Variations in Laparoscopic Colectomy Utilization in the United States

Diseases of the Colon and Rectum
Zhobin MoghadamyeghanehMichael J Stamos

Abstract

Recent published articles reported a wide geographic variation in the utilization of laparoscopic colectomy in the United States. This study aimed to report the current rates of laparoscopic colon resection in different types of hospitals in the United States. The Nationwide Inpatients Sample database was used to examine the clinical data of patients undergoing elective colon resection for the diagnosis of colon cancer or diverticular disease from 2009 to 2012. Multivariate regression analysis was performed to compare different hospital types and regions regarding the utilization of laparoscopy. Patients undergoing elective colon resection for the diagnosis of colon cancer or diverticular disease from 2009 to 2012 were selected. The primary outcome measured was the rates of laparoscopic colon resection in different types of hospitals. We sampled a total of 309,816 patients who underwent elective colon resection. Of these, 171,666 (55.4%) had a laparoscopic operation. The utilization of a laparoscopic approach increased from 51.3% in 2009 to 59.3% in 2012. The increased utilization of a laparoscopic approach was seen in both urban (53.6% vs 61.6%) and rural hospitals (33.4% vs 42.3%), for colon cancer (45% vs 53.5%), and diverti...Continue Reading

References

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Citations

Apr 18, 2016·Updates in Surgery·Patrick Ambrosetti, Pascal Gervaz
Jun 9, 2016·Surgical Endoscopy·Christopher M SchlachtaBrian Dunkin
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Jul 3, 2021·International Journal of Environmental Research and Public Health·Daniel Adrian LunguTommaso Simoncini

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