Abstract
Background: It is unclear whether advances in the medical management of ulcerative colitis (UC) have altered outcomes for medically intractable disease. Therefore, it is essential to understand the current impact of elective versus emergency surgery for UC. Methods: The American College of Surgeons National Surgical Quality Improvement Program database was used to compare outcomes for elective versus emergency UC surgery between 2005 and 2010. Results: Four thousand nine hundred sixty-two patients were eligible for study (94% elective and 6% emergent). Emergency surgery patients were significantly older and frequently underwent open surgery. Emergency cases were associated with a higher frequency of cardiac, pulmonary, and renal comorbidities; postoperative complications; longer hospital stays; and higher rates of return to the operating room. Conclusions: In the era of advanced UC medical therapy, the need for emergency surgery still exists and is associated with substantial morbidity and mortality. Data are needed to determine if earlier selection of surgery would be beneficial.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 333-338 |
| Number of pages | 6 |
| Journal | American Journal of Surgery |
| Volume | 205 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 2013 |
| Externally published | Yes |
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Keywords
- Elective
- Emergency
- Medical therapy
- Surgery
- Ulcerative colitis
ASJC Scopus subject areas
- Surgery
Cite this
Elective versus emergency surgery for ulcerative colitis : A National Surgical Quality Improvement Program analysis. / Patel, Supriya S.; Patel, Madhukar S.; Goldfarb, Melanie; Ortega, Adrian; Ault, Glenn T.; Kaiser, Andreas M.; Senagore, Anthony J.
In: American Journal of Surgery, Vol. 205, No. 3, 03.2013, p. 333-338.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Elective versus emergency surgery for ulcerative colitis
T2 - A National Surgical Quality Improvement Program analysis
AU - Patel, Supriya S.
AU - Patel, Madhukar S.
AU - Goldfarb, Melanie
AU - Ortega, Adrian
AU - Ault, Glenn T.
AU - Kaiser, Andreas M.
AU - Senagore, Anthony J.
PY - 2013/3
Y1 - 2013/3
N2 - Background: It is unclear whether advances in the medical management of ulcerative colitis (UC) have altered outcomes for medically intractable disease. Therefore, it is essential to understand the current impact of elective versus emergency surgery for UC. Methods: The American College of Surgeons National Surgical Quality Improvement Program database was used to compare outcomes for elective versus emergency UC surgery between 2005 and 2010. Results: Four thousand nine hundred sixty-two patients were eligible for study (94% elective and 6% emergent). Emergency surgery patients were significantly older and frequently underwent open surgery. Emergency cases were associated with a higher frequency of cardiac, pulmonary, and renal comorbidities; postoperative complications; longer hospital stays; and higher rates of return to the operating room. Conclusions: In the era of advanced UC medical therapy, the need for emergency surgery still exists and is associated with substantial morbidity and mortality. Data are needed to determine if earlier selection of surgery would be beneficial.
AB - Background: It is unclear whether advances in the medical management of ulcerative colitis (UC) have altered outcomes for medically intractable disease. Therefore, it is essential to understand the current impact of elective versus emergency surgery for UC. Methods: The American College of Surgeons National Surgical Quality Improvement Program database was used to compare outcomes for elective versus emergency UC surgery between 2005 and 2010. Results: Four thousand nine hundred sixty-two patients were eligible for study (94% elective and 6% emergent). Emergency surgery patients were significantly older and frequently underwent open surgery. Emergency cases were associated with a higher frequency of cardiac, pulmonary, and renal comorbidities; postoperative complications; longer hospital stays; and higher rates of return to the operating room. Conclusions: In the era of advanced UC medical therapy, the need for emergency surgery still exists and is associated with substantial morbidity and mortality. Data are needed to determine if earlier selection of surgery would be beneficial.
KW - Elective
KW - Emergency
KW - Medical therapy
KW - Surgery
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=84874116277&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84874116277&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2012.10.014
DO - 10.1016/j.amjsurg.2012.10.014
M3 - Article
VL - 205
SP - 333
EP - 338
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 3
ER -