Management patterns and predictors of mortality among US patients with cancer hospitalized for malignant bowel obstruction

Cancer
Olatunji B AleseBassel F El-Rayes

Abstract

Malignant bowel obstruction affects an estimated 3% to 15% of patients with cancer, with a mean survival of <4 weeks reported in patients with inoperable malignant bowel obstruction. In the current study, the authors assessed predictors of survival and the influence of treatment modality in US patients with cancer who were hospitalized for malignant bowel obstruction. All the US cancer patients hospitalized with malignant bowel obstruction in 2006 and 2010 were included. Data were obtained from the Nationwide Inpatient Sample provided by the Agency for Healthcare Research and Quality. Malignant bowel obstruction diagnoses and treatment variables were identified using Clinical Classifications Software codes based on International Classification of Diseases, Ninth Revision and Current Procedural Terminology codes. Univariate and multivariate analyses were performed with a logistic model, weighted chi-square test, and a generalized linear model. The authors identified 942,014 and 1,103,528 hospitalizations for malignant bowel obstruction in 2006 and 2010, respectively. Medical management, upper gastrointestinal obstruction, health insurance coverage, and obesity were found to be significantly associated with better hospital surviv...Continue Reading

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Citations

Jan 8, 2016·Digestive Diseases and Sciences·Philip N OkaforJayant A Talwalkar
Oct 27, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Lauren M WancataSamantha Hendren
Jul 12, 2017·Journal of Oncology Practice·Aaron J FrankeThomas J George
Apr 2, 2019·Journal of Palliative Medicine·Harriet L MatherLaura P Gelfman
Nov 9, 2017·Journal of Palliative Care·Shaila J MerchantNancy N Baxter
Mar 25, 2020·World Journal of Gastrointestinal Oncology·Peng-Ju ChenAi-Wen Wu
Feb 23, 2021·The Journal of International Medical Research·Furong KouLin Shen

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