Factors affecting hospital length of stay following pelvic exenteration surgery

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dc.authorid0000-0002-3715-4287en_US
dc.contributor.authorGuo, Ying
dc.contributor.authorChang, Eugene
dc.contributor.authorBozkurt, Mehtap
dc.contributor.authorPark, Minjeong
dc.contributor.authorLiu, Diane
dc.contributor.authorFu, Jack B.
dc.date.accessioned2023-11-01T10:56:20Z
dc.date.available2023-11-01T10:56:20Z
dc.date.issued2018en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalıen_US
dc.description.abstractBackground and Objectives: Total pelvic exenteration are performed in patients with locally advanced or recurrent pelvic malignances. Many patients have prolong hospital length of stay (LOS), but risk factors are not clearly identified. Methods: From 2002 through 2012, 100 consecutive patients undergoing pelvic exenteration were retrospectively reviewed. A general linear model was used to examine risk factors for prolonged hospital LOS. Results: Among the 100 patients, 51 had gastrointestinal cancer, 14 had genitourinary cancer, 31 had gynecologic cancer, and 4 had sarcoma. Perioperative complications included infection (n = 44), anastomotic leak/fistula (n = 6), wound or flap dehiscence (n = 11), and ileus or bowel obstruction (n = 30). The median (Interquartile range (IQR)) hospital LOS was 15 days (10-21.5 days). On multivariate regression analysis, hospital LOS was significantly prolonged by underweight status, genitourinary cancer or sarcoma diagnosis, ≥2 infections, anastomotic leak/fistula, requiring rehabilitation consult and admission, and ≥2 consultations (P = 0.05). Conclusion: In patients undergoing pelvic exenteration, prolonged hospital LOS is associated with underweight status, genitourinary cancer or sarcoma diagnosis, more than one infection, anastomotic leak/fistula, requiring rehabilitation consult and admission, and more than one consultation. Further study is needed to assess whether minimizing these risk factors can improve hospital LOS in these patients.en_US
dc.description.sponsorshipUnited States Department of Health & Human Services National Institutes of Health (NIH) - USA P30CA016672
dc.identifier.citationGuo, Y., Chang, E., Bozkurt, M., Park, M., Liu, D. ve Fu, J. (2018). Factors affecting hospital length of stay following pelvic exenteration surgery. Journal of Surgical Oncology, 117(3), 529-534.en_US
dc.identifier.doi10.1002/jso.24878
dc.identifier.endpage534en_US
dc.identifier.issn0022-4790
dc.identifier.issue3en_US
dc.identifier.pmid29044540
dc.identifier.scopus2-s2.0-85043993243
dc.identifier.scopusqualityQ1
dc.identifier.startpage529en_US
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/epdf/10.1002/jso.24878
dc.identifier.urihttps://hdl.handle.net/11468/13010
dc.identifier.volume117en_US
dc.identifier.wosWOS:000427584100026
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBozkurt, Mehtap
dc.language.isoenen_US
dc.publisherJohn Wiley and Sons Inc.en_US
dc.relation.ispartofJournal of Surgical Oncology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCanceren_US
dc.subjectHospital length of stayen_US
dc.subjectPelvic exenterationen_US
dc.titleFactors affecting hospital length of stay following pelvic exenteration surgeryen_US
dc.titleFactors affecting hospital length of stay following pelvic exenteration surgery
dc.typeArticleen_US

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