Sigmoid volvulus: Evaluating identification strategies and contemporary multicenter outcomes
There is limited epidemiologic data on sigmoid volvulus (SV) from non-endemic regions. Therefore, we performed a multicenter study to report contemporary outcomes and appraise literature-based methods that pair diagnostic and procedural codes to identify SV. Using an automated search for patients wi...
Gespeichert in:
Veröffentlicht in: | The American journal of surgery 2023-01, Vol.225 (1), p.191-197 |
---|---|
Hauptverfasser: | , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 197 |
---|---|
container_issue | 1 |
container_start_page | 191 |
container_title | The American journal of surgery |
container_volume | 225 |
creator | Loria, Anthony Jacobson, Tricia Melucci, Alexa D. Bartell, Nicholas Nabozny, Michael J. Temple, Larissa K. Fleming, Fergal J. |
description | There is limited epidemiologic data on sigmoid volvulus (SV) from non-endemic regions. Therefore, we performed a multicenter study to report contemporary outcomes and appraise literature-based methods that pair diagnostic and procedural codes to identify SV.
Using an automated search for patients with ‘volvulus’ in our system from 2011 to 2021, we reviewed electronic charts to clarify the diagnosis, automatically replicate three strategies to identify SV, and retrieved 6-month outcomes.
Of 895 patients, 109 had SV. Literature-based strategies poorly identified SV. At the index admission, patients underwent endoscopic reduction alone (33%), emergent (16.5%), semi-elective (34%), or elective (16.5%) surgery. Endoscopic reduction alone had high recurrence rates and delayed surgery was associated with worse outcomes.
Literature-based strategies to identify SV suffer from misclassification bias which affects patient counseling. In this large series, one-third of patients do not undergo during their index admission despite improved outcomes with earlier surgery.
•NSQIP strategies to identify sigmoid volvulus suffer from misclassification bias.•Non-operative and palliative care are common management strategies.•Earlier surgery during the index admission is associated with improved outcomes.•Recurrence rates for sigmoid volvulus are high within the first 6-months. |
doi_str_mv | 10.1016/j.amjsurg.2022.07.025 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2699956429</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002961022004913</els_id><sourcerecordid>2699956429</sourcerecordid><originalsourceid>FETCH-LOGICAL-c393t-d6ed093a92c9b96b4e2ab5452c5ec3b7df4a0d7bebd0974f771c16282f9301d93</originalsourceid><addsrcrecordid>eNqFkEtr3DAURkVpaaZpfkKCoZts7OphWaNsSghpWgh0kXQXELJ0PcjY1kSPgf77aJhJFt1kdfng3NdB6JzghmDSfR8bPY8xh01DMaUNFg2m_ANakbWQNVmv2Ue0whjTWnYEn6AvMY4lEtKyz-iEcclazuUKPT24zeydrXZ-2uUpx6vqdqenrJNbNpWzsCQ3OFOiX6qYgk6wcRArvdjK-CXBvPVBh3_VnKfkTMEhVD4n42eIX9GnQU8Rzo71FP39eft486u-_3P3--b6vjZMslTbDiyWTEtqZC-7vgWqe95yajgY1gs7tBpb0UNfMNEOQhBDOrqmg2SYWMlO0eVh7jb45wwxqdlFA9OkF_A5KtpJKXnX0j367T909Dks5TpFBWcdZ7LFheIHygQfY4BBbYOby5uKYLXXr0Z11K_2-hUWqugvfRfH6bmfwb51vfouwI8DAEXHzkFQ0ThYDFgXwCRlvXtnxQt9KpsJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2753653940</pqid></control><display><type>article</type><title>Sigmoid volvulus: Evaluating identification strategies and contemporary multicenter outcomes</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>ProQuest Central UK/Ireland</source><creator>Loria, Anthony ; Jacobson, Tricia ; Melucci, Alexa D. ; Bartell, Nicholas ; Nabozny, Michael J. ; Temple, Larissa K. ; Fleming, Fergal J.</creator><creatorcontrib>Loria, Anthony ; Jacobson, Tricia ; Melucci, Alexa D. ; Bartell, Nicholas ; Nabozny, Michael J. ; Temple, Larissa K. ; Fleming, Fergal J.</creatorcontrib><description>There is limited epidemiologic data on sigmoid volvulus (SV) from non-endemic regions. Therefore, we performed a multicenter study to report contemporary outcomes and appraise literature-based methods that pair diagnostic and procedural codes to identify SV.
