Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database

Abstract Limited data are available for the epidemiology and outcome of colorectal cancer in relation to the three main surgical treatment modalities (open, laparoscopic and robotic). Using the US National Inpatient Sample database from 2004 to 2012, we identified 1,265,684 hospitalized colorectal c...

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Autores principales:	Meng-Tse Gabriel Lee, Chong-Chi Chiu, Chia-Chun Wang, Chia-Na Chang, Shih-Hao Lee, Matthew Lee, Tzu-Chun Hsu, Chien-Chang Lee
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ca300eb6d305474b9a8453af9aa410c1
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spelling	oai:doaj.org-article:ca300eb6d305474b9a8453af9aa410c12021-12-02T12:30:45ZTrends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database10.1038/s41598-017-02224-y2045-2322https://doaj.org/article/ca300eb6d305474b9a8453af9aa410c12017-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-02224-yhttps://doaj.org/toc/2045-2322Abstract Limited data are available for the epidemiology and outcome of colorectal cancer in relation to the three main surgical treatment modalities (open, laparoscopic and robotic). Using the US National Inpatient Sample database from 2004 to 2012, we identified 1,265,684 hospitalized colorectal cancer patients. Over the 9 year period, there was a 13.5% decrease in the number of hospital admissions and a 43.5% decrease in in-hospital mortality. Comparing the trend of surgical modalities, there was a 35.4% decrease in open surgeries, a 3.5 fold increase in laparoscopic surgeries, and a 41.3 fold increase in robotic surgeries. Nonetheless, in 2012, open surgery still remained the preferred surgical treatment modality (65.4%), followed by laparoscopic (31.2%) and robotic surgeries (3.4%). Laparoscopic and robotic surgeries were associated with lower in-hospital mortality, fewer complications, and shorter length of stays, which might be explained by the elective nature of surgery and earlier tumor grades. After excluding patients with advanced tumor grades, laparoscopic surgery was still associated with better outcomes and lower costs than open surgery. On the contrary, robotic surgery was associated with the highest costs, without substantial outcome benefits over laparoscopic surgery. More studies are required to clarify the cost-effectiveness of robotic surgery.Meng-Tse Gabriel LeeChong-Chi ChiuChia-Chun WangChia-Na ChangShih-Hao LeeMatthew LeeTzu-Chun HsuChien-Chang LeeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Meng-Tse Gabriel Lee Chong-Chi Chiu Chia-Chun Wang Chia-Na Chang Shih-Hao Lee Matthew Lee Tzu-Chun Hsu Chien-Chang Lee Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database
description	Abstract Limited data are available for the epidemiology and outcome of colorectal cancer in relation to the three main surgical treatment modalities (open, laparoscopic and robotic). Using the US National Inpatient Sample database from 2004 to 2012, we identified 1,265,684 hospitalized colorectal cancer patients. Over the 9 year period, there was a 13.5% decrease in the number of hospital admissions and a 43.5% decrease in in-hospital mortality. Comparing the trend of surgical modalities, there was a 35.4% decrease in open surgeries, a 3.5 fold increase in laparoscopic surgeries, and a 41.3 fold increase in robotic surgeries. Nonetheless, in 2012, open surgery still remained the preferred surgical treatment modality (65.4%), followed by laparoscopic (31.2%) and robotic surgeries (3.4%). Laparoscopic and robotic surgeries were associated with lower in-hospital mortality, fewer complications, and shorter length of stays, which might be explained by the elective nature of surgery and earlier tumor grades. After excluding patients with advanced tumor grades, laparoscopic surgery was still associated with better outcomes and lower costs than open surgery. On the contrary, robotic surgery was associated with the highest costs, without substantial outcome benefits over laparoscopic surgery. More studies are required to clarify the cost-effectiveness of robotic surgery.
format	article
author	Meng-Tse Gabriel Lee Chong-Chi Chiu Chia-Chun Wang Chia-Na Chang Shih-Hao Lee Matthew Lee Tzu-Chun Hsu Chien-Chang Lee
author_facet	Meng-Tse Gabriel Lee Chong-Chi Chiu Chia-Chun Wang Chia-Na Chang Shih-Hao Lee Matthew Lee Tzu-Chun Hsu Chien-Chang Lee
author_sort	Meng-Tse Gabriel Lee
title	Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database
title_short	Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database
title_full	Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database
title_fullStr	Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database
title_full_unstemmed	Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database
title_sort	trends and outcomes of surgical treatment for colorectal cancer between 2004 and 2012- an analysis using national inpatient database
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/ca300eb6d305474b9a8453af9aa410c1
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Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database

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