Journal article

Impact of hospital geographic remoteness on short-term outcomes after colorectal cancer resection using state-wide administrative data

Dilshan K Udayasiri, Caroline MacCallum, Nigel Da Silva, Anita Skandarajah, Ian P Hayes

ANZ JOURNAL OF SURGERY | WILEY | Published : 2020

Abstract

BACKGROUND: This study aimed to use validated coding algorithms, applied to a central repository of administrative data (AD), to report on short-term outcomes following resection for colorectal cancer (CRC) comparing regional to metropolitan Victorian hospitals. METHODS: This is a retrospective cohort study using prospectively gathered AD. The primary outcome was prolonged length of stay (LOS). Secondary outcomes were: inpatient mortality, return to theatre, discharge destination and need for mechanical ventilation/intensive care unit support. Outcomes were adjusted for potential confounders via multivariable logistic regression analysis. RESULTS: This study of 18 470 patients found strong e..

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Grants

Funding Acknowledgements

We would like to thank the Centre of Victoria Data Linkage for data curation, content provided and data linkage. This study was supported by Condon Colonic Disorder Scholarship, Medicine, Dentistry and Health Sciences, The University of Melbourne; and Health Technology Assessment Scholarship, The Royal Australian College of Surgeons.