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dc.contributor.authorNymo, Linn Såve
dc.contributor.authorNorderval, Stig
dc.contributor.authorEriksen, Morten Tandberg
dc.contributor.authorWasmuth, Hans
dc.contributor.authorKørner, Hartwig
dc.contributor.authorBjørnbeth, Bjørn Atle
dc.contributor.authorMoger, Thomas
dc.contributor.authorViste, Asgaut
dc.contributor.authorLassen, Kristoffer
dc.date.accessioned2019-01-08T13:15:04Z
dc.date.available2019-01-08T13:15:04Z
dc.date.issued2018-11-09
dc.description.abstractBACKGROUND: To describe the real burden of major complications after elective surgery for colon cancer in Norway, and to assess which predictors that are significantly associated with the short-term outcome. <br> <br> METHODS: An observational, multi-centre analysis of prospectively registered colon resections registered into the Norwegian Registry for Gastrointestinal Surgery, NoRGast, between January 2014 and December 2016. A propensity score-adjusted subgroup analysis for surgical access groups was attempted, with laparoscopic resections grouped as intention-to-treat. <br> <br> RESULTS: Out of 1812 resections, 14.0% of patients experienced a major complication within 30 days following surgery. The over-all reoperation rate was 8.7%, and rate of reoperation for anastomotic leak was 3.8%. Twenty patients (1.1%) died within 30 days after surgery. Higher age was not a significant predictor of major complications, including 30-day mortality. After correction for all co-variables, open access surgery was associated with higher rates of major complications (OR 1.67 (CI 1.22-2.29), p = 0.002), higher 30-day mortality (OR 4.39 (CI 1.19-16.13) p = 0.026) and longer length-of-stay (HR 0.58 (CI 0.52-0.65) p < 0.001). <br> <br> CONCLUSIONS: Our results indicate a low complication burden and high rate of uneventful patient journeys after elective surgery for colon cancer in Norway. Age was not associated with higher morbidity or mortality rates. Open access surgery was associated with an inferior short-term outcome.en_US
dc.descriptionSource at <a href=https://doi.org/10.1007/s00464-018-6575-4> https://doi.org/10.1007/s00464-018-6575-4 </a>.en_US
dc.identifier.citationNymo, L.S., Norderval, S., Eriksen, M.T., Wasmuth, H., Kørner, H., Bjørnbeth, B.A., … Lassen, K. (2018). Short-term outcomes after elective colon cancer surgery: an observational study from the Norwegian registry for gastrointestinal and HPB surgery, NoRGast. Surgical Endoscopy,1-13. https://doi.org/10.1007/s00464-018-6575-4en_US
dc.identifier.cristinIDFRIDAID 1640596
dc.identifier.doi10.1007/s00464-018-6575-4
dc.identifier.issn0930-2794
dc.identifier.issn1432-2218
dc.identifier.urihttps://hdl.handle.net/10037/14392
dc.language.isoengen_US
dc.publisherSpringer Verlagen_US
dc.relation.journalSurgical Endoscopy
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gastroscopic surgery: 781en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gasteroenterologisk kirurgi: 781en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::General surgery: 780en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Generell kirurgi: 780en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Oncology: 762en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762en_US
dc.subjectShort-term outcomesen_US
dc.subjectColon canceren_US
dc.subjectElective surgeryen_US
dc.subjectLaparoscopyen_US
dc.titleShort-term outcomes after elective colon cancer surgery: an observational study from the Norwegian registry for gastrointestinal and HPB surgery, NoRGasten_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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