reduce hospital stays and hospitalization costs.

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“…We have previously conducted clinical studies on IBD and other lower intestinal tract diseases using the Diagnostic Procedure Combination (DPC) nationwide database. 18 , 19 , 20 , 21 The DPC database contains a large number of admissions and enables analysis of IBD comorbidities, which makes it difficult to collect enough samples for a single‐center study.…”

Section: Introductionmentioning

confidence: 99%

Depression is associated with increased disease activity in patients with ulcerative colitis: A propensity score‐matched analysis using a nationwide database in Japan

et al. 2022

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Background and Aim The incidence and prevalence of psychiatric disorders are elevated in patients with inflammatory bowel disease (IBD). Whether psychiatric disorders could affect the clinical course of IBD is uncertain and controversial. We aimed to evaluate the impact of psychiatric disorders, particularly depression, on the clinical course of IBD using a nationwide database in Japan. Methods We collected data on admissions with IBD using the Diagnosis Procedure Combination database system introduced in Japan. We divided eligible admissions into IBD with and without depression groups using propensity score matching and compared the rates of surgery, use of molecular targeted drugs and biologics, systemic steroid administrations, and in‐hospital death. We also conducted a logistic regression analysis to identify clinical factors affecting surgery, the use of molecular targeted drugs and biologics, and systemic steroid administrations. Results The rates of surgery, use of two or more molecular targeted drugs, systemic steroid administrations, and in‐hospital deaths in the ulcerative colitis (UC) with depression group were higher than in the UC without depression group. Multivariate analysis of UC showed that depression increased the odds of systemic steroid administrations, use of two or more molecular targeted drugs, and surgery. However, analysis of Crohn's disease showed that only steroid administrations were associated with depression. Conclusion Our study demonstrated an association between a worse clinical course of UC and depression. Although this result indicates that depression might be associated with increased disease activity in patients with UC, the causal relationship is still unclear. Further prospective studies are warranted.

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Effectiveness of colonic stent placement for obstructive colorectal cancers: An analysis of short‐term results using a nationwide database in Japan

Cited by 11 publications

References 48 publications

Colon cancer patient with long-term colon stent placement: Case report and literature review

Colon cancer patient with long-term colon stent placement: Case report and literature review

Effect of Postoperative Pain Management after Robot-Assisted Radical Prostatectomy: A Study on Reducing Hospital Length of Stay and Medical Costs Using Japanese Nationwide Database

Depression is associated with increased disease activity in patients with ulcerative colitis: A propensity score‐matched analysis using a nationwide database in Japan

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