ArticleDeutsches Arzteblatt international2020
The Effect of Day of the Week on Morbidity and Mortality From Colorectal and Pancreatic Surgery.
Article in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- 90-day mortality prediction in elective visceral surgery using machine learning: a retrospective multicenter development, validation, and comparison study.International journal of surgery (London, England) · 2025Article
- The weekend effect in pelvic fractures and influence of weekday and weekend accident days: a retrospective study of the German Pelvic Registry.Scientific reports · 2025Article
- Weekday effect of surgery on in-hospital outcome in pancreatic surgery: a population-based study.Langenbeck's archives of surgery · 2024Article
- [Differences between emergency medical services operations with and without patient transport : A retrospective analysis of dispatch center data in a territorial state].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- Is there a weekend effect in emergency surgery for colorectal carcinoma? Analysis from the German StuDoQ registry.PloS one · 2022Article
- In Reply.Deutsches Arzteblatt international · 2021Article
- Risk Adjustment Was Imprecise.Deutsches Arzteblatt international · 2021Article
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10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA number of studies have revealed higher postoperative mortality after operations that were performed toward the end of the week. It is not yet known whether a day-of-the-week effect exists after visceral surgical procedures for cancer in Germany.
methodsData on resections of carcinomas of the colon, rectum (2010-2017), and head of the pancreas (2014-2017) (n = 19 703) that had been prospectively acquired by the Study, Documentation, and Quality Center of the German Society for General and Visceral Surgery were analyzed in relation to the day of the week on which the operation was performed. The primary endpoint was postoperative 30-day mortality; the secondary endpoints were complications, length of hospital stay, and MTL30 (a combined outcome criterion that is positive if the patient has died, is still in the hospital, or has been transferred to another acute care hospital 30 days after the index procedure).
resultsResections of colon carcinomas that were performed on Mondays were associated with more advanced tumor stages (T4: 18.4% vs. 15.7%, p <0.001), higher 30-day mortality (3.5% vs. 2.3%, p = 0.004), and a more frequently positive MTL30 (10.5% vs. 8.5%, p = 0.004). Among patients who underwent pancreatic head resections, those whose procedures were on Tuesday had higher mortality (6.2% vs. 3.8%; p = 0.021). Among those who underwent surgery for rectal carcinoma, the day of the week on which the procedure was performed had no effect on postoperative morality. Multivariate analysis revealed that the independent risk factors for postoperative mortality were colonic resection on a Monday (odds ratio [OR]: 1.45; 95% confidence interval [1.11; 1.92], p = 0.008) and pancreatic head resection on a Tuesday (OR: 1.88 [1.18; 2.91], p = 0.006).
conclusionElective surgery for carcinoma of the colon or pancreatic head is associated with slightly higher mortality if per - formed toward the beginning of the week. On the other hand, the day of the week has no effect on the outcome of surgery for rectal carcinoma.
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