ArticleThe British journal of surgery2013
Population-based cohort study comparing 30- and 90-day institutional mortality rates after colorectal surgery.
Article in The British journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed.
- Postoperative morbidity of complete mesocolic excision and central vascular ligation in right colectomy: a retrospective comparative cohort study.World journal of surgical oncology · 2018Trial
- Multicentre prospective cohort study of body mass index and postoperative complications following gastrointestinal surgery.The British journal of surgery · 2016Trial
- Article
- Identifying Patients with Colorectal Cancer Likely to Benefit from a Trimodal Prehabilitation Prior to Surgery.Nutrients · 2026Article
- Age, Frailty, and Comorbidity as Predictors of Mortality and Failure to Rescue After Gastrointestinal Cancer Surgery: A National Retrospective Cohort Study.World journal of surgery · 2026Article
- Trends in the Outcomes of Advanced Hepatobiliary-Pancreatic Surgery: The Impact of a Nationwide Clinical Database and Surgeon Certification System.Journal of hepato-biliary-pancreatic sciences · 2025Article
- Article
- Combining lymph node ratio to develop prognostic models for postoperative gastric neuroendocrine neoplasm patients.World journal of gastrointestinal oncology · 2024Article
- Textbook Outcome in Colorectal Surgery for Cancer: An Italian Version.Journal of clinical medicine · 2024Article
- The effect of diabetes mellitus on perioperative outcomes after colorectal resection: a national cohort study.British journal of anaesthesia · 2024Article
- The impact of preoperative coronavirus disease 19 infection on early postoperative mortality during the vaccination era: a nationwide retrospective cohort study.Korean journal of anesthesiology · 2024Article
- Safety profile of a multimodal fail-safe model to minimize postoperative complications in oncologic colorectal resections-a cohort study.Perioperative medicine (London, England) · 2023Article
- Cost-Utility Analysis of the Caresyntax Platform to Identify Patients at Risk of Surgical Site Infection Undergoing Colorectal Surgery.PharmacoEconomics - open · 2023Article
- Effects of deficient mismatch repair on the prognosis of patients with stage II and stage III colon cancer during different postoperative periods.BMC cancer · 2022Article
- The interRAI CHESS scale is comparable to the palliative performance scale in predicting 90-day mortality in a palliative home care population.BMC palliative care · 2022Article
- Article
- Mortality following elective and emergency colectomy in patients with cirrhosis: a population-based cohort study from England.International journal of colorectal disease · 2022Article
- Impact of age and comorbidities on short- and long-term outcomes of patients undergoing surgery for colorectal cancer.Frontiers in oncology · 2022Article
- Adjuvant Chemotherapy Versus Observation Following Resection for Patients With Nonmetastatic Poorly Differentiated Colorectal Neuroendocrine Carcinomas.Annals of surgery · 2021Article
- Comparison of Survival and Patterns of Recurrence in Gastric Neuroendocrine Carcinoma, Mixed Adenoneuroendocrine Carcinoma, and Adenocarcinoma.JAMA network open · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical mortality results are increasingly being reported and published in the public domain as indicators of surgical quality. This study examined how mortality outlier status at 90 days after colorectal surgery compares with mortality at 30 days and subsequent intervals in the first year after surgery.
methodsAll adults undergoing elective and emergency colorectal resection between April 2001 and February 2007 in English National Health Service (NHS) Trusts were identified from administrative data. Funnel plots of postoperative case mix-adjusted institutional mortality rate against caseload were created for 30, 90, 180 and 365 days. High- or low-mortality unit status of individual Trusts was defined as breaching upper or lower third standard deviation confidence limits on the funnel plot for 90-day mortality.
resultsA total of 171 688 patients from 153 NHS Trusts were included. Some 14 537 (8·5 per cent) died within 30 days of surgery, 19 466 (11·3 per cent) within 90 days, 23 942 (13·9 per cent) within 180 days and 31 782 (18·5 per cent) within 365 days. Eight institutions were identified as high-mortality units, including all four units with high outlying status at 30 days. Twelve units were low-mortality units, of which six were also low outliers at 30 days. Ninety-day mortality correlated strongly with later mortality results (rs = 0·957, P < 0·001 versus 180-day mortality; rs = 0·860, P < 0·001 versus 365-day mortality).
conclusionExtending mortality reporting to 90 days identifies a greater number of mortality outliers when compared with the 30-day death rate. Ninety-day mortality is proposed as the preferred indicator of perioperative outcome for local analysis and public reporting.
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