Document Detail


Hospital caseload and the results achieved in patients with rectal cancer.
MedLine Citation:
PMID:  11578299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of the study was to investigate the impact of hospital caseload on the short-term postoperative outcome of patients with rectal carcinoma. METHODS: A multicentre study involving 75 German hospitals was carried out between January and December 1999. Some 1463 patients with rectal carcinoma were studied. RESULTS: The hospitals were divided into three groups by annual caseload as follows: less than 20 (group 1), 20-40 (group 2) and more than 40 (group 3). The groups were identical in terms of age, gender, height, weight, tumour stage, risk factors and American Society of Anesthesiologists classification. Postoperative morbidity was less in hospitals with a case volume of more than 20 patients per year (41.7 per cent in group 2 versus 49.9 per cent in group 1). The proportion of patients undergoing abdominoperineal resection with a permanent stoma was less in hospitals with a case volume of more than 40 patients per year (26.4 per cent in group 3 versus 34.0 per cent in group 2). CONCLUSION: A large caseload in rectal surgery results in a significant reduction in permanent stoma formation and postoperative morbidity.
Authors:
F Marusch; A Koch; U Schmidt; M Pross; I Gastinger; H Lippert
Related Documents :
1194309 - Thompson prosthesis for fractured neck of femur. a comparison of surgical approaches.
9384419 - The long-term results of charnley low-friction arthroplasty in young patients who have ...
8540649 - Laparoscopic l5-s1 diskectomy: a cost-effective, minimally invasive general surgery--ne...
17380549 - Randomized clinical trial of perioperative systemic warming in major elective abdominal...
7172949 - Subcutaneous lateral internal sphincterotomy for chronic fissure-in-ano.
9278659 - Outcome and predictors of success of biofeedback for constipation.
24368039 - A united kingdom perspective on independence and mobility after infrainguinal lower lim...
18216509 - Bilateral musculocutaneous unequal-z procedure: a new technique for reconstruction of t...
16741459 - Five-year outcomes of surgical treatment for degenerative lumbar spinal stenosis: a pro...
Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  The British journal of surgery     Volume:  88     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-10-01     Completed Date:  2001-10-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1397-402     Citation Subset:  AIM; IM    
Affiliation:
Institute for Quality Management in Operative Medicine at the Otto-von-Guericke University, Magdeburg, Germany. marusch-cottbus@t-online.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Germany
Hospital Mortality
Humans
Intraoperative Complications / etiology
Postoperative Care / utilization
Postoperative Complications / etiology*
Prospective Studies
Rectal Neoplasms / surgery*
Workload*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Strategy for the surgical management of patients with idiopathic megarectum and megacolon.
Next Document:  Prospective controlled trial of a standardized meal stimulation test in the detection of pancreatico...