Discharge disposition after pancreatic resection for malignancy: Analysis of national trends

Bhavin C. Shah, Lynette M. Smith, Fred Ullrich, Chandrakanth Are

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Objectives: The aim of this study is to analyse national trends in discharge disposition following pancreatic resection for malignancy in the USA. Methods: The Nationwide Inpatient Sample database was queried for 1993-2005 to identify patients who underwent pancreatic resection for malignancy. The status of patients at discharge (to home, home with home health care or to another facility) was noted. Results: A weighted total of 51 866 patients who underwent pancreatectomy for malignant neoplasm of the pancreas were identified. Patients who died in the postoperative period and patients without a specified discharge disposition were excluded, leaving 43 603 patients for inclusion in the study. Overall mortality improved over the period of the study from 7.1% in 1993 to 5.2% in 2005. The number of patients discharged to another facility increased significantly from 5.5% in 1993 to 13.3% in 2005. Similarly, the number of patients discharged to home with home health assistance increased from 20.0% in 1993 to 33.0% in 2005. This corresponded with a statistically significant decrease in the number of patients discharged to home without assistance, from 74.5% in 1993 to 53.7% in 2005 (P= 0.002). Conclusions: The results of our study demonstrate that following pancreatic resection for malignancy, nearly half the patients will require some assistance after discharge.

Original languageEnglish (US)
Pages (from-to)201-208
Number of pages8
JournalHPB
Volume14
Issue number3
DOIs
StatePublished - Mar 2012

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Keywords

  • age
  • comorbidities
  • discharge disposition
  • factors
  • malignancy
  • pancreatic resection

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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