ArticleAmerican journal of surgery2016
Pancreaticoduodenectomy hospital resource utilization in octogenarians.
Article in American journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Hospital costs associated with complications following pancreatoduodenectomy: systematic review.BJS open · 2026Pooled it
- Outcomes following Pancreatoduodenectomy in Patients ≥80 Years: An Analysis of the Prospective Pancreas Registry of the German Society for General and Visceral Surgery (DGAV|Registry Pancreas).Visceral medicine · 2026Article
- Combined robotic/open pancreaticoduodenectomy in the young aged < 50 years.Updates in surgery · 2025Article
- Surgical Risks and Survival Outcomes in Robotic Pancreaticoduodenectomy for the Aged Over 80: A Retrospective Cohort Study.Clinical interventions in aging · 2023Article
- Pancreaticoduodenectomy as a feasible choice for periampullary malignancy in octogenarians.Molecular and clinical oncology · 2022Article
- The laparoscopic approach to pancreatoduodenectomy is cost neutral in very high-volume centers.Surgery · 2019Article
- Adjusted Age-Adjusted Charlson Comorbidity Index Score as a Risk Measure of Perioperative Mortality before Cancer Surgery.PloS one · 2016Article
Corrections and comments
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Authors and funding
15 authors.
Funding
Abstract
backgroundAlthough pancreaticoduodenectomy (PD) is feasible in patients greater than or equal to 80 years, little is known about the potential strain on resource utilization.
methodsOutcomes and inpatient charges were compared across age cohorts (I: ≤70, II: 71 to 79, III: ≥80 years) in 99 patients who underwent PD (2005 to 2013) at our institution. The generalized linear modeling approach was used to estimate the impact of age.
resultsPerioperative complications were equivalent among cohorts. Increasing age was associated with intensive care unit use, increased length of stay (LOS), and the likelihood of discharge to a skilled facility. After controlling for covariates, hospital charges were significantly higher in Cohort III (P = .006) and Cohort II (P = .035) when compared with Cohort I. However, hospital charges between Cohorts II and III were equivalent (P = .374). Complications (P = .005) and LOS (P < .001) were associated with higher hospital charges.
conclusionsIncreasing age was associated with increased intensive care unit, LOS, and discharge to skilled facilities. However, octogenarians had equivalent PD charges and outcome measures when compared with septuagenarians and future studies should validate these findings in larger national studies.
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