ArticleThe American journal of gastroenterology2019
Morbidity and Mortality After Surgery for Nonmalignant Colorectal Polyps: A 10-Year Nationwide Analysis.
Article in The American journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Declining surgery for benign colorectal neoplasia: Distinguishing temporal trends from endoscopic substitution.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Temporal trends in colorectal resections for benign colorectal neoplasia: A retrospective cohort study of the ACS-NSQIP 2016-2022.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Efficacy of Endoscopic Full Thickness Resection Using the Full-Thickness Resection Device for Submucosal Invasive Colorectal Cancer: The First United States Multicenter Experience.Digestive diseases and sciences · 2026Article
- Declining Rates of Surgery for Nonmalignant Colorectal Polyps in the United States Over the Last Decade: A Real-World Analysis of Over 1 Million Patients.Endoscopy international open · 2026Article
- Effectiveness and safety of endoscopic submucosal dissection for residual or recurrent colorectal neoplasia: Meta-analysis.Endoscopy international open · 2025Article
- Prognostic prediction models for postoperative patients with stage I to III colorectal cancer based on machine learning.World journal of gastrointestinal oncology · 2024Article
- Endoscopic Resection of Neoplasia in the Lower GI Tract: A Clinical Algorithm.Visceral medicine · 2024Review
- Large non-pedunculated colorectal polyp management: The elephant in the room.World journal of gastroenterology · 2024Article
- Ulcer Bleeding in the United States: Epidemiology, Treatment Success, and Resource Utilization.Digestive diseases and sciences · 2024Article
- The role of advanced endoscopy in appendiceal polyp management and outcomes.Surgical endoscopy · 2024Article
- Are large ileocecal valve lesions amenable with advanced endoscopic management to avoid bowel resection?Surgical endoscopy · 2023Article
- Five-year follow-up mortality prognostic index for colorectal patients.International journal of colorectal disease · 2023Observational
- Combined effect of age and body mass index on postoperative mortality and morbidity in laparoscopic cholecystectomy patients.Frontiers in surgery · 2023Article
- How to avoid overtreatment of benign colorectal lesions: Rationale for an evidence-based management.World journal of gastroenterology · 2022Review
- Article
- Management of the colonic polyps referred for surgery: an opportunity for improvement.Surgical endoscopy · 2022Article
- Article
- Endoscopic management of colorectal polyps: From benign to malignant polyps.World journal of gastrointestinal endoscopy · 2021Review
- Morbidity and mortality after major large bowel resection of non-malignant polyp among participants in a population-based screening program.Journal of medical screening · 2021Article
- Overtreatment in nonmalignant lesions detected in a colorectal cancer screening program: a retrospective cohort study.BMC cancer · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesRates of surgery for nonmalignant colorectal polyps are increasing in the United States despite evidence that most polyps can be managed endoscopically. We aimed to determine nationally representative estimates and to identify predictors of in-hospital mortality and morbidity after surgery for nonmalignant colorectal polyps.
methodsData were analyzed from the National Inpatient Sample for 2005-2014. All discharges for adult patients undergoing surgery for nonmalignant colorectal polyps were identified. Rates of in-hospital mortality and postoperative wound, infectious, urinary, pulmonary, gastrointestinal, or cardiovascular adverse events were calculated. Multivariable logistic regression using survey-weighted data was used to evaluate covariables associated with postoperative mortality and morbidity.
resultsAn estimated 262,843 surgeries for nonmalignant colorectal polyps were analyzed. In-hospital mortality was 0.8% [95% confidence interval: 0.7%-0.9%] and morbidity was 25.3% [95% confidence interval: 24.2%-26.4%]. Postoperative mortality was associated with open surgical technique (vs laparoscopic), older age, black race (vs non-Hispanic white), Medicaid use, and burden of comorbidities. Female sex and private insurance were associated with lower risk. Patients developing a postoperative adverse event had a 106% increase in mean hospital length of stay (10.3 vs 5.0 days; P < 0.0001) and 91% increase in mean hospitalization cost ($77,015.24 vs $40,258.30; P < 0.0001). DISCUSSION: Surgery for nonmalignant colorectal polyps is associated with almost 1% mortality and common morbidity. These findings should inform risk vs benefit discussions for clinicians and patients, and although confounding by patient selection cannot be excluded, the risks associated with surgery support consideration of endoscopic resection as a potentially less invasive therapeutic option.
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