Outcomes of operations for benign foregut disease in elderly patients: A National Surgical Quality Improvement Program database analysis

Daniela Molena, Benedetto Mungo, Miloslawa Stem, Richard L. Feinberg, Anne O. Lidor

Research output: Contribution to journalArticle

Abstract

Background The development of minimally invasive operative techniques and improvement in postoperative care has made surgery a viable option to a greater number of elderly patients. Our objective was to evaluate the outcomes of laparoscopic and open foregut operation in relation to the patient age. Methods Patients who underwent gastric fundoplication, paraesophageal hernia repair, and Heller myotomy were identified via the National Surgical Quality Improvement Program (NSQIP) database (2005-2011). Patient characteristics and outcomes were compared between five age groups (group I: ≤65 years, II: 65-69 years; III: 70-74 years; IV: 75-79 years; and V: ≥80 years). Multivariable logistic regression analysis was used to predict the impact of age and operative approach on the studied outcomes. Results A total of 19,388 patients were identified. Advanced age was associated with increased rate of 30-day mortality, overall morbidity, serious morbidity, and extended length of stay, regardless of the operative approach. After we adjusted for other variables, advanced age was associated with increased odds of 30-day mortality compared with patients

Original languageEnglish (US)
Pages (from-to)352-360
Number of pages9
JournalSurgery
Volume156
Issue number2
DOIs
StatePublished - 2014

Fingerprint

Quality Improvement
Databases
Morbidity
Fundoplication
Hiatal Hernia
Mortality
Postoperative Care
Herniorrhaphy
Length of Stay
Stomach
Age Groups
Logistic Models
Regression Analysis

ASJC Scopus subject areas

  • Surgery

Cite this

Outcomes of operations for benign foregut disease in elderly patients : A National Surgical Quality Improvement Program database analysis. / Molena, Daniela; Mungo, Benedetto; Stem, Miloslawa; Feinberg, Richard L.; Lidor, Anne O.

In: Surgery, Vol. 156, No. 2, 2014, p. 352-360.

Research output: Contribution to journalArticle

Molena, Daniela ; Mungo, Benedetto ; Stem, Miloslawa ; Feinberg, Richard L. ; Lidor, Anne O. / Outcomes of operations for benign foregut disease in elderly patients : A National Surgical Quality Improvement Program database analysis. In: Surgery. 2014 ; Vol. 156, No. 2. pp. 352-360.
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