Evidence map›Paper›PMID 40598283›Full record

ArticleBMC health services research2025

Analysis of risk factors for elective surgery complications in a cancer specialty hospital based on propensity score matching.

Mingfei Xiang, Anxin Luo, Yixin Wang, Junshuang Lin, Zhonghua Xiong, Fei Hou, Yinping Zhou, Chunlin Wu

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Mingfei XiangSichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, China.
Anxin LuoSichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, China.
Yixin WangSichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, China.
Junshuang LinSichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, China.
Zhonghua XiongSichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, China.
Fei HouSichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, China.
Yinping ZhouSichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, China.
Chunlin WuSichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu, China. wuchunlin@scszlyy.org.cn.

Funding

Scientific Research Project of Sichuan Health Information Association Zhui 2024002
6 · The paper itself

Abstract

objectiveTo analyze the incidence of complications in elective surgery patients at a certain cancer hospital, explore the influencing factors, and assess their impact on length of hospital stay and hospitalization costs, providing a reference for improving medical quality and reducing healthcare costs.

methodsA retrospective study was conducted, collecting clinical data of elective surgery patients from January 1, 2022, to December 31, 2023. A dataset was constructed based on propensity score matching (PSM), and the disease burden caused by surgical complications was calculated. Logistic regression analysis was used to identify factors influencing the occurrence of surgical complications.

resultsAmong 38,132 elective surgery patients, 300 developed complications (incidence rate: 0.79%). After propensity score matching, the median length of stay for patients with complications was 19 days, significantly higher than the 8 days for those without complications (P < 0.001), and the median hospitalization costs increased by 2.35 times (P < 0.001). Univariate and multivariate analyses showed that surgical duration, minimally invasive surgery, and ASA classification significantly influenced the occurrence of complications (P < 0.05).

conclusionSurgical complications significantly increase the length of hospital stay and hospitalization costs. Perioperative management should focus on risk factors such as older age, longer surgery time, higher incision level, and higher ASA score. Personalized interventions can reduce the risk of complications, thereby optimizing medical quality and resource utilization efficiency.

Indexed as

Elective Surgical ProceduresNeoplasmsPostoperative ComplicationsAgedFemaleHospital CostsHumansIncidenceLength of StayMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk FactorsHospitalization costsHospital stayPropensity score matchingSurgical complications

Identifiers

PMID40598283
PMCPMC12210737

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