Presented at: Society of Surgical Oncology, St. Louis, MO—March 2010.
Article first published online: 25 APR 2011
Copyright © 2011 Wiley Periodicals, Inc.
Journal of Surgical Oncology
Volume 104, Issue 6, pages 634–640, 1 November 2011
How to Cite
Gupta, P. K., Turaga, K. K., Miller, W. J., Loggie, B. W. and Foster, J. M. (2011), Determinants of outcomes in pancreatic surgery and use of hospital resources. J. Surg. Oncol., 104: 634–640. doi: 10.1002/jso.21923
ACS NSQIP disclaimer: The ACS NSQIP and the hospitals participating in the ACS NSQIP are the source of the data used herein; they have not verified and are not responsible for the statistical validity of the data analysis or the conclusions derived by the authors. This study does not represent the views or plans of the ACS or the ACS NSQIP.
- Issue published online: 4 OCT 2011
- Article first published online: 25 APR 2011
- Manuscript Accepted: 28 FEB 2011
- Manuscript Received: 2 OCT 2010
- pancreatic surgery
Background and Objectives
Outcomes for patients undergoing major pancreatic surgery have improved, but a subset of patients that significantly utilize more resources exists. Variables that can lead to an increase in resource utilization in patients undergoing pancreatic surgery were identified.
Patients undergoing pancreatic surgery for neoplasms were identified from the NSQIP database (2006–2008). Indices associated with increased resource utilization that we included were operative time (OT), length of stay (LOS), intraoperative RBC transfusion, return to operating room, and occurrence of postoperative complications. Analysis of covariance and multivariable logistic regression were performed.
The 4,306 included patients had a median age of 66 years and 50.3% were males. The 30-day morbidity and mortality were 29.3% and 3.2%, respectively. Median OT was 362 min and median LOS was 10 days. Malignancy, neoadjuvant radiation, and medical co-morbidities were associated with increased OT (P < 0.0001 for all). Declining preoperative functional status was the most important predictor of LOS (P < 0.0001). Age, male gender, hypertension, severe COPD, and higher BMI were significantly associated with postoperative complications (P < 0.050 for all).
Morbidity after pancreatic surgery remains high. Age, obesity, performance status, medical co-morbidities, and neoadjuvant radiation affect outcomes and may lead to increased use of hospital resources. J. Surg. Oncol. 2011; 104:634–640. © 2011 Wiley Periodicals, Inc.