ArticleScientific reports2017
Short and Long-Term Outcomes After Surgical Procedures Lasting for More Than Six Hours.
Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Machine learning in the development and application of patient-reported outcome measures (PROMs) for surgical patients: a systematic review.Journal of patient-reported outcomes · 2026Pooled it
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- Prevalence and trends of cancer-related daily life limitations among gastrointestinal cancer survivors.Journal of cancer survivorship : research and practice · 2025Article
- "Perioperative textbook outcomes of minimally invasive pancreatoduodenectomy: multicenter retrospective cohort analysis in Korean minimally invasive pancreatic surgery registry": a commentary.Annals of medicine and surgery (2012) · 2025Article
- Developing a nearly automated open-source pipeline for conducting computational fluid dynamics simulations in anterior brain vasculature: a feasibility study.Scientific reports · 2024Article
- Latrophilin-2 mediates fluid shear stress mechanotransduction at endothelial junctions.The EMBO journal · 2024Article
- Defining the association between the prolonged operative time and 90-day complications in patients undergoing radical cystectomy.Asian journal of urology · 2024Article
- Video-Assisted vs Robotic-Assisted Lung Lobectomies for Operating Room Resource Utilization and Patient Outcomes.JAMA network open · 2024Article
- High perioperative lactate levels as a potential predictor for severe acute kidney injury following aortic arch surgery.Frontiers in medicine · 2024Article
- The impact of minimally-invasive esophagectomy operative duration on post-operative outcomes.Frontiers in surgery · 2024Article
- The effect of preoperative steroids for at least 10 days on complications following craniotomy for tumor resection: A database, retrospective cohort study.Brain & spine · 2023Article
- Abdominal distension following radical cystectomy: what we know and what we need to know.Translational andrology and urology · 2022Article
- Textbook outcome among voluntary donors undergoing major living donor hepatectomy.Langenbeck's archives of surgery · 2022Article
- Risk of Dementia According to Surgery Type: A Nationwide Cohort Study.Journal of personalized medicine · 2022Article
- Use of energy device in general surgical operations: impact on peri-operative outcomes.BMC surgery · 2022Article
- Olfactory Dysfunction Predicts Frailty and Poor Postoperative Outcome in Older Patients Scheduled for Elective Non-Cardiac Surgery.The journal of nutrition, health & aging · 2022Observational
- Risk of Dementia in Patients Who Underwent Surgery under Neuraxial Anesthesia: A Nationwide Cohort Study.Journal of personalized medicine · 2021Article
- Influence of Operative Time in the Results of Infrainguinal Bypass for Chronic Limb Threatening Ischemia.World journal of surgery · 2020Article
- Patent foramen ovale and long-term risk of ischaemic stroke after surgery.European heart journal · 2019Observational
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Long-term all-cause mortality and dependency after complex surgical procedures have not been assessed in the framework of value-based medicine. The aim of this study was to investigate the postoperative and long-term outcomes after surgical procedures lasting for more than six hours. Retrospective cohort study of patients undergoing a first elective complex surgical procedure between 2004 and 2013. Heart and transplant surgery was excluded. Mortality and dependency from the healthcare system were selected as outcome variables. Gender, age, ASA, creatinine, albumin kinetics, complications, benign vs malignant underlying condition, number of drugs at discharge, and admission and length of stay in the ICU were recorded as predictive variables. Some 620 adult patients were included in the study. Postoperative, <1year and <5years cumulative mortality was 6.8%, 17.6% and 45%, respectively. Of patients discharged from hospital after surgery, 76% remained dependent on the healthcare system. In multivariate analysis for postoperative, <1year and <5years mortality, postoperative albumin concentration, ASA score and an ICU stay >7days, were the most significant independent predictive variables. Prolonged surgery carries a significant short and long-term mortality and disability. These data may contribute to more informed decisions taken concerning major surgery in the framework of value-based medicine.
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