ArticleSurgical endoscopy2013
Optimizing cost and short-term outcomes for elderly patients in laparoscopic colonic surgery.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- A systematic review of the intervention components, adherence and outcomes of enhanced recovery programmes in older patients undergoing elective colorectal surgery.BMC geriatrics · 2019Pooled it
- Factors predicting outcome from enhanced recovery programmes in laparoscopic colorectal surgery: a systematic review.Surgical endoscopy · 2017Pooled it
- Clinical outcomes and cost comparison of laparoscopic versus open surgery in elderly colorectal cancer patients over 80 years.International journal of colorectal disease · 2023Article
- Enhanced recovery after colorectal surgery is a safe and effective pathway for older patients: a pooling up analysis.International journal of colorectal disease · 2023Article
- The Trends in Adoption, Outcomes, and Costs of Laparoscopic Surgery for Colorectal Cancer in the Elderly Population.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Are we ready for bundled payments for major bowel surgery?Surgical endoscopy · 2020Article
- Effects of laparoscopic vs open abdominal surgery on costs and hospital readmission rate and its effect modification by surgeons' case volume.Surgical endoscopy · 2020Article
- Age is an independent risk factor for increased morbidity in elective colorectal cancer surgery despite an ERAS protocol.Langenbeck's archives of surgery · 2020Article
- Minimally invasive surgery in the geriatric patient with colon cancer.Journal of gastrointestinal oncology · 2020Review
- A National study on the adoption of laparoscopic colorectal surgery in the elderly population: current state and value proposition.Techniques in coloproctology · 2019Article
- Prediction of overall survival following colorectal cancer surgery in elderly patients.World journal of gastrointestinal surgery · 2019Article
- Enhanced Recovery Program for Colorectal Surgery: a Focus on Elderly Patients Over 75 Years Old.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Short-term outcomes and benefits of ERAS program in elderly patients undergoing colorectal surgery: a case-matched study compared to conventional care.International journal of colorectal disease · 2018Article
- The impact of surgeon choices on costs associated with uncomplicated minimally invasive colectomy: you are not as important as you think.Gastroenterology report · 2018Article
- Evaluation of the feasibility of an "enhanced recovery after surgery" protocol for older patients undergoing colon cancer surgery.Journal of the anus, rectum and colon · 2018Article
- Is laparoscopic surgery really effective for the treatment of colon and rectal cancer in very elderly over 80 years old? A prospective multicentric case-control assessment.Surgical endoscopy · 2016Article
- Comparison of the cost and outcomes following totally laparoscopic and laparoscopy-assisted distal gastrectomies for gastric cancer: a single-institution comparison.Surgical endoscopy · 2016Article
- Clinical outcomes of the very elderly undergoing enhanced recovery programmes in elective colorectal surgery.Annals of the Royal College of Surgeons of England · 2016Article
- Treatment of colorectal cancer in the elderly.World journal of gastrointestinal oncology · 2015Review
- Comparison of treatment costs of laparoscopic and open surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElderly patients often are regarded as high-risk for major abdominal surgery because of a lack of functional reserve and associated medical comorbidities. The goal of this study was to compare the cost of care and short-term outcomes of elderly and nonelderly patients undergoing laparoscopic colectomy. Our hypothesis was that elderly patients managed with laparoscopic colorectal surgery and an enhanced recovery protocol (ERP) can realize the same benefits of lower hospital length of stay (LOS) without increasing hospital costs or readmission rates.
methodsReview of a prospective database identified all patients that underwent an elective laparoscopic colectomy from 2009 to 2012. Patients were stratified into elderly (≥70 years old) and nonelderly (<70 years old) cohorts. The main outcome measures were discharge disposition, hospital costs, hospital LOS, and 30-day readmission rates between the laparoscopic and open groups.
resultsA total of 302 nonelderly (66%) and 153 elderly (34%) patients were included in the analysis. The elderly cohort had significantly higher comorbidities than the nonelderly group. There were no mortalities. Operative variables (procedure time, blood loss, and intraoperative complications) were similar. At discharge, significantly more elderly patients required temporary nursing or home care. There were no significant differences in short-term outcomes of LOS, 30-day readmission rates, or costs for the episode of care between the two groups.
conclusionsCombining laparoscopic colectomy with an ERP is cost-effective and results in similar short-term outcomes for the elderly and nonelderly patients. Despite higher comorbidities, elderly patients realized the same benefits of shorter LOS with similar hospital costs and readmission rates.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.