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dc.contributor.authorBaré, Marisa
dc.contributor.authorCabrol, Joan
dc.contributor.authorReal, Jordi
dc.contributor.authorNavarro, Gemma
dc.contributor.authorCampo, Rafel
dc.contributor.authorPericay, Carles
dc.contributor.authorSarría-Santamera, Antonio
dc.identifier.citationBMC Public Health. 2009 Aug 27;9:312.es_ES
dc.description.abstractBACKGROUND: There is no consensus about the possible relation between in-hospital mortality in surgery for gastric cancer and the hospital annual volume of interventions. The objectives were to identify factors associated to greater in-hospital mortality for surgery in gastric cancer and to analyze the possible independent relation between hospital annual volume and in-hospital mortality. METHODS: We performed a retrospective cohort study of all patients discharged after surgery for stomach cancer during 2001-2002 in four regions of Spain using the Minimum Basic Data Set for Hospital Discharges. The overall and specific in-hospital mortality rates were estimated according to patient and hospital characteristics. We adjusted a logistic regression model in order to calculate the in-hospital mortality according to hospital volume. RESULTS: There were 3241 discharges in 144 hospitals. In-hospital mortality was 10.3% (95% CI 9.3-11.4). A statistically significant relation was observed among age, type of admission, volume, and mortality, as well as diverse secondary diagnoses or the type of intervention. Hospital annual volume was associated to Charlson score, type of admission, region, length of stay and number of secondary diagnoses registered at discharge. In the adjusted model, increased age and urgent admission were associated to increased in-hospital mortality. Likewise, partial gastrectomy (Billroth I and II) and simple excision of lymphatic structure were associated with a lower probability of in-hospital mortality. No independent association was found between hospital volume and in-hospital mortality CONCLUSION: Despite the limitations of our study, our results corroborate the existence of patient, clinical, and intervention factors associated to greater hospital mortality, although we found no clear association between the volume of cases treated at a centre and hospital mortality.es_ES
dc.description.sponsorshipThis research was supported by the IRYSS network (Research Network on Health Results and Health Services-G03/202) and a grant from the Health Research Fund of the Ministry of Health in Spain (PI050619).es_ES
dc.publisherBioMed Centrales_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subject.meshAged es_ES
dc.subject.meshAged, 80 and over es_ES
dc.subject.meshCohort Studies es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshRetrospective Studies es_ES
dc.subject.meshSpain es_ES
dc.subject.meshStomach Neoplasms es_ES
dc.subject.meshHospital Mortality es_ES
dc.titleIn-hospital mortality after stomach cancer surgery in Spain and relationship with hospital volume of interventionses_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderResearch Network on Health Results and Health Services
dc.contributor.funderMinisterio de Sanidad y Consumo (España)
dc.identifier.journalBMC public healthes_ES
dc.repisalud.centroISCIII::Agencia de Evaluación de Tecnologías Sanitariases_ES

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Atribución 4.0 Internacional
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