Using an automated search for patients with ‘volvulus’ in our system from 2011 to 2021, we reviewed electronic charts to clarify the diagnosis, automatically replicate three strategies to identify SV, and retrieved 6-month outcomes.
Of 895 patients, 109 had SV. Literature-based strategies poorly identified SV. At the index admission, patients underwent endoscopic reduction alone (33%), emergent (16.5%), semi-elective (34%), or elective (16.5%) surgery. Endoscopic reduction alone had high recurrence rates and delayed surgery was associated with worse outcomes.
Literature-based strategies to identify SV suffer from misclassification bias which affects patient counseling. In this large series, one-third of patients do not undergo during their index admission despite improved outcomes with earlier surgery.
•NSQIP strategies to identify sigmoid volvulus suffer from misclassification bias.•Non-operative and palliative care are common management strategies.•Earlier surgery during the index admission is associated with improved outcomes.•Recurrence rates for sigmoid volvulus are high within the first 6-months.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2022.07.025</identifier><identifier>PMID: 35934559</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Assisted living facilities ; Automation ; Codes ; Elective surgery ; Emergency medical care ; Emergency surgery ; Endoscopy ; Epidemiology ; Humans ; Intestinal Volvulus - complications ; Intestinal Volvulus - diagnosis ; Intestinal Volvulus - surgery ; Mortality ; Multicenter Studies as Topic ; NSQIP ; Obstruction ; Patients ; Risk factors ; Sigmoid Diseases - complications ; Sigmoid Diseases - diagnosis ; Sigmoid Diseases - surgery ; Sigmoid volvulus ; Sigmoidoscopy ; Software ; Surgery ; Volvulus</subject><ispartof>The American journal of surgery, 2023-01, Vol.225 (1), p.191-197</ispartof><rights>2022</rights><rights>Copyright © 2022. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Jan 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-d6ed093a92c9b96b4e2ab5452c5ec3b7df4a0d7bebd0974f771c16282f9301d93</citedby><cites>FETCH-LOGICAL-c393t-d6ed093a92c9b96b4e2ab5452c5ec3b7df4a0d7bebd0974f771c16282f9301d93</cites><orcidid>0000-0003-0877-6500 ; 0000-0003-1735-6356 ; 0000-0001-5818-9772</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2753653940?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35934559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Loria, Anthony</creatorcontrib><creatorcontrib>Jacobson, Tricia</creatorcontrib><creatorcontrib>Melucci, Alexa D.</creatorcontrib><creatorcontrib>Bartell, Nicholas</creatorcontrib><creatorcontrib>Nabozny, Michael J.</creatorcontrib><creatorcontrib>Temple, Larissa K.</creatorcontrib><creatorcontrib>Fleming, Fergal J.</creatorcontrib><title>Sigmoid volvulus: Evaluating identification strategies and contemporary multicenter outcomes</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>There is limited epidemiologic data on sigmoid volvulus (SV) from non-endemic regions. Therefore, we performed a multicenter study to report contemporary outcomes and appraise literature-based methods that pair diagnostic and procedural codes to identify SV.
Using an automated search for patients with ‘volvulus’ in our system from 2011 to 2021, we reviewed electronic charts to clarify the diagnosis, automatically replicate three strategies to identify SV, and retrieved 6-month outcomes.
Of 895 patients, 109 had SV. Literature-based strategies poorly identified SV. At the index admission, patients underwent endoscopic reduction alone (33%), emergent (16.5%), semi-elective (34%), or elective (16.5%) surgery. Endoscopic reduction alone had high recurrence rates and delayed surgery was associated with worse outcomes.
Literature-based strategies to identify SV suffer from misclassification bias which affects patient counseling. In this large series, one-third of patients do not undergo during their index admission despite improved outcomes with earlier surgery.
