دورية أكاديمية
أعرض في EDS

Uptake of elective laparoscopic colectomy for colon cancer in Canada from 2004/05 to 2014/15: a descriptive analysis.

التفاصيل البيبلوغرافية
العنوان: Uptake of elective laparoscopic colectomy for colon cancer in Canada from 2004/05 to 2014/15: a descriptive analysis.
المؤلفون: Hoogerboord CM; Division of General Surgery (Hoogerboord, Porter), Department of Surgery, Dalhousie University; Department of Community Health and Epidemiology (Hoogerboord, Levy, Flowerdew, Porter), Dalhousie University; Department of Economics (Hu), Dalhousie University, Halifax, NS hoogerboord@gmail.com., Levy AR; Division of General Surgery (Hoogerboord, Porter), Department of Surgery, Dalhousie University; Department of Community Health and Epidemiology (Hoogerboord, Levy, Flowerdew, Porter), Dalhousie University; Department of Economics (Hu), Dalhousie University, Halifax, NS., Hu M; Division of General Surgery (Hoogerboord, Porter), Department of Surgery, Dalhousie University; Department of Community Health and Epidemiology (Hoogerboord, Levy, Flowerdew, Porter), Dalhousie University; Department of Economics (Hu), Dalhousie University, Halifax, NS., Flowerdew G; Division of General Surgery (Hoogerboord, Porter), Department of Surgery, Dalhousie University; Department of Community Health and Epidemiology (Hoogerboord, Levy, Flowerdew, Porter), Dalhousie University; Department of Economics (Hu), Dalhousie University, Halifax, NS., Porter G; Division of General Surgery (Hoogerboord, Porter), Department of Surgery, Dalhousie University; Department of Community Health and Epidemiology (Hoogerboord, Levy, Flowerdew, Porter), Dalhousie University; Department of Economics (Hu), Dalhousie University, Halifax, NS.
المصدر: CMAJ open [CMAJ Open] 2018 Sep 18; Vol. 6 (3), pp. E384-E390. Date of Electronic Publication: 2018 Sep 18 (Print Publication: 2018).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Canadian Medical Association Country of Publication: Canada NLM ID: 101620603 Publication Model: Electronic-Print Cited Medium: Print ISSN: 2291-0026 (Print) Linking ISSN: 22910026 NLM ISO Abbreviation: CMAJ Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Ottawa : Canadian Medical Association, [2013]-[2023]
مستخلص: Background: Evidence from randomized controlled trials published since 2004 shows that elective laparoscopic colectomy for colon cancer improves short-term postoperative outcomes with equivalent oncologic outcomes compared to open colectomy. The objective of this study was to examine the uptake of elective laparoscopic colectomy in Canada and compare its use among Canadian provinces.
Methods: In this descriptive analysis, we identified from hospital discharge abstracts all patients in the Canadian provinces (except Quebec) who underwent elective colectomy for colon cancer between 2004/05 and 2014/15. We compared temporal changes in the proportion of patients who underwent laparoscopic colectomy or open colectomy among provinces using logistic regression.
Results: Of 63 504 patients who underwent elective colectomy between 2004/05 and 2014/15, 19 691 (31.0%) underwent laparoscopic colectomy. The annual proportion of patients who underwent laparoscopic colectomy increased from 9.2% in 2004/05 to 51.5% in 2014/15 (mean annual percent increase 4.2%). There were significant differences between provinces in the overall proportion of patients who underwent laparoscopic colectomy ( p < 0.001), ranging from 7.6% in Newfoundland and Labrador to 36.9% in Ontario. By 2014/15, most colectomy procedures were performed laparoscopically in 3 provinces; British Columbia (60.2%), Ontario (59.4%) and Alberta (53.1%). In addition to year and province, urban residence, younger age, female sex, fewer medical comorbidities, high surgeon volume, high hospital volume and right-sided tumours were significantly associated with increased likelihood of laparoscopic colectomy.
Interpretation: Although the use of laparoscopic colectomy increased rapidly between 2004/05 and 2014/15 in Canada, substantial interprovincial variation exists. Further knowledge-translation strategies are needed to ensure equal access to laparoscopic colectomy for all Canadians.
Competing Interests: Competing interests: None declared.
(Copyright 2018, Joule Inc. or its licensors.)
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تواريخ الأحداث: Date Created: 20180920 Latest Revision: 20200930
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC6182107
DOI: 10.9778/cmajo.20180002
PMID: 30228155
قاعدة البيانات: MEDLINE
الوصف
تدمد:2291-0026
DOI:10.9778/cmajo.20180002