ArticleSurgical endoscopy2026
Length of hospital stay after uncomplicated gastrectomy in the Netherlands: a nationwide cohort study.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLonger length of hospital stay (LOS) has an impact on patient lives and hospital costs. As 60%-70% of gastrectomies are uncomplicated, identifying factors influencing LOS after uncomplicated gastrectomy could help reduce LOS. This study examined hospital variation in LOS and its association with readmission after uncomplicated gastrectomy.
methodsPatients undergoing gastrectomy for gastric cancer in the Netherlands were included from the Dutch Upper Gastrointestinal Cancer Audit (DUCA). Patients with any complications (Gastric Complications Consensus Group definitions) were excluded. LOS was dichotomized around the national median into early and late discharge. Hospital variation was investigated using (case-mix corrected) funnel plots. The association of LOS with patient, tumor, and treatment characteristics and 30-day readmission were investigated using multilevel multivariable logistic regression analyses.
resultsBetween 2019 and 2023, a total of 1,761 gastrectomies were performed, of which 1,235 had an uncomplicated postoperative course. The national median LOS was 5 days (IQR:4-6), ranging from 3 to 7 days among the 14 Dutch gastrectomy centers. After case-mix correction, one hospital had significantly higher and three had lower early discharge rates. For total and subtotal gastrectomy separately, only one hospital had significantly lower early discharge rates. Open surgery (OR:8.43; 95%CI:4.75-15.0) and age > 75 years (OR:1.72; 95%CI:1.17-2.51) were associated with prolonged LOS (> 5 days), while subtotal gastrectomy (OR:0.24; 95%CI:0.16-0.36) was associated with early discharge (≤ 5 days). The 30-day readmission rate was 6.0%, with no association with early discharge. When including complicated patients, postoperative complications were the most dominant factor of late discharge, both minor (OR:7.7; 95%CI:4.9-12.1) and severe complications (OR:9.6; 95%CI:6.7-13.8).
conclusionsSignificant hospital variation in LOS after uncomplicated gastrectomy was found in the Netherlands. The primary factors affecting LOS were surgical approach (open vs. minimally invasive) and type of gastrectomy performed (total vs. subtotal). Early discharge did not increase readmission risk.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.