J. Maxwell Chamberlain memorial paperOutcomes after esophagectomy: a ten-year prospective cohort
Section snippets
Patients and methods
The methods of the VA NSQIP have been described in detail elsewhere 9, 10, 11.
Patient characteristics and outcomes
The study population consisted of 1,777 patients who underwent esophagectomy. The sample was predominantly male (99.1%, n = 1,761) with a mean age of 63.4 ± 9.9 years. Esophageal resection was performed for a neoplastic process in 84.9% (n = 1509) and for benign disease in 15.1% (n = 269). Other patient characteristics are listed in Table 1. Thirty-day mortality was 9.8% (n = 174) and morbidity was 49.5% (n = 880). No difference was noted in 30-day mortality when comparing patients with benign
Comment
In this study, we analyzed the factors affecting perioperative morbidity and mortality in 1,777 patients undergoing esophagectomy in 109 VA Medical Centers during a 10-year period. This report represents the largest prospective study of perioperative outcomes after esophagectomy. The VA NSQIP offers a unique opportunity to study perioperative outcomes because of the large number of patients enrolled and the reliable prospective collection of data by trained and audited nurses.
Our analysis
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