•NSQIP strategies to identify sigmoid volvulus suffer from misclassification bias.•Non-operative and palliative care are common management strategies.•Earlier surgery during the index admission is associated with improved outcomes.•Recurrence rates for sigmoid volvulus are high within the first 6-months.</description><subject>Assisted living facilities</subject><subject>Automation</subject><subject>Codes</subject><subject>Elective surgery</subject><subject>Emergency medical care</subject><subject>Emergency surgery</subject><subject>Endoscopy</subject><subject>Epidemiology</subject><subject>Humans</subject><subject>Intestinal Volvulus - complications</subject><subject>Intestinal Volvulus - diagnosis</subject><subject>Intestinal Volvulus - surgery</subject><subject>Mortality</subject><subject>Multicenter Studies as Topic</subject><subject>NSQIP</subject><subject>Obstruction</subject><subject>Patients</subject><subject>Risk factors</subject><subject>Sigmoid Diseases - complications</subject><subject>Sigmoid Diseases - diagnosis</subject><subject>Sigmoid Diseases - surgery</subject><subject>Sigmoid volvulus</subject><subject>Sigmoidoscopy</subject><subject>Software</subject><subject>Surgery</subject><subject>Volvulus</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkEtr3DAURkVpaaZpfkKCoZts7OphWaNsSghpWgh0kXQXELJ0PcjY1kSPgf77aJhJFt1kdfng3NdB6JzghmDSfR8bPY8xh01DMaUNFg2m_ANakbWQNVmv2Ue0whjTWnYEn6AvMY4lEtKyz-iEcclazuUKPT24zeydrXZ-2uUpx6vqdqenrJNbNpWzsCQ3OFOiX6qYgk6wcRArvdjK-CXBvPVBh3_VnKfkTMEhVD4n42eIX9GnQU8Rzo71FP39eft486u-_3P3--b6vjZMslTbDiyWTEtqZC-7vgWqe95yajgY1gs7tBpb0UNfMNEOQhBDOrqmg2SYWMlO0eVh7jb45wwxqdlFA9OkF_A5KtpJKXnX0j367T909Dks5TpFBWcdZ7LFheIHygQfY4BBbYOby5uKYLXXr0Z11K_2-hUWqugvfRfH6bmfwb51vfouwI8DAEXHzkFQ0ThYDFgXwCRlvXtnxQt9KpsJ</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Loria, Anthony</creator><creator>Jacobson, Tricia</creator><creator>Melucci, Alexa D.</creator><creator>Bartell, Nicholas</creator><creator>Nabozny, Michael J.</creator><creator>Temple, Larissa K.</creator><creator>Fleming, Fergal J.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0877-6500</orcidid><orcidid>https://orcid.org/0000-0003-1735-6356</orcidid><orcidid>https://orcid.org/0000-0001-5818-9772</orcidid></search><sort><creationdate>202301</creationdate><title>Sigmoid volvulus: Evaluating identification strategies and contemporary multicenter outcomes</title><author>Loria, Anthony ; Jacobson, Tricia ; Melucci, Alexa D. ; Bartell, Nicholas ; Nabozny, Michael J. ; Temple, Larissa K. ; Fleming, Fergal J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-d6ed093a92c9b96b4e2ab5452c5ec3b7df4a0d7bebd0974f771c16282f9301d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Assisted living facilities</topic><topic>Automation</topic><topic>Codes</topic><topic>Elective surgery</topic><topic>Emergency medical care</topic><topic>Emergency surgery</topic><topic>Endoscopy</topic><topic>Epidemiology</topic><topic>Humans</topic><topic>Intestinal Volvulus - complications</topic><topic>Intestinal Volvulus - diagnosis</topic><topic>Intestinal Volvulus - surgery</topic><topic>Mortality</topic><topic>Multicenter Studies as Topic</topic><topic>NSQIP</topic><topic>Obstruction</topic><topic>Patients</topic><topic>Risk factors</topic><topic>Sigmoid Diseases - complications</topic><topic>Sigmoid Diseases - diagnosis</topic><topic>Sigmoid Diseases - surgery</topic><topic>Sigmoid volvulus</topic><topic>Sigmoidoscopy</topic><topic>Software</topic><topic>Surgery</topic><topic>Volvulus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Loria, Anthony</creatorcontrib><creatorcontrib>Jacobson, Tricia</creatorcontrib><creatorcontrib>Melucci, Alexa D.</creatorcontrib><creatorcontrib>Bartell, Nicholas</creatorcontrib><creatorcontrib>Nabozny, Michael J.</creatorcontrib><creatorcontrib>Temple, Larissa K.