دورية أكاديمية
Characterizing the burden of biliary tract cancers across 28 hospitals in Ontario, Canada.
العنوان: | Characterizing the burden of biliary tract cancers across 28 hospitals in Ontario, Canada. |
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المؤلفون: | Choi WJ; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada., Roberts S; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada., Verma A; Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada., Razak F; Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada., O'Kane GM; Department of Medical Oncology, Trinity St. James's Cancer Institute, Trinity College Dublin, Dublin, Ireland., Gallinger S; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.; University Health Network, HPB Surgical Oncology, Toronto, Ontario, Canada., Hirschfield G; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Department of Medicine, University of Toronto, Toronto, Ontario, Canada.; Toronto Centre for Liver Disease, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada., Hansen B; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Toronto Centre for Liver Disease, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.; Department of Epidemiology & Biostatistics, Erasmus MC, Rotterdam, the Netherlands., Sapisochin G; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.; University Health Network, HPB Surgical Oncology, Toronto, Ontario, Canada. |
المصدر: | Cancer [Cancer] 2024 Jul 01; Vol. 130 (13), pp. 2294-2303. Date of Electronic Publication: 2024 Feb 15. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 0374236 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0142 (Electronic) Linking ISSN: 0008543X NLM ISO Abbreviation: Cancer Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2005- >: Hoboken, NJ : Wiley Original Publication: New York [etc.] Published for the American Cancer Society by J. Wiley [etc.] |
مواضيع طبية MeSH: | Hospitalization*/statistics & numerical data , Biliary Tract Neoplasms*/epidemiology, Humans ; Ontario/epidemiology ; Female ; Male ; Aged ; Middle Aged ; Cholangiocarcinoma/epidemiology ; Length of Stay/statistics & numerical data ; Incidence ; Hospitals/statistics & numerical data ; Aged, 80 and over ; Hospital Mortality ; Cost of Illness ; Gallbladder Neoplasms/epidemiology ; Bile Duct Neoplasms/epidemiology |
مستخلص: | Background and Aims: The incidence of biliary tract cancers (BTC) appears to be increasing worldwide. We analyzed the characteristics of BTC-related hospitalizations under medical services across 28 hospitals in Ontario, Canada. Methods: This study uses data collected by GEMINI, a hospital research data network. BTC-related hospitalizations from 2015 to 2021 under the Department of Medicine or intensive care unit were captured using the International Classification of Diseases, 10th revision, codes for intrahepatic cholangiocarcinoma (iCCA), extrahepatic cholangiocarcinoma, and gallbladder cancers. Results: A total of 4596 BTC-related hospitalizations (2720 iCCA, 1269 extrahepatic cholangiocarcinoma, 607 gallbladder cancers) were analyzed. The number of unique patients with BTC-related hospitalizations increased over time. For iCCA-related hospitalizations, the total number of hospitalizations increased (from 385 in 2016 to 420 in 2021, p = .005), the hospital length of stay decreased over the study period (mean 10 days [SD, 12] in 2016 to 9 days [SD, 8] in 2021, p = .04), and the number of in-hospital deaths was stable (from 68 [18%] in 2016 to 55 [13%] in 2021, p = .62). Other outcomes such as 30-day readmissions, medical imaging tests, intensive care unit-specific hospitalizations, and length of stay were stable over time for all cohorts. The cost of hospitalization for the BTC cohort increased from median $8203 CAD (interquartile range, 5063-15,543) in 2017 to $8507 CAD (interquartile range, 5345-14,755) in 2021. Conclusions: This real-world data analysis showed a rising number of patients with BTC-related hospitalizations and rising number of iCCA-related hospitalizations across 28 hospitals in Ontario between 2015 and 2021. (© 2024 American Cancer Society.) |
