Determinants of outcomes in pancreatic surgery and use of hospital resources

Prateek K. Gupta, Kiran K. Turaga, Weldon J. Miller, Brian W. Loggie, Jason M. Foster

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

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. Methods: 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. Results: 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

Original languageEnglish (US)
Pages (from-to)634-640
Number of pages7
JournalJournal of Surgical Oncology
Volume104
Issue number6
DOIs
StatePublished - Nov 1 2011

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

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