Hospital Volume and the Occurrence of Bleeding and Perforation After Colorectal Endoscopic Submucosal Dissection

Odagiri, Hiroyuki; Yasunaga, Hideo; Matsui, Hiroki; Fushimi, Kiyohide; Iizuka, Toshiro; Kaise, Mitsuru

doi:10.1097/dcr.0000000000000335

Cited by 23 publications

(23 citation statements)

References 25 publications

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“…The likelihood of bleeding after colorectal ESD was 2-fold higher in patients using antithrombotic agents (9).…”

Section: Colorectal Esdmentioning

confidence: 99%

“…O n e p r e v i o u s s t u d y a n a l y z e d n a t i o n a l d a t a o n complications after colorectal ESD in Japan (9). Among 7,567 colorectal ESD procedures performed in 421 hospitals during the period from 1 April 2012 to 31 March 2013, postoperative bleeding occurred in 331 (4.4%) patients (9).…”

Section: Colorectal Esdmentioning

confidence: 99%

“…Among 7,567 colorectal ESD procedures performed in 421 hospitals during the period from 1 April 2012 to 31 March 2013, postoperative bleeding occurred in 331 (4.4%) patients (9). Hospital volumes were categorized into quartiles depending on the number of cases handled per year: very low volume (≤18 cases), low volume (19-35 cases), high volume (36-58 cases), and very high volume (≥59 cases), and the numbers of patients in each group were almost equal.…”

Section: Colorectal Esdmentioning

confidence: 99%

“…With regard to the timing of endoscopic hemostasis after colorectal ESD, approximately 30% of the hemostatic procedures were performed on postoperative day 1, and approximately 83% were carried out within 1 week after colorectal ESD (9).…”

Section: Colorectal Esdmentioning

confidence: 99%

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Complications following endoscopic submucosal dissection for gastric, esophageal, and colorectal cancer: a review of studies based on nationwide large-scale databases

Odagiri¹,

Yasunaga²

2017

Ann. Transl. Med.

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Endoscopic submucosal dissection (ESD) is a relatively new procedure used for the treatment of early gastrointestinal cancers regardless of the lesion size and configuration, and it has gradually acquired popularity because of its minimally invasive nature. As compared to conventional endoscopic resection, ESD is a more complex procedure and requires a higher level of technical skill. Therefore, it is associated with a higher complication rate. Many previous studies that investigated the complication rates following ESD analyzed data from a limited number of specialized centers, possibly leading to an underestimation of the complication rates.Further, the relationship between hospital volume and complication rates is poorly understood. In the present study, we searched the MEDLINE and the Cochrane Library databases for studies that have reported on ESD-related complications and the relationship between hospital volume and ESD-related complication rates in a nationwide setting. The complication rates (including perforation, peritonitis, and bleeding) were 3.5% for gastric ESD, 3.3% for esophageal ESD, and 4.6% for colorectal ESD. The studies reviewed showed that ESD-related complication rates were permissibly low, and that there was a linear association between a higher hospital volume and a lower frequency of complications following ESD.

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“…The likelihood of bleeding after colorectal ESD was 2-fold higher in patients using antithrombotic agents (9).…”

Section: Colorectal Esdmentioning

confidence: 99%

Section: Colorectal Esdmentioning

confidence: 99%

Section: Colorectal Esdmentioning

confidence: 99%

Section: Colorectal Esdmentioning

confidence: 99%

See 2 more Smart Citations

Complications following endoscopic submucosal dissection for gastric, esophageal, and colorectal cancer: a review of studies based on nationwide large-scale databases

Odagiri¹,

Yasunaga²

2017

Ann. Transl. Med.

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“…An association between the HV of endoscopic procedures and perioperative complications has also been reported. A higher HV has been demonstrated to be associated with lower complication rates in colorectal or esophageal endoscopic submucosal dissection [14, 15]. However, to the best of our knowledge, the association between HV and DB mortality in patients with lung cancer has yet to be examined.…”

Section: Introductionmentioning

confidence: 99%

Hospital Volume and Mortality following Diagnostic Bronchoscopy in Lung Cancer Patients: Data from a National Inpatient Database in Japan

Hiraishi

Michihata

et al. 2018

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Background: Recent advances in bronchoscopy utilizing endobronchial ultrasound (EBUS) as well as lung cancer therapy may have driven physicians to perform diagnostic bronchoscopy (DB) for high-risk patients. Objectives: The aim of this study was to clarify the relationship between hospital volume (HV) and outcomes of DB. Methods: We collected data on inpatients with lung cancer who underwent DB from July 2010 to March 31, 2014. The annual HV of DB was classified as “very low” (≤50 cases/year), “low” (51–100 cases/year), “high” (101–300 cases/year), or “very high” (> 300 cases/year). The primary outcome was all-cause 7-day mortality after DB. Multivariable logistic regression fitted with a generalized estimation equation was performed to evaluate the association between HV and all-cause 7-day mortality after DB, adjusted for patient background factors. Results: We identified a total of 77,755 eligible patients in 954 hospitals. All-cause 7-day mortality was 0.5%. Compared with the low-volume group, 7-day mortality was significantly lower in the high-volume group (odds ratio [OR] = 0.69, 95% confidence interval [CI]: 0.52–0.92, p = 0.010), and a similar trend was shown in the very-high-volume group (OR = 0.67; 95% CI: 0.43–1.05, p = 0.080). Radial EBUS with the guide sheath method and EBUS-guided transbronchial needle aspiration showed a significantly lower 7-day mortality. Conclusions: All-cause 7-day mortality was inversely associated with HV. The risk of DB in patients with lung cancer should be recognized, and the exploitation of EBUS may help reduce mortality after DB.

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Optimal definition of coagulation syndrome after colorectal endoscopic submucosal dissection: a post hoc analysis of randomized controlled trial

Katano

Shimura

Nomura

et al. 2021

Int J Colorectal Dis

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Hospital Volume and the Occurrence of Bleeding and Perforation After Colorectal Endoscopic Submucosal Dissection

Abstract: The present study clearly showed a significant association between higher hospital volume and lower occurrence of severe postoperative bleeding.

Cited by 23 publications

References 25 publications

Complications following endoscopic submucosal dissection for gastric, esophageal, and colorectal cancer: a review of studies based on nationwide large-scale databases

Complications following endoscopic submucosal dissection for gastric, esophageal, and colorectal cancer: a review of studies based on nationwide large-scale databases

Hospital Volume and Mortality following Diagnostic Bronchoscopy in Lung Cancer Patients: Data from a National Inpatient Database in Japan

Optimal definition of coagulation syndrome after colorectal endoscopic submucosal dissection: a post hoc analysis of randomized controlled trial

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