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Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries

Although previous studies have shown that health checks may improve several risk factors for chronic diseases, the effect of preoperative health checks on postoperative recovery in surgical patients remains unknown. We aimed to investigate the association between preoperative use of mammography and...

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Autores principales: Tai, Ying-Hsuan, Chen, Ta-Liang, Cherng, Yih-Giun, Yeh, Chun-Chieh, Chang, Chuen-Chau, Liao, Chien-Chang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888288/
https://www.ncbi.nlm.nih.gov/pubmed/31726700
http://dx.doi.org/10.3390/ijerph16224432
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author Tai, Ying-Hsuan
Chen, Ta-Liang
Cherng, Yih-Giun
Yeh, Chun-Chieh
Chang, Chuen-Chau
Liao, Chien-Chang
author_facet Tai, Ying-Hsuan
Chen, Ta-Liang
Cherng, Yih-Giun
Yeh, Chun-Chieh
Chang, Chuen-Chau
Liao, Chien-Chang
author_sort Tai, Ying-Hsuan
collection PubMed
description Although previous studies have shown that health checks may improve several risk factors for chronic diseases, the effect of preoperative health checks on postoperative recovery in surgical patients remains unknown. We aimed to investigate the association between preoperative use of mammography and the risk of perioperative complications. We conducted a matched cohort study of 152,411 patients aged ≥47 years who received mammography screening and later underwent major surgery from 2008 to 2013. Using a propensity score matching procedure adjusted for sociodemographic characteristics, medical condition, surgery type, and anesthesia type, 152,411 controls who underwent surgery but were not screened were selected. We collected patients’ characteristics and medical conditions from claims data of Taiwan’s National Health Insurance. Logistic regressions were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for postoperative complications and in-hospital mortality associated with mammography screening. Patients receiving mammography prior to major surgery had significantly lower risks of perioperative complications, including pneumonia, septicemia, acute renal failure, stroke, urinary tract infection, deep wound infection, acute myocardial infarction, intensive care unit stay, and 30 day in-hospital mortality (OR 0.45, 95% CI 0.38–0.53). The association was consistent across each stratum of age, number of hospitalizations, emergency visits, and comorbidities. In conclusion, preoperative use of mammography was strongly associated with fewer perioperative complications and less in-hospital mortality after major surgeries. The evidence provided by this study justifies the implementation of preoperative health checks in clinical practice.
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spelling pubmed-68882882019-12-09 Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries Tai, Ying-Hsuan Chen, Ta-Liang Cherng, Yih-Giun Yeh, Chun-Chieh Chang, Chuen-Chau Liao, Chien-Chang Int J Environ Res Public Health Article Although previous studies have shown that health checks may improve several risk factors for chronic diseases, the effect of preoperative health checks on postoperative recovery in surgical patients remains unknown. We aimed to investigate the association between preoperative use of mammography and the risk of perioperative complications. We conducted a matched cohort study of 152,411 patients aged ≥47 years who received mammography screening and later underwent major surgery from 2008 to 2013. Using a propensity score matching procedure adjusted for sociodemographic characteristics, medical condition, surgery type, and anesthesia type, 152,411 controls who underwent surgery but were not screened were selected. We collected patients’ characteristics and medical conditions from claims data of Taiwan’s National Health Insurance. Logistic regressions were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for postoperative complications and in-hospital mortality associated with mammography screening. Patients receiving mammography prior to major surgery had significantly lower risks of perioperative complications, including pneumonia, septicemia, acute renal failure, stroke, urinary tract infection, deep wound infection, acute myocardial infarction, intensive care unit stay, and 30 day in-hospital mortality (OR 0.45, 95% CI 0.38–0.53). The association was consistent across each stratum of age, number of hospitalizations, emergency visits, and comorbidities. In conclusion, preoperative use of mammography was strongly associated with fewer perioperative complications and less in-hospital mortality after major surgeries. The evidence provided by this study justifies the implementation of preoperative health checks in clinical practice. MDPI 2019-11-12 2019-11 /pmc/articles/PMC6888288/ /pubmed/31726700 http://dx.doi.org/10.3390/ijerph16224432 Text en © 2019 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
Tai, Ying-Hsuan
Chen, Ta-Liang
Cherng, Yih-Giun
Yeh, Chun-Chieh
Chang, Chuen-Chau
Liao, Chien-Chang
Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries
title Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries
title_full Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries
title_fullStr Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries
title_full_unstemmed Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries
title_short Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries
title_sort previous use of mammography as a proxy for general health checks in association with better outcomes after major surgeries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888288/
https://www.ncbi.nlm.nih.gov/pubmed/31726700
http://dx.doi.org/10.3390/ijerph16224432
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