Is there a weekend effect in emergency surgery for colorectal carcinoma? Analysis from the German StuDoQ registry
Higher postoperative mortality has been observed among patients who received emergency colorectal surgery on the weekend compared to during the week. The aim of this study was to determine whether the weekday of emergency surgery affects the 30-day mortality and postoperative course in emergency col...
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| Veröffentlicht in: | PloS one 2022-11, Vol.17 (11), p.e0277050-e0277050 |
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| description | Higher postoperative mortality has been observed among patients who received emergency colorectal surgery on the weekend compared to during the week. The aim of this study was to determine whether the weekday of emergency surgery affects the 30-day mortality and postoperative course in emergency colorectal surgery. In total, 1,174 patients were included in the analysis. Major postoperative complications and the need for reoperation were observed more frequently for emergency colorectal surgery performed during the week compared to the weekend (23.01 vs. 15.28%, p = 0.036 and 17.96% vs. 11.11%, p = 0.040, respectively). In contrast, patients who received emergency surgery on the weekend presented with significantly higher UICC tumour stages (UICC III 44.06 vs. 34.15%, p = 0.020) compared to patients with emergency colorectal surgery on a weekday. Emergency surgery performed during the week was an independent risk factor for the development of severe postoperative complications (OR 1.69 [1.04-2.74], p = 0.033) and need for reoperation (OR 1.79 [1.02-3.05], p = 0.041) in the multivariable analysis. Emergency surgery for colorectal carcinoma in Germany is performed with equal postoperative MTL30 and mortality throughout the entire week. However, emergency surgery during the week seems to be associated with a higher rate of severe postoperative complications and reoperation. |
| doi_str_mv | 10.1371/journal.pone.0277050 |
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The aim of this study was to determine whether the weekday of emergency surgery affects the 30-day mortality and postoperative course in emergency colorectal surgery. In total, 1,174 patients were included in the analysis. Major postoperative complications and the need for reoperation were observed more frequently for emergency colorectal surgery performed during the week compared to the weekend (23.01 vs. 15.28%, p = 0.036 and 17.96% vs. 11.11%, p = 0.040, respectively). In contrast, patients who received emergency surgery on the weekend presented with significantly higher UICC tumour stages (UICC III 44.06 vs. 34.15%, p = 0.020) compared to patients with emergency colorectal surgery on a weekday. Emergency surgery performed during the week was an independent risk factor for the development of severe postoperative complications (OR 1.69 [1.04-2.74], p = 0.033) and need for reoperation (OR 1.79 [1.02-3.05], p = 0.041) in the multivariable analysis. Emergency surgery for colorectal carcinoma in Germany is performed with equal postoperative MTL30 and mortality throughout the entire week. However, emergency surgery during the week seems to be associated with a higher rate of severe postoperative complications and reoperation.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0277050</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Cardiovascular disease ; Care and treatment ; Colorectal cancer ; Colorectal carcinoma ; Colorectal surgery ; Complications ; Data acquisition ; Emergencies ; Health aspects ; Holidays & special occasions ; Hospitals ; Laparoscopy ; Length of stay ; Lymphatic system ; Medical appointments and schedules ; Mortality ; Patient outcomes ; Patients ; Postoperative ; Risk analysis ; Risk factors ; Statistics ; Surgery ; Surgical emergencies ; Surgical outcomes ; Tumors ; Variables ; Week</subject><ispartof>PloS one, 2022-11, Vol.17 (11), p.e0277050-e0277050</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Anger et al. 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Analysis from the German StuDoQ registry</title><title>PloS one</title><description>Higher postoperative mortality has been observed among patients who received emergency colorectal surgery on the weekend compared to during the week. The aim of this study was to determine whether the weekday of emergency surgery affects the 30-day mortality and postoperative course in emergency colorectal surgery. In total, 1,174 patients were included in the analysis. Major postoperative complications and the need for reoperation were observed more frequently for emergency colorectal surgery performed during the week compared to the weekend (23.01 vs. 15.28%, p = 0.036 and 17.96% vs. 11.11%, p = 0.040, respectively). In contrast, patients who received emergency surgery on the weekend presented with significantly higher UICC tumour stages (UICC III 44.06 vs. 34.15%, p = 0.020) compared to patients with emergency colorectal surgery on a weekday. 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Analysis from the German StuDoQ registry</atitle><jtitle>PloS one</jtitle><date>2022-11-03</date><risdate>2022</risdate><volume>17</volume><issue>11</issue><spage>e0277050</spage><epage>e0277050</epage><pages>e0277050-e0277050</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Higher postoperative mortality has been observed among patients who received emergency colorectal surgery on the weekend compared to during the week. The aim of this study was to determine whether the weekday of emergency surgery affects the 30-day mortality and postoperative course in emergency colorectal surgery. In total, 1,174 patients were included in the analysis. Major postoperative complications and the need for reoperation were observed more frequently for emergency colorectal surgery performed during the week compared to the weekend (23.01 vs. 15.28%, p = 0.036 and 17.96% vs. 11.11%, p = 0.040, respectively). In contrast, patients who received emergency surgery on the weekend presented with significantly higher UICC tumour stages (UICC III 44.06 vs. 34.15%, p = 0.020) compared to patients with emergency colorectal surgery on a weekday. Emergency surgery performed during the week was an independent risk factor for the development of severe postoperative complications (OR 1.69 [1.04-2.74], p = 0.033) and need for reoperation (OR 1.79 [1.02-3.05], p = 0.041) in the multivariable analysis. Emergency surgery for colorectal carcinoma in Germany is performed with equal postoperative MTL30 and mortality throughout the entire week. 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| subjects | Cardiovascular disease Care and treatment Colorectal cancer Colorectal carcinoma Colorectal surgery Complications Data acquisition Emergencies Health aspects Holidays & special occasions Hospitals Laparoscopy Length of stay Lymphatic system Medical appointments and schedules Mortality Patient outcomes Patients Postoperative Risk analysis Risk factors Statistics Surgery Surgical emergencies Surgical outcomes Tumors Variables Week |
| title | Is there a weekend effect in emergency surgery for colorectal carcinoma? Analysis from the German StuDoQ registry |
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