Cargando…

Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay

BACKGROUND: This study aimed to identify socioeconomic predictors of permanent stoma in rectal cancer treatment and examine its association with length of stay at the treatment facility. METHODS: Rectal cancer patients who underwent elective surgery between January 2015 and December 2018 were identi...

Descripción completa

Detalles Bibliográficos
Autores principales: Lemini, Riccardo, Jabbal, Iktej S., Stanek, Krystof, Borkar, Shalmali R., Spaulding, Aaron C., Kelley, Scott R., Colibaseanu, Dorin T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993534/
https://www.ncbi.nlm.nih.gov/pubmed/33765978
http://dx.doi.org/10.1186/s12893-021-01166-7
_version_ 1783669578658742272
author Lemini, Riccardo
Jabbal, Iktej S.
Stanek, Krystof
Borkar, Shalmali R.
Spaulding, Aaron C.
Kelley, Scott R.
Colibaseanu, Dorin T.
author_facet Lemini, Riccardo
Jabbal, Iktej S.
Stanek, Krystof
Borkar, Shalmali R.
Spaulding, Aaron C.
Kelley, Scott R.
Colibaseanu, Dorin T.
author_sort Lemini, Riccardo
collection PubMed
description BACKGROUND: This study aimed to identify socioeconomic predictors of permanent stoma in rectal cancer treatment and examine its association with length of stay at the treatment facility. METHODS: Rectal cancer patients who underwent elective surgery between January 2015 and December 2018 were identified from the Agency for Health Care Administration Florida Hospital Inpatient Discharge Dataset. Multivariate regression models were utilized to identify demographic and socioeconomic factors associated with receiving a permanent stoma as well as the associated length of stay of these patients. RESULTS: Of 2630 rectal cancer patients who underwent surgery for rectal cancer, 21% had a permanent stoma. The odds of receiving permanent stoma increased with higher Elixhauser score, metastatic disease, advanced age, having open surgery, residence in Southwest Florida, and having Medicaid insurance or no insurance/self-payers (p < 0.05). Patients with a permanent stoma had a significantly extended stay after surgery (p < 0.001). CONCLUSIONS: Patients with a permanent stoma following cancer resection were more likely to have open surgery, had more comorbidities, and had a longer length of stay. Having permanent stoma was higher in patients living in South West Florida, patients with Medicaid insurance, and in the uninsured. Additionally, the payer type significantly affected the length of stay. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12893-021-01166-7.
format Online
Article
Text
id pubmed-7993534
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-79935342021-03-26 Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay Lemini, Riccardo Jabbal, Iktej S. Stanek, Krystof Borkar, Shalmali R. Spaulding, Aaron C. Kelley, Scott R. Colibaseanu, Dorin T. BMC Surg Research Article BACKGROUND: This study aimed to identify socioeconomic predictors of permanent stoma in rectal cancer treatment and examine its association with length of stay at the treatment facility. METHODS: Rectal cancer patients who underwent elective surgery between January 2015 and December 2018 were identified from the Agency for Health Care Administration Florida Hospital Inpatient Discharge Dataset. Multivariate regression models were utilized to identify demographic and socioeconomic factors associated with receiving a permanent stoma as well as the associated length of stay of these patients. RESULTS: Of 2630 rectal cancer patients who underwent surgery for rectal cancer, 21% had a permanent stoma. The odds of receiving permanent stoma increased with higher Elixhauser score, metastatic disease, advanced age, having open surgery, residence in Southwest Florida, and having Medicaid insurance or no insurance/self-payers (p < 0.05). Patients with a permanent stoma had a significantly extended stay after surgery (p < 0.001). CONCLUSIONS: Patients with a permanent stoma following cancer resection were more likely to have open surgery, had more comorbidities, and had a longer length of stay. Having permanent stoma was higher in patients living in South West Florida, patients with Medicaid insurance, and in the uninsured. Additionally, the payer type significantly affected the length of stay. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12893-021-01166-7. BioMed Central 2021-03-25 /pmc/articles/PMC7993534/ /pubmed/33765978 http://dx.doi.org/10.1186/s12893-021-01166-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Lemini, Riccardo
Jabbal, Iktej S.
Stanek, Krystof
Borkar, Shalmali R.
Spaulding, Aaron C.
Kelley, Scott R.
Colibaseanu, Dorin T.
Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay
title Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay
title_full Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay
title_fullStr Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay
title_full_unstemmed Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay
title_short Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay
title_sort permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7993534/
https://www.ncbi.nlm.nih.gov/pubmed/33765978
http://dx.doi.org/10.1186/s12893-021-01166-7
work_keys_str_mv AT leminiriccardo permanentstomaaqualityoutcomeintreatmentofrectalcanceranditsimpactonlengthofstay
AT jabbaliktejs permanentstomaaqualityoutcomeintreatmentofrectalcanceranditsimpactonlengthofstay
AT stanekkrystof permanentstomaaqualityoutcomeintreatmentofrectalcanceranditsimpactonlengthofstay
AT borkarshalmalir permanentstomaaqualityoutcomeintreatmentofrectalcanceranditsimpactonlengthofstay
AT spauldingaaronc permanentstomaaqualityoutcomeintreatmentofrectalcanceranditsimpactonlengthofstay
AT kelleyscottr permanentstomaaqualityoutcomeintreatmentofrectalcanceranditsimpactonlengthofstay
AT colibaseanudorint permanentstomaaqualityoutcomeintreatmentofrectalcanceranditsimpactonlengthofstay