</creatorcontrib><creatorcontrib>Fleming, Fergal J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Loria, Anthony</au><au>Jacobson, Tricia</au><au>Melucci, Alexa D.</au><au>Bartell, Nicholas</au><au>Nabozny, Michael J.</au><au>Temple, Larissa K.</au><au>Fleming, Fergal J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sigmoid volvulus: Evaluating identification strategies and contemporary multicenter outcomes</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2023-01</date><risdate>2023</risdate><volume>225</volume><issue>1</issue><spage>191</spage><epage>197</epage><pages>191-197</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>There is limited epidemiologic data on sigmoid volvulus (SV) from non-endemic regions. Therefore, we performed a multicenter study to report contemporary outcomes and appraise literature-based methods that pair diagnostic and procedural codes to identify SV.
Using an automated search for patients with ‘volvulus’ in our system from 2011 to 2021, we reviewed electronic charts to clarify the diagnosis, automatically replicate three strategies to identify SV, and retrieved 6-month outcomes.
Of 895 patients, 109 had SV. Literature-based strategies poorly identified SV. At the index admission, patients underwent endoscopic reduction alone (33%), emergent (16.5%), semi-elective (34%), or elective (16.5%) surgery. Endoscopic reduction alone had high recurrence rates and delayed surgery was associated with worse outcomes.
Literature-based strategies to identify SV suffer from misclassification bias which affects patient counseling. In this large series, one-third of patients do not undergo during their index admission despite improved outcomes with earlier surgery.
•NSQIP strategies to identify sigmoid volvulus suffer from misclassification bias.•Non-operative and palliative care are common management strategies.•Earlier surgery during the index admission is associated with improved outcomes.•Recurrence rates for sigmoid volvulus are high within the first 6-months.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>35934559</pmid><doi>10.1016/j.amjsurg.2022.07.025</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0877-6500</orcidid><orcidid>https://orcid.org/0000-0003-1735-6356</orcidid><orcidid>https://orcid.org/0000-0001-5818-9772</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0002-9610 |
ispartof | The American journal of surgery, 2023-01, Vol.225 (1), p.191-197 |
issn | 0002-9610 1879-1883 |
language | eng |
recordid | cdi_proquest_miscellaneous_2699956429 |
source | MEDLINE; Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland |
subjects | Assisted living facilities Automation Codes Elective surgery Emergency medical care Emergency surgery Endoscopy Epidemiology Humans Intestinal Volvulus - complications Intestinal Volvulus - diagnosis Intestinal Volvulus - surgery Mortality Multicenter Studies as Topic NSQIP Obstruction Patients Risk factors Sigmoid Diseases - complications Sigmoid Diseases - diagnosis Sigmoid Diseases - surgery Sigmoid volvulus Sigmoidoscopy Software Surgery Volvulus |
title | Sigmoid volvulus: Evaluating identification strategies and contemporary multicenter outcomes |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T15%3A46%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Sigmoid%20volvulus:%20Evaluating%20identification%20strategies%20and%20contemporary%20multicenter%20outcomes&rft.jtitle=The%20American%20journal%20of%20surgery&rft.au=Loria,%20Anthony&rft.date=2023-01&rft.volume=225&rft.issue=1&rft.spage=191&rft.epage=197&rft.pages=191-197&rft.issn=0002-9610&rft.eissn=1879-1883&rft_id=info:doi/10.1016/j.amjsurg.2022.07.025&rft_dat=%3Cproquest_cross%3E2699956429%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2753653940&rft_id=info:pmid/35934559&rft_els_id=S0002961022004913&rfr_iscdi=true |