Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.

<h4>Background</h4>Laparoscopic colorectal surgeries offer numerous advantages over their open counterparts. To compare these measurable short-time outcomes of open and laparoscopic resections in Hungary, data of colorectal surgeries were collected and analysed. The study focused on iden...

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Autores principales:	Zsófia Benedek, Cecília Surján, Éva Belicza
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a66f7ae7cb0e4efe8f6ee5eac076cc8d
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spelling	oai:doaj.org-article:a66f7ae7cb0e4efe8f6ee5eac076cc8d2021-12-02T20:14:07ZPotential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.1932-620310.1371/journal.pone.0257811https://doaj.org/article/a66f7ae7cb0e4efe8f6ee5eac076cc8d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257811https://doaj.org/toc/1932-6203<h4>Background</h4>Laparoscopic colorectal surgeries offer numerous advantages over their open counterparts. To compare these measurable short-time outcomes of open and laparoscopic resections in Hungary, data of colorectal surgeries were collected and analysed. The study focused on identifying patients' characteristics that can influence the decision on laparoscopic colorectal resections and on comparing efficiency of Hungarian colorectal operations with international data.<h4>Methods</h4>Using patients' data of laparoscopic and open colorectal surgery performed in 2015 and 2016 from the National Health Insurance Fund of Hungary, a countrywide retrospective comparative analysis was done. Logistic regression was used to explore main influencing factors for laparoscopic colorectal surgery.<h4>Results</h4>A total of 17,876 colorectal surgical cases, including 14,876 open and 3,000 laparoscopic resections were selected and analysed. Laparoscopy was used only in 16.78% of all cases. Comparison of age groups showed that odds ratio (OR) of laparoscopic colorectal resections was significantly lower in over 40 years than in younger patients (18-39 years). In university institutes patients had higher odds (OR: 2.23 p<0.0001) for laparoscopic colorectal resections. Presence of comorbidity codes and preoperative treatment in internal medicine department decreased odds for laparoscopic colorectal operations.<h4>Conclusions</h4>Patients' age, comorbidities and hospital type influenced the likelihood of decision on laparoscopic colorectal resection. Selection of patients contributed to improved laparoscopic outcomes.Zsófia BenedekCecília SurjánÉva BeliczaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257811 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Zsófia Benedek Cecília Surján Éva Belicza Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.
description	<h4>Background</h4>Laparoscopic colorectal surgeries offer numerous advantages over their open counterparts. To compare these measurable short-time outcomes of open and laparoscopic resections in Hungary, data of colorectal surgeries were collected and analysed. The study focused on identifying patients' characteristics that can influence the decision on laparoscopic colorectal resections and on comparing efficiency of Hungarian colorectal operations with international data.<h4>Methods</h4>Using patients' data of laparoscopic and open colorectal surgery performed in 2015 and 2016 from the National Health Insurance Fund of Hungary, a countrywide retrospective comparative analysis was done. Logistic regression was used to explore main influencing factors for laparoscopic colorectal surgery.<h4>Results</h4>A total of 17,876 colorectal surgical cases, including 14,876 open and 3,000 laparoscopic resections were selected and analysed. Laparoscopy was used only in 16.78% of all cases. Comparison of age groups showed that odds ratio (OR) of laparoscopic colorectal resections was significantly lower in over 40 years than in younger patients (18-39 years). In university institutes patients had higher odds (OR: 2.23 p<0.0001) for laparoscopic colorectal resections. Presence of comorbidity codes and preoperative treatment in internal medicine department decreased odds for laparoscopic colorectal operations.<h4>Conclusions</h4>Patients' age, comorbidities and hospital type influenced the likelihood of decision on laparoscopic colorectal resection. Selection of patients contributed to improved laparoscopic outcomes.
format	article
author	Zsófia Benedek Cecília Surján Éva Belicza
author_facet	Zsófia Benedek Cecília Surján Éva Belicza
author_sort	Zsófia Benedek
title	Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.
title_short	Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.
title_full	Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.
title_fullStr	Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.
title_full_unstemmed	Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.
title_sort	potential considerations in decision making on laparoscopic colorectal resections in hungary based on administrative data.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/a66f7ae7cb0e4efe8f6ee5eac076cc8d
work_keys_str_mv	AT zsofiabenedek potentialconsiderationsindecisionmakingonlaparoscopiccolorectalresectionsinhungarybasedonadministrativedata AT ceciliasurjan potentialconsiderationsindecisionmakingonlaparoscopiccolorectalresectionsinhungarybasedonadministrativedata AT evabelicza potentialconsiderationsindecisionmakingonlaparoscopiccolorectalresectionsinhungarybasedonadministrativedata
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Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.

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