Outcomes Following Colorectal Resection in Kidney Transplant Recipients

DiBrito, Sandra R.; Alimi, Yewande; Olorundare, Israel O.; Holscher, Courtenay M.; Haugen, Christine E.; Segev, Dorry L.

doi:10.1007/s11605-018-3801-2

Cited by 16 publications

(12 citation statements)

References 29 publications

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“…centers were not more likely to experience a mortality, morbidity, longer LOS, or higher hospital costs. These findings are similar to DiBrito et al 15 Meanwhile PTx undergoing colorectal resection sustained a 2.9-fold increase in mortality risk and a 1.9-fold increase in morbidity risk compared with the general population in transplant centers. They also were more likely to stay in the hospital longer and incur higher hospital costs than the general population.…”

Section: Resultssupporting

confidence: 89%

“…These findings are in contrast to DiBrito et al who calculated a 3.6-fold increased mortality risk for KTx undergoing colorectal resection based on NIS data from 2000 to 2013. 15 An increase in the number of laparoscopic procedures could be a contributor to the reduction in mortality risk for KTx. 18 This variable was not measured in the analysis.…”

Section: Resultsmentioning

confidence: 99%

“…Previously DiBrito et al identified increased mortality and morbidity for kidney transplant recipients undergoing colorectal resection. 15 It is critical to analyze sources of morbidity and mortality in kidney and/or pancreas transplant recipients undergoing colorectal resection to reduce surgical risks. Transplant recipients undergoing surgery at a designated transplant or teaching center may improve outcomes.…”

mentioning

confidence: 99%

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Colorectal Resection in Transplant Centers Benefits Kidney But Not Pancreas Transplant Recipients

2021

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As graft and patient survival rates improve, transplant recipients are likely to undergo colorectal surgery in their lifetime. Current literature on the surgical outcomes of colorectal resection in kidney and pancreas transplant recipients is sparse.This investigation identifies areas of surgical risk for kidney, pancreas, and pancreas–kidney transplant recipients undergoing colorectal resection at transplant and teaching centers.Multivariate logistic regression and linear regression tests computed odds ratios (OR) and coefficients of the linear regression using National Inpatient Sample data from 2005 to 2014 to identify differences in mortality, morbidity, length of stay (LOS), and total hospital charges among people with pancreas transplant alone (PTx), kidney transplant alone (KTx), pancreas and kidney transplant (PKTx), and nontransplant (non-Tx) undergoing colorectal resection in transplant and teaching centers.Of the 2,737,454 individuals who underwent colorectal resection, 138 PTx, 3,874 KTx, 130 PKTx, and 2,733,312 non-Tx met the inclusion criteria. Overall KTx, PTx, and PKTx were not more likely to suffer a mortality. However, PTx were more likely to suffer a mortality in transplant and teaching centers. Overall, PTx and PKTx had significantly higher morbidity odds ratios (PTx OR: 2.268, p = 0.002; PKTx OR: 2.578, p < 0.001) along with longer LOS and higher total hospital charges. KTx incurred no increased morbidity risk in transplant centers.Surgeons and transplant recipients should be aware of the increased morbidity and mortality risks when considering colorectal resection at different center types.

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Section: Resultssupporting

confidence: 89%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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Colorectal Resection in Transplant Centers Benefits Kidney But Not Pancreas Transplant Recipients

2021

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“…In this national, retrospective matched cohort study of 26,613 non-kidney transplant and 53 kidney transplant patients undergoing thyroidectomy for thyroid cancer, the KTxR had no statistically significant difference in incidence rate of postoperative complications, 30-day mortality rate, disposition, hospital characteristics, length of stay, and total hospital charge both before and after propensity score matching. Our statistical analysis and data are based on reports by DeBrito, et al measuring outcomes and cost of transplant recipients compared to non-transplant patients undergoing general surgical procedures such as cholecystectomy, appendectomy, and colorectal resections using the HCUP NIS database [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

“…tectomy, appendectomy, and colorectal resection in transplant recipients. The outcomes measured included overall complications, mortality, Length of Stay (LOS), and cost of stay at both transplant and nontransplant centers [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

No Significant Difference in Outcomes for Surgical Treatment of Thyroid Cancer in Kidney Transplant Recipients - Analysis of the HCUP NIS Data

B¹,

Goldschmidt²,

Christina³

et al. 2019

Int Arch Endocrinol Clin Res

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Solid organ transplant recipients, and in particular Kidney Transplant (KTx) patients, are at increased risk for developing thyroid cancers due to immunosuppression and improved long-term survival post-transplant. Using the HCUP NIS database, we compared mortality rate, disposition, LOS, and total hospital charge between KTx and Non-KTx patients following thyroidectomy for thyroid cancer during 2008-2014. Propensity score matching was performed using demographics, payer, income, hospital characteristics, elective admission, and in-hospital mortality index score. There were no significant differences in mortality rate, disposition, LOS, and total hospital charge between KTx and Non-KTx patients following both univariable analysis and propensity score matching even though KTx patients have a significantly higher number of chronic conditions and in-hospital mortality index score. Our data shows that KTx patients can safely undergo thyroidectomy for cancer despite being a high-risk population.

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Adverse Drug Effects Involving the Gastrointestinal System (Pharmacist Perspective)

Goriacko¹,

Veltri²

2021

Geriatric Gastroenterology

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Outcomes Following Colorectal Resection in Kidney Transplant Recipients

Cited by 16 publications

References 29 publications

Colorectal Resection in Transplant Centers Benefits Kidney But Not Pancreas Transplant Recipients

Colorectal Resection in Transplant Centers Benefits Kidney But Not Pancreas Transplant Recipients

No Significant Difference in Outcomes for Surgical Treatment of Thyroid Cancer in Kidney Transplant Recipients - Analysis of the HCUP NIS Data

Adverse Drug Effects Involving the Gastrointestinal System (Pharmacist Perspective)

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