Equivalent Operative Outcomes for Emergency Colon Cancer Resections Among Acute Care Surgeons and Specialists in Colorectal Surgery
| العنوان: | Equivalent Operative Outcomes for Emergency Colon Cancer Resections Among Acute Care Surgeons and Specialists in Colorectal Surgery |
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| المؤلفون: | Ashley L. Cairns, Alexis B. Hess, Holly Rieken, Nicholas Lin, Shambavi Rao, Yoonsun Jee, Jean H. Ashburn, Preston R. Miller, Samuel P. Carmichael, Nathan T. Mowery |
| المصدر: | Am Surg |
| بيانات النشر: | SAGE Publications, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Surgeons, Critical Care, Colonic Neoplasms, Humans, General Medicine, Colorectal Surgery, Article, Retrospective Studies, Specialization |
| الوصف: | ObjectivesImproved screening has decreased but not eliminated the need for emergent surgery for colon cancer (CC), many of which are performed by acute care surgery (ACS) surgeons. This retrospective review compares outcomes for CC resections on the ACS service to the surgical oncology and colorectal services (SO/CRS).MethodsRetrospective review was performed for CC operations between 2014 and 2019. Data for margin status, cancer stage, number of lymph nodes dissected, time to medical oncology follow-up, and time to initiation of chemotherapy were collected. Patients with curative resection, who chose comfort care, presented on alternative services or with non-CC indications as well as those were lost to follow-up were excluded.Results36 ACS patients and 269 SO/CRS patients underwent CC resections. Most ACS patients presented emergently compared to the SO/CC group (83.3% vs 1%, P < .05) as well as with more advanced tumor stage. There were no statistically significant differences for presence of metastatic disease, number of lymph nodes obtained, or time to post-surgical care (in days) and chemotherapy initiation (in days). 3 (8%) EGS patients had positive margins compared to 6 (2%) CRS/SO patients due to the presence of perforated tumors in the ACS group ( p < .05). There were no statistically significant differences in 30- day or 1-year mortality despite the emergent presentation of the ACS patients.DiscussionThese findings suggest that despite emergent presentation and advanced disease burden, ACS surgeons provide quality care to CC patients, both in the operating room and in coordination of care. |
| تدمد: | 1555-9823 0003-1348 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::03f8abd004151a0005fc2e234914c858 https://doi.org/10.1177/00031348211050820 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....03f8abd004151a0005fc2e234914c858 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15559823 00031348 |
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