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Complications from Surgeries Related to Ovarian Cancer Screening

The aim of this study was to evaluate complications of surgical intervention for participants in the Kentucky Ovarian Cancer Screening Program and compare results to those of the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial. A retrospective database review included 657 patients who...

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Autores principales: Baldwin, Lauren A., Pavlik, Edward J., Ueland, Emma, Brown, Hannah E., Ladd, Kelsey M., Huang, Bin, DeSimone, Christopher P., van Nagell, John R., Ueland, Frederick R., Miller, Rachel W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5373025/
https://www.ncbi.nlm.nih.gov/pubmed/28282907
http://dx.doi.org/10.3390/diagnostics7010016
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author Baldwin, Lauren A.
Pavlik, Edward J.
Ueland, Emma
Brown, Hannah E.
Ladd, Kelsey M.
Huang, Bin
DeSimone, Christopher P.
van Nagell, John R.
Ueland, Frederick R.
Miller, Rachel W.
author_facet Baldwin, Lauren A.
Pavlik, Edward J.
Ueland, Emma
Brown, Hannah E.
Ladd, Kelsey M.
Huang, Bin
DeSimone, Christopher P.
van Nagell, John R.
Ueland, Frederick R.
Miller, Rachel W.
author_sort Baldwin, Lauren A.
collection PubMed
description The aim of this study was to evaluate complications of surgical intervention for participants in the Kentucky Ovarian Cancer Screening Program and compare results to those of the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial. A retrospective database review included 657 patients who underwent surgery for a positive screen in the Kentucky Ovarian Cancer Screening Program from 1988–2014. Data were abstracted from operative reports, discharge summaries, and office notes for 406 patients. Another 142 patients with incomplete records were interviewed by phone. Complete information was available for 548 patients. Complications were graded using the Clavien–Dindo (C–D) Classification of Surgical Complications and considered minor if assigned Grade I (any deviation from normal course, minor medications) or Grade II (other pharmacological treatment, blood transfusion). C–D Grade III complications (those requiring surgical, endoscopic, or radiologic intervention) and C–D Grade IV complications (those which are life threatening) were considered “major”. Statistical analysis was performed using SAS 9.4 software. Complications were documented in 54/548 (10%) subjects. For women with malignancy, 17/90 (19%) had complications compared to 37/458 (8%) with benign pathology (p < 0.003). For non-cancer surgery, obesity was associated with increased complications (p = 0.0028). Fifty patients had minor complications classified as C–D Grade II or less. Three of 4 patients with Grade IV complications had malignancy (p < 0.0004). In the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial, 212 women had surgery for ovarian malignancy, and 95 had at least one complication (45%). Of the 1080 women with non-cancer surgery, 163 had at least one complication (15%). Compared to the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial, the Kentucky Ovarian Cancer Screening Program had significantly fewer complications from both cancer and non-cancer surgery (p < 0.0001 and p = 0.002, respectively). Complications resulting from surgery performed as a result of the Kentucky Ovarian Cancer Screening Program were infrequent and significantly fewer than reported in the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial. Complications were mostly minor (93%) and were more common in cancer versus non-cancer surgery.
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spelling pubmed-53730252017-04-05 Complications from Surgeries Related to Ovarian Cancer Screening Baldwin, Lauren A. Pavlik, Edward J. Ueland, Emma Brown, Hannah E. Ladd, Kelsey M. Huang, Bin DeSimone, Christopher P. van Nagell, John R. Ueland, Frederick R. Miller, Rachel W. Diagnostics (Basel) Article The aim of this study was to evaluate complications of surgical intervention for participants in the Kentucky Ovarian Cancer Screening Program and compare results to those of the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial. A retrospective database review included 657 patients who underwent surgery for a positive screen in the Kentucky Ovarian Cancer Screening Program from 1988–2014. Data were abstracted from operative reports, discharge summaries, and office notes for 406 patients. Another 142 patients with incomplete records were interviewed by phone. Complete information was available for 548 patients. Complications were graded using the Clavien–Dindo (C–D) Classification of Surgical Complications and considered minor if assigned Grade I (any deviation from normal course, minor medications) or Grade II (other pharmacological treatment, blood transfusion). C–D Grade III complications (those requiring surgical, endoscopic, or radiologic intervention) and C–D Grade IV complications (those which are life threatening) were considered “major”. Statistical analysis was performed using SAS 9.4 software. Complications were documented in 54/548 (10%) subjects. For women with malignancy, 17/90 (19%) had complications compared to 37/458 (8%) with benign pathology (p < 0.003). For non-cancer surgery, obesity was associated with increased complications (p = 0.0028). Fifty patients had minor complications classified as C–D Grade II or less. Three of 4 patients with Grade IV complications had malignancy (p < 0.0004). In the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial, 212 women had surgery for ovarian malignancy, and 95 had at least one complication (45%). Of the 1080 women with non-cancer surgery, 163 had at least one complication (15%). Compared to the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial, the Kentucky Ovarian Cancer Screening Program had significantly fewer complications from both cancer and non-cancer surgery (p < 0.0001 and p = 0.002, respectively). Complications resulting from surgery performed as a result of the Kentucky Ovarian Cancer Screening Program were infrequent and significantly fewer than reported in the Prostate, Lung, Colorectal and Ovarian Cancer Screening trial. Complications were mostly minor (93%) and were more common in cancer versus non-cancer surgery. MDPI 2017-03-08 /pmc/articles/PMC5373025/ /pubmed/28282907 http://dx.doi.org/10.3390/diagnostics7010016 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Baldwin, Lauren A.
Pavlik, Edward J.
Ueland, Emma
Brown, Hannah E.
Ladd, Kelsey M.
Huang, Bin
DeSimone, Christopher P.
van Nagell, John R.
Ueland, Frederick R.
Miller, Rachel W.
Complications from Surgeries Related to Ovarian Cancer Screening
title Complications from Surgeries Related to Ovarian Cancer Screening
title_full Complications from Surgeries Related to Ovarian Cancer Screening
title_fullStr Complications from Surgeries Related to Ovarian Cancer Screening
title_full_unstemmed Complications from Surgeries Related to Ovarian Cancer Screening
title_short Complications from Surgeries Related to Ovarian Cancer Screening
title_sort complications from surgeries related to ovarian cancer screening
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5373025/
https://www.ncbi.nlm.nih.gov/pubmed/28282907
http://dx.doi.org/10.3390/diagnostics7010016
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