论文部分内容阅读
【据《JAMA Surg》2014年4月9日报道】题:美国老龄患者的结直肠癌切除术治疗趋势(作者Jafari MD等)Jafari MD等研究者们对2001年1月至2010年12月间全国住院患者样本中1 043 108例结直肠癌患者的手术预后进行了数据分析。对45~64岁、65~69岁、70~74岁、75~79岁、80~84岁和≥85岁年龄分组的术后并发症和每年趋势进行了分析,应用多元Logistic回归分析来比较≥65岁组和45~64岁组患者的住院期间死亡率和发病率,并对性别、并存病、术式、诊断和住院期间状态等因素进行控制。主要目的是评估住院期间死亡率和发病率。结果发现,老年患者结直肠癌切除术整体数量下降,住院期间死亡率有所改善,尽管风险校正死亡率和发病率仍显著高于年
[JAMA Surg, April 9, 2014] Title: Trends in Colorectal Cancer Resection for the Elderly in the United States (by Jafari MD, et al) Jafari MD et al. Data were analyzed for the prognosis of 1 043 108 colorectal cancer patients in the national inpatient sample. The postoperative complications and annual trends in 45-64, 65-69, 70-74, 75-79, 80-84 and 85-year-old age groups were analyzed and multivariate Logistic regression analysis was used to compare In-hospital mortality and morbidity in patients ≥65 years and 45-64 years were controlled and factors such as gender, comorbidity, surgical procedures, diagnosis, and duration of hospitalization were controlled. The main purpose is to assess mortality and morbidity during hospitalization. The results showed that the overall number of colorectal cancer resections in elderly patients decreased and the in-hospital mortality rate improved, although risk-adjusted mortality and morbidity remained significantly higher than in years