Short‐term outcomes after surgical resection for colorectal cancer in South Australia

Beckmann, Kerri; Moore, James; Wattchow, David; Young, Graeme P.; Roder, David

doi:10.1111/jep.12612

Cited by 17 publications

(27 citation statements)

References 40 publications

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“…The overall elective resection rate of 81.5% and emergency resection rate of 18.5% was comparable to previous Australian studies, which estimated that the elective CRC resection rate was 83–93% . Our study showed that low volume hospitals performed a higher proportion of emergency resections, between 25% and 32%.…”

Section: Discussionsupporting

confidence: 84%

Study of colorectal cancer resection patterns across the state of Victoria using validated administrative data algorithms

MacCallum

Silva

Skandarajah

et al. 2020

ANZ Journal of Surgery

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Background Administrative data provide a unique opportunity to examine whole‐of‐state colorectal cancer (CRC) data. The purpose of this study was to compare types of CRC resection across Victorian geographical zones, using hospital volume and accredited training‐post status. Methods All CRC resections in Victorian public hospitals between 2008 and 2013 were analysed using validated algorithms of administrative data from the Victorian Admitted Episodes Dataset. Hospitals were grouped according to Colorectal Surgical Society of Australia and New Zealand (CSSANZ) training‐post status, case‐volume (high >200 in 5 years) and remoteness of location. Resection frequency and type were compared. Results In 44 public hospitals over 6 years, 7596 CRC resections were performed. Patient age, American Society of Anesthesiologists Physical Status Classification System score and tumour stage were similar among groups. CSSANZ accounted for nearly 50% of cases but the lowest percentage of emergencies (16.8%). The ratio of right‐sided to left‐sided plus rectal resections was greater for low‐volume than high‐volume centres (56.8% versus 40.4%), while left colon and rectal resections comprised a larger proportion of high‐volume workload. High‐ compared with low‐volume favoured ultra‐low anterior resections (62% versus 33%) over abdominoperineal resections (38% versus 67%). Work patterns among high‐volume hospitals were similar regardless of remoteness or CSSANZ status. Conclusion This study demonstrated that administrative data can provide granular, clinically relevant information with population‐wide coverage. Most public CRC resections in Victoria were performed in metropolitan hospitals. The majority of rectal cancer resections were performed in high‐volume metropolitan centres but 15% were performed by low‐volume regional hospitals.

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Section: Discussionsupporting

confidence: 84%

Study of colorectal cancer resection patterns across the state of Victoria using validated administrative data algorithms

MacCallum

Silva

Skandarajah

et al. 2020

ANZ Journal of Surgery

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“…This review therefore included 59 articles published between 1993 and 2016, reporting on a total of 2 698 403 patients ( Table S2, supporting information). These studies included data collected between 1976 and 2014 from eight countries.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of the influence of socioeconomic deprivation on mortality after colorectal surgery

Poulton

Salih²,

Martin

et al. 2018

British Journal of Surgery

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“…This is especially pertinent in the presence of a high prevalence of postoperative complications. Previous research in Australia found that patients from higher socio-economic areas had a lower risk of developing postoperative complications ( Beckmann et al , 2016 ), reinforcing the need for adequate postoperative care facilities in the most deprived areas. Comparing postoperative care resourcing between institutions in more and lesser deprived areas could provide some explanation behind socio-economic differences in 90-day colon cancer mortality and should be examined in more detail.…”

Section: Discussionmentioning

confidence: 96%

Persistent inequalities in 90-day colon cancer mortality: an English cohort study

et al. 2017

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Background:Variation in colon cancer mortality occurring shortly after diagnosis is widely reported between socio-economic status (SES) groups: we investigated the role of different prognostic factors in explaining variation in 90-day mortality.Methods:National cancer registry data were linked with national clinical audit data and Hospital Episode Statistics records for 69 769 adults diagnosed with colon cancer in England between January 2010 and March 2013. By gender, logistic regression was used to estimate the effects of SES, age and stage at diagnosis, comorbidity and surgical treatment on probability of death within 90 days from diagnosis. Multiple imputations accounted for missing stage. We predicted conditional probabilities by prognostic factor patterns and estimated the effect of SES (deprivation) from the difference between deprivation-specific average predicted probabilities.Results:Ninety-day probability of death rose with increasing deprivation, even after accounting for the main prognostic factors. When setting the deprivation level to the least deprived group for all patients and keeping all other prognostic factors as observed, the differences between deprivation-specific averaged predicted probabilities of death were greatly reduced but persisted. Additional analysis suggested stage and treatment as potential contributors towards some of these inequalities.Conclusions:Further examination of delayed diagnosis, access to treatment and post-operative care by deprivation group may provide additional insights into understanding deprivation disparities in mortality.

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Short‐term outcomes after surgical resection for colorectal cancer in South Australia

Abstract: Short-term outcomes following CRC surgery may be improved through strategies to increase earlier detection and reduce emergency admissions. Socioeconomic and regional disparities require further examination of health system factors.

Cited by 17 publications

References 40 publications

Study of colorectal cancer resection patterns across the state of Victoria using validated administrative data algorithms

Study of colorectal cancer resection patterns across the state of Victoria using validated administrative data algorithms

Systematic review of the influence of socioeconomic deprivation on mortality after colorectal surgery

Persistent inequalities in 90-day colon cancer mortality: an English cohort study

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