References: | Valle JW, Kelley RK, Nervi B, Oh DY, Zhu AX. Biliary tract cancer. Lancet. 2021;397(10272):428‐444. doi:10.1016/S0140‐6736(21)00153‐7. Vithayathil M, Khan SA. Current epidemiology of cholangiocarcinoma in Western countries. J Hepatol. 2022;77(6):1690‐1698. doi:10.1016/J.JHEP.2022.07.022. Brindley PJ, Bachini M, Ilyas SI, et al. Cholangiocarcinoma. Nat Rev Dis Primers. 2021;7(1):65. doi:10.1038/S41572‐021‐00300‐2. Javle M, Lee S, Azad NS, et al. Temporal changes in cholangiocarcinoma incidence and mortality in the United States from 2001 to 2017. Oncologist. 2022;27(10):874‐883. doi:10.1093/ONCOLO/OYAC150. Banales JM, Marin JJG, Lamarca A, et al. Cholangiocarcinoma 2020: the next horizon in mechanisms and management. Nat Rev Gastroenterol Hepatol. 2020;17(9):557‐588. doi:10.1038/s41575‐020‐0310‐z. Verma AA, Guo Y, Kwan JL, et al. Patient characteristics, resource use and outcomes associated with general internal medicine hospital care: the General Medicine Inpatient Initiative (GEMINI) retrospective cohort study. CMAJ Open. 2017;5(4):E842‐E849. doi:10.9778/CMAJO.20170097. Verma AA, Pasricha SV, Jung HY, et al. Assessing the quality of clinical and administrative data extracted from hospitals: the General Medicine Inpatient Initiative (GEMINI) experience. J Am Med Inform Assoc. 2021;28(3):578‐587. doi:10.1093/JAMIA/OCAA225. Flemming JA, Zhang‐Salomons J, Nanji S, Booth CM. Increased incidence but improved median overall survival for biliary tract cancers diagnosed in Ontario from 1994 through 2012: a population‐based study. Cancer. 2016;122(16):2534‐2543. doi:10.1002/cncr.30074. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. International Journal of Surgery. 2014;12:1495‐1499. doi:10.1016/j.ijsu.2014.07.013. Wodchis WP, Bushmeneva K, Nikitovic M, Mckillop I. Guidelines on Person‐Level Costing Using Administrative Databases in Ontario Working Paper Series Volume 1 May 2013 Guidelines on Person‐Level Costing Using Administrative Databases in Ontario Guidelines on Case‐Costing Using Administrative Databases in O. 2013. Available:. http://hsprn.ca. Choi J, Booth G, Jung HY, et al. Association of diabetes with frequency and cost of hospital admissions: a retrospective cohort study. CMAJ Open. 2021;9(2):E406‐E412. doi:10.9778/CMAJO.20190213. Cost of a Standard Hospital Stay | CIHI. [cited 2 Jul 2023]. Available: https://www.cihi.ca/en/indicators/cost‐of‐a‐standard‐hospital‐stay. Consumer price index portal. [cited 2 Jul 2023]. Available: https://www.statcan.gc.ca/en/subjects‐start/prices_and_price_indexes/consumer_price_indexes. Quan H, Li B, Couris CM, et al. Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries. Am J Epidemiol. 2011;173:676‐682. doi:10.1093/AJE/KWQ433. Charlson ME, Pompei P, Ales KL, Mackenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis. 1987;40(5):373‐383. doi:10.1016/0021‐9681(87)90171‐8. Silge J, tidytext RD. Text mining and analysis using Tidy Data Principles in R. J Open Source Software. 2016;1(3):37. doi:10.21105/JOSS.00037. Package “textmineR” Type Package Title Functions for Text Mining and Topic Modeling. 2019 [cited 12 Mar 2023]. Available: https://www.rtextminer.com/. Blei DM, Ng AY, Edu JB. Latent Dirichlet allocation Michael I. Jordan. J Machine Learning Res. 2003;3:993‐1022. R Core Team. A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria: https://www.r‐project.org/. 2016; 2013. Ransome E, Tong L, Espinosa J, Chou J, Somnay V, Munene G. Trends in surgery and disparities in receipt of surgery for intrahepatic cholangiocarcinoma in the US: 2005–2014. J Gastrointest Oncol. 2019;10(2):339‐347. doi:10.21037/JGO.2018.12.07. Woolhandler S, Campbell T, Himmelstein DU. Costs of health care administration in the United States and Canada. N Engl J Med. 2003;8:768‐775. doi:10.1056/nejmsa022033. Selvadurai S, Mann K, Mithra S, Bridgewater J, Malik H, Khan SA. Cholangiocarcinoma miscoding in hepatobiliary centres. Eur J Surg Oncol. 2021;47(3):635‐639. doi:10.1016/J.EJSO.2020.09.039. Wu WT, Li YJ, Feng AZ, et al. Data mining in clinical big data: the frequently used databases, steps, and methodological models. Mil Med Res. 2021;8(1):44. doi:10.1186/S40779‐021‐00338‐Z. Lee GC, Gamblin TC, Fong ZV, et al. Facility type is associated with margin status and overall survival of patients with resected intrahepatic cholangiocarcinoma. Ann Surg Oncol. 2019;26(12):4091‐4099. doi:10.1245/s10434‐019‐07657‐5. Verma AA, Hora T, Jung HY, et al. Characteristics and outcomes of hospital admissions for COVID‐19 and influenza in the Toronto area. CMAJ. 2021;193(12):E410‐E418. doi:10.1503/CMAJ.202795. |
معلومات مُعتمدة: | 181365 Canada CAPMC CIHR; 181365 Canada CAPMC CIHR; Green Shield Canada Foundation; Division of General Internal Medicine, University of Toronto |
فهرسة مساهمة: | Keywords: bile duct; cancer; cholangiocarcinoma; hospitalization; resource |
تواريخ الأحداث: | Date Created: 20240216 Date Completed: 20240607 Latest Revision: 20240607 |
رمز التحديث: | 20240610 |
DOI: | 10.1002/cncr.35249 |
PMID: | 38361443 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1097-0142 |
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DOI: | 10.1002/cncr.35249 |