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- Title
Permanent stoma: a quality outcome in treatment of rectal cancer and its impact on length of stay.
- Authors
Lemini, Riccardo; Jabbal, Iktej S.; Stanek, Krystof; Borkar, Shalmali R.; Spaulding, Aaron C.; Kelley, Scott R.; Colibaseanu, Dorin T.
- Abstract
<bold>Background: </bold>This study aimed to identify socioeconomic predictors of permanent stoma in rectal cancer treatment and examine its association with length of stay at the treatment facility.<bold>Methods: </bold>Rectal cancer patients who underwent elective surgery between January 2015 and December 2018 were identified from the Agency for Health Care Administration Florida Hospital Inpatient Discharge Dataset. Multivariate regression models were utilized to identify demographic and socioeconomic factors associated with receiving a permanent stoma as well as the associated length of stay of these patients.<bold>Results: </bold>Of 2630 rectal cancer patients who underwent surgery for rectal cancer, 21% had a permanent stoma. The odds of receiving permanent stoma increased with higher Elixhauser score, metastatic disease, advanced age, having open surgery, residence in Southwest Florida, and having Medicaid insurance or no insurance/self-payers (p < 0.05). Patients with a permanent stoma had a significantly extended stay after surgery (p < 0.001).<bold>Conclusions: </bold>Patients with a permanent stoma following cancer resection were more likely to have open surgery, had more comorbidities, and had a longer length of stay. Having permanent stoma was higher in patients living in South West Florida, patients with Medicaid insurance, and in the uninsured. Additionally, the payer type significantly affected the length of stay.
- Subjects
UNIVERSITY of West Florida; RECTAL cancer; HEALTH services administration; TREATMENT effectiveness; CANCER treatment; RECTAL surgery; COLOSTOMY; LENGTH of stay in hospitals; MEDICAL quality control; RECTUM tumors; OSTOMY; SOCIOECONOMIC factors
- Publication
BMC Surgery, 2021, Vol 21, Issue 1, p1
- ISSN
1471-2482
- Publication type
journal article
- DOI
10.1186/s12893-021-01166-7