Who gets a pouch after colectomy in New York state and why?

Aquina, Christopher T.; Fleming, Fergal J.; Becerra, Adan Z.; Hensley, Bradley J.; Noyes, Katia; Monson, J. R. T.; Temple, Larissa K.; Cellini, Christina

doi:10.1016/j.surg.2017.07.024

Cited by 11 publications

(20 citation statements)

References 34 publications

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“…Within the colectomy group, 28% (21/75 patients) subsequently underwent creation of an IPAA, akin to the rate reported for UC patients overall. 20 Formation of IPAA was more common when colonic resection took place prior to liver transplantation (n = 14/21 vs 20/54 patients who retained end an ileostomy, P = 0.024) and when surgery was performed at a younger age (39 vs 49 years, P = 0.001; Table 1). Overall, 76 patients from our entire cohort (32%) developed at least one episode of acute rejection, with no significant difference between our three study groups (Chi-square P = 0.710).…”

Section: The Incidence Of Graft Loss Is Increased For Patients Withmentioning

confidence: 99%

“…This can either be performed leaving an end ileostomy in situ, or followed by ileorectal anastomosis (IRA), or restorative proctocolectomy and ileal pouch‐anal anastomosis (IPAA). In patients with UC alone, health‐related global quality of life is similar for ‘well‐informed’ individuals choosing to retain an ileostomy vs those with a pelvic pouch, the latter being opted for in approximately 30% of cases . This rate has remained relatively constant over the last decade and outcomes are generally good for patients without PSC.…”

Section: Introductionmentioning

confidence: 99%

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The impact of ileal pouch‐anal anastomosis on graft survival following liver transplantation for primary sclerosing cholangitis

Trivedi

Reece

Laing

et al. 2018

Aliment Pharmacol Ther

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Section: The Incidence Of Graft Loss Is Increased For Patients Withmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of ileal pouch‐anal anastomosis on graft survival following liver transplantation for primary sclerosing cholangitis

Trivedi

Reece

Laing

et al. 2018

Aliment Pharmacol Ther

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“…All the other aforementioned studies [ 8 , 10 – 13 ] focused on the specific volume of an individual surgeon and its corresponding impact on the outcome. These studies have demonstrated that, as regards the surgeon volume, surgeons with higher caseloads have a lower recurrence rate [ 8 , 10 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

Hospital volume and outcome in inguinal hernia repair: analysis of routine data of 133,449 patients

Maneck

Köckerling

Fahlenbrach

et al. 2019

Hernia

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Introduction Inguinal hernias are repaired using either open or minimally invasive surgical techniques. For both types of surgery it has been demonstrated that a higher annual surgeon volume is associated with a lower risk of recurrence. This present study investigated the volume-outcome implications for recurrence operations, surgical complications, rate of chronic pain requiring treatment, and 30-day mortality based on the hospital volume. Materials and methods The data basis used was the routine data collected throughout the Federal Republic of Germany for persons insured by the Local General Sickness Fund "AOK" who had undergone inpatient inguinal hernia repair between 2013 and 2015. Complications were recorded by means of indicators. Hospitals were divided into five groups on the basis of the annual caseload volume: 1-50, 51-75, 76-100, 101-125, and ≥ 126 inguinal hernia repairs per year. The effect of the hospital volume on the indicators was assessed using multiple logistic regression. Results 133,449 inguinal hernia repairs were included. The incidence for recurrence operations was 0.95%, for surgical complications 4.22%, for chronic pain requiring treatment 2.87%, and for the 30-day mortality 0.28%. Low volume hospitals (1-50 and 51-75 inguinal hernia repairs per year) showed a significantly increased recurrence risk compared to high volume hospitals with ≥ 126 inguinal hernia repairs per year (odds ratio: 1.53 and 1.24). No significant correlations were found for the other results. Conclusions The study gives a detailed picture of hospital care for inguinal hernia repair in Germany. Furthermore, it was noted that the risk of hernia recurrence decreases in line with a rising caseload of the treating hospital.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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“…The surgical team must ensure that the patient is well informed and given a balanced view regarding a permanent ileostomy vs restorative surgery. Previous research in Sweden and New York has suggested that patients undergoing their colectomy in low-volume restorative surgery centres have a lower risk of subsequent restorative surgery [4,14]. In New York, patient-related factors influenced subsequent pouch surgery more than surgeon-related factors.…”

Section: Discussionmentioning

confidence: 97%

Restorative surgery after colectomy for ulcerative colitis in England and Sweden: observations from a comparison of nationwide cohorts

et al. 2018

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Following colectomy for UC only one-third of English patients and half of Swedish patients underwent restorative surgery. In England nearly all these patients underwent pouches, in Sweden a less significant majority underwent IRAs. It is surprising to demonstrate this discrepancy in a comparable cohort of patients from similar healthcare systems. The causes and consequences of this international variation in management are not fully understood and require further investigation.

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Who gets a pouch after colectomy in New York state and why?

Cited by 11 publications

References 34 publications

The impact of ileal pouch‐anal anastomosis on graft survival following liver transplantation for primary sclerosing cholangitis

The impact of ileal pouch‐anal anastomosis on graft survival following liver transplantation for primary sclerosing cholangitis

Hospital volume and outcome in inguinal hernia repair: analysis of routine data of 133,449 patients

Restorative surgery after colectomy for ulcerative colitis in England and Sweden: observations from a comparison of nationwide cohorts

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