Elective colonic surgery for cancer in the elderly: An investigation into postoperative mortality in English NHS hospitals between 1996 and 2007

Colorectal Disease

Volumn 13, Issue 7, 2011, Pages 779-785

  Faiz, O ^a,c   Haji, A ^b   Bottle, A ^a   Clark, S K ^c   Darzi, A W ^a   Aylin, P ^a  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

^b KING S COLLEGE HOSPITAL   (United Kingdom)

^c ST MARK S HOSPITAL   (United Kingdom)

Author keywords

Colorectal surgery; Elderly; Hospital episode statistics; Laparoscopic colorectal surgery; Post operative mortality

Indexed keywords

AGED; AGING; ARTICLE; COLON RESECTION; COLORECTAL CANCER; COMORBIDITY; ELECTIVE COLON RESECTION; ELECTIVE SURGERY; FEMALE; HUMAN; LAPAROSCOPY; MAJOR CLINICAL STUDY; MALE; MINIMALLY INVASIVE SURGERY; NATIONAL HEALTH SERVICE; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; SURGICAL MORTALITY;

AGE FACTORS; AGED; AGED, 80 AND OVER; COLECTOMY; COLONIC NEOPLASMS; FEMALE; GREAT BRITAIN; HOSPITAL MORTALITY; HOSPITALS, PUBLIC; HUMANS; LAPAROSCOPY; MALE; NATIONAL HEALTH PROGRAMS; SURGICAL PROCEDURES, ELECTIVE;

EID: 79958702604     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/j.1463-1318.2010.02290.x     Document Type: Article

References (38)

1. Tan E, Tilney H, Thompson M, Smith J, Tekkis PP. The United Kingdom National Bowel Cancer Project - epidemiology and surgical risk in the elderly. Eur J Cancer 2007; 43(15): 2285-94.
2. Gurevitch AJ, Davidovitch B, Kashtan H Outcome of right colectomy for cancer in octogenarians. J Gastrointest Surg 2008; 13: 100-4.
3. COLOR study group: a randomized clinical trial comparing laparoscopic and open resection for colon cancer. Dig Surg 2000; 17(6):617-22.
4. Chung CC, Ng DC, Tsang WW et al. Hand-assisted laparoscopic versus open right colectomy: a randomized controlled trial. Ann Surg 2007; 246(5): 728-33.
5. Fleshman J, Sargent DJ, Green E et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg 2007; 246(4): 655-62.
6. Hazebroek EJ. COLOR: a randomized clinical trial comparing laparoscopic and open resection for colon cancer. Surg Endosc 2002; 16(6): 949-53.
7. Jayne DG, Guillou PJ, Thorpe H et al. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol 2007; 25(21): 3061-8.
8. Kaiser AM, Kang JC, Chan LS, Vukasin P, Beart RW Jr. Laparoscopic-assisted vs. open colectomy for colon cancer: a prospective randomized trial. J Laparoendosc Adv Surg Tech A 2004; 14(6): 329-34.
9. Kitano S, Inomata M, Sato A, Yoshimura K, Moriya Y. Randomized controlled trial to evaluate laparoscopic surgery for colorectal cancer: Japan Clinical Oncology Group Study JCOG 0404. Jpn J Clin Oncol 2005; 35(8): 475-7.
10. Liang JT, Huang KC, Lai HS, Lee PH, Jeng YM. Oncologic results of laparoscopic versus conventional open surgery for stage II or III left-sided colon cancers: a randomized controlled trial. Ann Surg Oncol 2007; 14(1): 109-17.
11. Redmond HP, Watson RW, Houghton T, Condron C, Watson RG, Bouchier-Hayes D. Immune function in patients undergoing open vs laparoscopic cholecystectomy. Arch Surg 1994; 129(12): 1240-6.
12. Allendorf JD, Bessler M, Whelan RL et al. Postoperative immune function varies inversely with the degree of surgical trauma in a murine model. Surg Endosc 1997; 11(5): 427-30.
13. Lacy AM, Garcia-Valdecasas JC, Pique JM et al. Short-term outcome analysis of a randomized study comparing laparoscopic vs open colectomy for colon cancer. Surg Endosc 1995; 9(10): 1101-5.
14. Schwenk W, Haase O, Neudecker J, Muller JM. Short term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev 2005; 3: CD003145.
15. Tjandra JJ, Chan MK. Systematic review on the short-term outcome of laparoscopic resection for colon and rectosigmoid cancer. Colorectal Dis 2006; 8(5): 375-88.
16. Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 2005; 6(7): 477-84.
17. Law WL, Chu KW, Tung PH. Laparoscopic colorectal resection: a safe option for elderly patients. J Am Coll Surg 2002; 195(6): 768-73.
18. Scheidbach H, Schneider C, Hugel O, Yildirim C, Lippert H, Kockerling F. Laparoscopic surgery in the old patient: do indications and outcomes differ? Langenbecks Arch Surg 2005; 390(4): 328-32.
19. Stewart BT, Stitz RW, Lumley JW. Laparoscopically assisted colorectal surgery in the elderly. Br J Surg 1999; 86(7): 938-41.
20. Vignali A, Di PS, Tamburini A, Radaelli G, Orsenigo E, Staudacher C. Laparoscopic vs. open colectomies in octogenarians: a case-matched control study. Dis Colon Rectum 2005; 48(11): 2070-5.
21. Faiz O, Warusavitarne J, Bottle A, Tekkis PP, Darzi AW, Kennedy RH. Laparoscopically assisted vs. open elective colonic and rectal resection: a comparison of outcomes in English National Health Service Trusts between 1996 and 2006. Dis Colon Rectum 2009; 52(10): 1695-704.
22. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987; 40(5): 373-83.
23. Funnel plot for Binomial Proportions. 2008.
24. Chiappa A, Zbar AP, Bertani E, Biella F, Audisio RA, Staudacher C. Surgical outcomes for colorectal cancer patients including the elderly. Hepatogastroenterology 2001; 48(38): 440-4.
25. Office for National Statistics 2006.
26. Bufalari A, Ferri M, Cao P, Cirocchi R, Bisacci R, Moggi L. Surgical care in octogenarians. Br J Surg 1996; 83(12): 1783-7.
27. Wise WE Jr, Padmanabhan A, Meesig DM, Arnold MW, Aguilar PS, Stewart WR. Abdominal colon and rectal operations in the elderly. Dis Colon Rectum 1991; 34(11): 959-63.
28. Spivak H, Maele DV, Friedman I, Nussbaum M. Colorectal surgery in octogenarians. J Am Coll Surg 1996; 183(1): 46-50.
29. Isbister WH. Colorectal surgery in the elderly: an audit of surgery in octogenarians. Aust N Z J Surg 1997; 67(8): 557-61.
30. Fielding LP, Phillips RK, Hittinger R. Factors influencing mortality after curative resection for large bowel cancer in elderly patients. Lancet 1989; 1(8638): 595-7.
31. Payne JE, Chapuis PH, Pheils MT. Surgery for large bowel cancer in people aged 75years and older. Dis Colon Rectum 1986; 29(11): 733-7.
32. The oldest old in Great Britain: change in the last 20years. 2006.
33. Cheung HY, Chung CC, Fung JT, Wong JC, Yau KK, Li MK. Laparoscopic resection for colorectal cancer in octogenarians: results in a decade. Dis Colon Rectum 2007; 50(11): 1905-10.
34. Stocchi L, Nelson H, Young-Fadok TM, Larson DR, Ilstrup DM. Safety and advantages of laparoscopic vs. open colectomy in the elderly: matched-control study. Dis Colon Rectum 2000; 43(3): 326-32.
35. Bannenberg JJ, Rademaker BM, Grundeman PF, Kalkman CJ, Meijer DW, Klopper PJ. Hemodynamics during laparoscopy in the supine or prone position. An experimental study. Surg Endosc 1995; 9(2): 125-7.
36. Gebhardt H, Bautz A, Ross M, Loose D, Wulf H, Schaube H. Pathophysiological and clinical aspects of the CO2 pneumoperitoneum (CO2-PP). Surg Endosc 1997; 11(8): 864-7.
37. Aylin P, Bottle A, Majeed A. Use of administrative data or clinical databases as predictors of risk of death in hospital: comparison of models. BMJ 2007; 334(7602): 1044.
38. Aylin P, Bottle A, Elliott P, Jarman B. Surgical mortality: hospital episode statistics v central cardiac audit database. BMJ 2007; 335(7625): 839-40.