Title :

Clinical and economic burden of surgical complications during hospitalization for digestive cancer surgery in France

Author(s) :

Piessen, Guillaume [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Dive-Pouletty, Catherine [Auteur]
Danel, Aurélie [Auteur]
Laborey, Magali [Auteur]
Epidémiologie et Biostatistique [Bordeaux]
Thomé, Benoît [Auteur]

Journal title :

Cancer reports

Publisher :

Wiley

Publication date :

2023-10-02

HAL domain(s) :

Sciences du Vivant [q-bio]/Cancer

English abstract : [en]

Abstract Background Surgical complications and particularly infections after digestive cancer surgery remain a major health and economic problem and its burden in France is not well documented. Aims The aim of this study ...
Show more >Abstract Background Surgical complications and particularly infections after digestive cancer surgery remain a major health and economic problem and its burden in France is not well documented. Aims The aim of this study was to analyse recent data regarding surgical complications in patients undergoing major digestive cancer surgery, and to estimate its burden for the French society. Methods and Results Using the 2018 French hospital discharge database and 2017 National CostStudy we studied hospital stays for surgical resection in patients withdigestive cancer. The population was divided into three groups based onpostoperative outcomes: no complications (NC), related infectious complications (RIC) and other complications. The main analysis compared the length and cost per stay between RIC and NC. Forty‐Four thousand one hundred and twenty‐three stays following a digestive cancer resection were identified. Lower gastro‐intestinal cancers were the most prevalent representing 74.8% of stays, the rate of malnutrition was 32.8% and 15.8% of patients presented RIC. Mean (SD) length of stay varied from 11,7 (9.0) days for NC to 25,5 days (19.5) for RIC (p < 0.01). The mean cost per patients' stay (SD) varied from €10 641 (€ 5897) for the NC to €18 720 (€7905) for RIC ( p < .01). Conclusion The risk of RIC after digestive cancer resection remains high (>15%) and was associated with significantly longer length of stay and higher cost per stay. Although important prevention plans have been implemented in recent years, care strategies are still needed to alleviate the burden on patients and the healthcare system.Show less >

Language :

Anglais

Peer reviewed article :

Oui

Audience :

Internationale

Popular science :

Non

Collections :

• Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277

Source :

Harvested from HAL