What have we learned in minimally invasive colorectal surgery from NSQIP and NIS large databases? A systematic review

Rodríguez, Gabriela Batista; Balla, Andrea; Corradetti, Santiago; Martínez, Carmen Rodríguez; Hernández, Pilar; Bollo, Jesús; Targarona, Eduardo M.

doi:10.1007/s00384-018-3036-4

Cited by 9 publications

(4 citation statements)

References 78 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the database uses only clinical data from Chinese hospitals, it also includes international papers. Subsequently, we plan to share clinical data from all hospitals performing robotic surgery in China and simultaneously upload this data to PubMed, making it easy for colleagues in the medical community to search and use the database at an international level (Younes et al, 2022; Clarke et al, 2022; Kakeji et al, 2021; Batista Rodríguez et al, 2018; Sammour et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Establishment and implementation of a clinical application and research database for surgical robots in China

Ma,

Li,

et al. 2023

WIREs Data Min & Knowl

View full text Add to dashboard Cite

Robots are widely used in surgeries worldwide. To improve robotic surgical treatments, we established a database of clinical applications and research on surgical robots. Robotics‐related literature included in the China national knowledge infrastructure (CNKI), Wanfang, Vipshop, Chinese science citation database (CSCD), Web of Science, EMBASE, PubMed, and Cochrane databases up to September 2022 was searched and entered into the database. Information on all patients who had undergone robotic surgery at our hospital since 2016 was also included. Literature and case information was classified and evaluated according to standard guidelines and statements. The Gansu Provincial Hospital was the first to use evidence‐based medical research methods to successfully establish a database of clinical applications and research on surgical robots. This database comprised literature search, upload, quality evaluation, risk of bias assessment, case information entry, and access functions. Based on the database, we conducted related studies in general surgery, gynecology, urology, thoracic surgery, and cardiovascular surgery, and published 16 meta‐analyses and 15 clinical studies. Establishing this database removes language, retrieval, and evaluation barriers in clinicians' use of clinical evidence and lays the foundation for the efficient and accurate use of clinical data for future research. Further, it facilitates evidence‐based evaluation of the effectiveness of robotic therapy, which may guide future medical practice. This typical case of interdisciplinary research aims to build a platform to disseminate knowledge and technology in robotic surgery.This article is categorized under: Technologies > Computer Architectures for Data Mining Application Areas > Data Mining Software Tools Application Areas > Education and Learning

show abstract

Section: Discussionmentioning

confidence: 99%

Establishment and implementation of a clinical application and research database for surgical robots in China

Ma,

Li,

et al. 2023

WIREs Data Min & Knowl

View full text Add to dashboard Cite

show abstract

“…For example, NSQIP analyses consistently demonstrate equivalent if not superior surgical outcomes for minimally invasive techniques compared with open surgery for colectomy, supporting increased uptake of these surgical approaches. 18 Additionally, the NSQIP platform has been used to facilitate collaborative quality improvement efforts, such as a multi-institution NSQIP pilot to assist hospitals in the implementation of enhanced recovery protocols; analysis after the enhanced recovery pilot demonstrated improved length of stay and reduced complication rates following implementation of enhanced recovery. 4 A similar NSQIP initiative is underway for operations performed for inflammatory bowel disease.…”

Section: Common National Databases For the Colorectal Surgeonmentioning

confidence: 99%

National Databases for Assessment of Quality

Johnson

Murtha

Berian

2023

Clin Colon Rectal Surg

View full text Add to dashboard Cite

With the rise in the availability of large health care datasets, database research has become an important tool for colorectal surgeon to assess health care quality and implement practice changes. In this chapter, we will discuss the benefits and drawbacks of database research for quality improvement, review common markers of quality for colorectal surgery, provide an overview of frequently used datasets (including Veterans Affairs Surgical Quality Improvement Program, National Surgical Quality Improvement Project, National Cancer Database, National Inpatient Sample, Medicare Data, and Surveillance, Epidemiology, and End Results), and look ahead to the future of database research for the improvement of quality.

show abstract

“…Despite the growing availability of EMR and the advent of endoscopic submucosal dissection, the incidence of surgery for nonmalignant large colorectal polyps has increased significantly in the 2000s (1,14). Colorectal surgeries in general have an inherent risk of morbidity and mortality (16,17). Surgeries for large nonmalignant colorectal polyps have been associated with an approximate 1% mortality rate, 25% postoperative morbidity rate, and 8% 30-day readmission rate (1,2,7,8,11).…”

Section: Introductionmentioning

confidence: 99%

Postoperative Hospital Outcomes of Elective Surgery for Nonmalignant Colorectal Polyps: Does the Burden Justify the Indication?

et al. 2021

View full text Add to dashboard Cite

INTRODUCTION: Despite the increasing availability of advanced endoscopic resections and its favorable safety profile, surgery for nonmalignant colorectal polyps has continually increased. We sought to evaluate readmission rates and outcomes of elective surgery for nonmalignant colorectal polyps on a national level in the United States. METHODS: The Nationwide Readmissions Database (2010–2014 [International Classification of Diseases, Ninth Revision] and 2016–2018 [International Classification of Diseases, 10th Revision]) was used to identify all adult subjects (age ≥18 years) who underwent elective surgical resection of nonmalignant colorectal polyps. Multivariable analyses were performed for predictors of postoperative morbidity and 30-day readmission. RESULTS: Elective surgery for nonmalignant colorectal polyps was performed in 108,468 subjects from 2010 to 2014 and in 54,956 subjects from 2016 to 2018, most of whom were laparoscopic. Postoperative morbidity and 30-day readmission rates were 20.5% and 8.5% from 2010 to 2014, and 13.0% and 7.6% from 2016 to 2018, respectively. Index admission mortality rates were 0.3–0.4%; mortality rates were higher in those with postoperative morbidity. Multivariable analyses revealed that male sex, ≥3 comorbidities, insurance status, and open surgery predicted an increased risk of both postoperative morbidity and 30-day readmission. In addition, postoperative morbidity (2010–2014 [odds ratio 1.58; 95% confidence interval 1.44–1.74] and 2016–2018 [odds ratio 1.55; 95% confidence interval 1.37–1.75]) predicted early readmission. DISCUSSION: In this investigation of national practices, elective surgery for nonmalignant colorectal polyps remains common. There is considerable risk of adverse postoperative outcomes, which highlights the importance of increasing awareness of the range of endoscopic resections and referring subjects to expert endoscopy centers.

show abstract

What have we learned in minimally invasive colorectal surgery from NSQIP and NIS large databases? A systematic review

Cited by 9 publications

References 78 publications

Establishment and implementation of a clinical application and research database for surgical robots in China

Establishment and implementation of a clinical application and research database for surgical robots in China

National Databases for Assessment of Quality

Postoperative Hospital Outcomes of Elective Surgery for Nonmalignant Colorectal Polyps: Does the Burden Justify the Indication?

Contact Info

Product

Resources

About