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| Name | Class |
|---|---|
| Madigan Army Medical Center | FED |
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The objective was to evaluate the use and outcomes of robotic proctectomy compared to open and laparoscopic approaches for rectal cancer in the elderly. A retrospective cross-sectional cohort study utilizing the Nationwide Inpatient Sample (NIS; 2006-2013) was performed.
The objective was to evaluate the use and outcomes of robotic proctectomy compared to open and laparoscopic approaches for rectal cancer in the elderly. A retrospective cross-sectional cohort study utilizing the Nationwide Inpatient Sample (NIS; 2006-2013) was performed. All cases were restricted to age 70 years old or greater. The incidence of robotic proctectomy from 2006 - 2013 both as a whole as well as divided into approach was analyzed. Each approach was compared for both primary and secondary outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Open Proctectomy Patients | Patients who underwent Proctectomy through an open approach |
| |
| Laparoscopic Proctectomy Patients | Patients who underwent Proctectomy through a Laparoscopic approach |
| |
| Robotic Proctectomy Patients | Patients who underwent Proctectomy through a Robotic approach |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Proctectomy | Procedure | Resection of the rectum |
|
| Measure | Description | Time Frame |
|---|---|---|
| In-hospital Complications | Complications to include mechanical wound, infections, urinary, pulmonary, gastrointestinal, cardiovascular, systemic, surgical, and any complication | through study completion, an average of 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| In-hospital mortality | Death during admission | through study completion, an average of 5 days |
| Length of Stay | Length of in hospital stay |
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Inclusion Criteria:
Exclusion Criteria:
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Patients were eligible if they were 70 years old or greater, underwent proctectomy in an elective setting, and did not have an abdominoperioneal resection.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tripler Army Medical Center | Honolulu | Hawaii | 96859 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22994865 | Result | Guiding principles for the care of older adults with multimorbidity: an approach for clinicians. Guiding principles for the care of older adults with multimorbidity: an approach for clinicians: American Geriatrics Society Expert Panel on the Care of Older Adults with Multimorbidity. J Am Geriatr Soc. 2012 Oct;60(10):E1-E25. doi: 10.1111/j.1532-5415.2012.04188.x. Epub 2012 Sep 19. No abstract available. | |
| 2564119 |
| Label | URL |
|---|---|
| An Aging World: 2015 International Population Reports | View source |
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| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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| ID | Term |
|---|---|
| D000078542 | Proctectomy |
| ID | Term |
|---|---|
| D000099090 | Surgical Procedures, Colorectal |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| through study completion, an average of 5 days |
| Costs and Charges | Hospital charges refer to the total amount billed by the hospital. Hospital cost refers to the amount paid by the insurance provider | through study completion, an average of 5 days |
| Result |
| Fielding LP, Phillips RK, Hittinger R. Factors influencing mortality after curative resection for large bowel cancer in elderly patients. Lancet. 1989 Mar 18;1(8638):595-7. doi: 10.1016/s0140-6736(89)91618-8. |
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| Overview of the Nationwide Inpatient Sample. \[Internet\].; 2017 | View source |
| All patient refined diagnosis related groups (APR-DRGs), version 20.0. methodology overview | View source |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |