Postoperative mortality following oesophagectomy and problems in reporting its rate

Background: There have been three previous reviews of the world literature describing postoperative mortality rate following oesophagectomy. The first documented rates in the first half of the last century, the second the period 1960–1979 and the third the interval 1980–1988. The aim of this review...

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Published inBritish journal of surgery Vol. 91; no. 8; pp. 943 - 947
Main Authors Jamieson, G. G., Mathew, G., Ludemann, R., Wayman, J., Myers, J. C., Devitt, P. G.
Format Journal Article
LanguageEnglish
Published Chichester, UK John Wiley & Sons, Ltd 01.08.2004
Wiley
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Abstract Background: There have been three previous reviews of the world literature describing postoperative mortality rate following oesophagectomy. The first documented rates in the first half of the last century, the second the period 1960–1979 and the third the interval 1980–1988. The aim of this review was to document the rate for the period 1990–2000. Methods: Reports were sourced through PubMed and/or Medline listings. Results: The number of papers included in the review was 312, involving 70 756 patients. The overall mortality rate was 6·7 per cent. The 30‐day mortality rate was 4·9 per cent and the in‐hospital mortality rate 8·8 per cent. Survival rates, where reported, were 62·7 per cent at 1 year and 27·9 per cent at 5 years. Conclusion: Operative mortality rates following oesophagectomy have continued to fall. However, the true rate is almost certainly higher than that reported here, for a variety of reasons. The 1‐year survival of patients was only reported in about a quarter of the papers. It may be a more meaningful figure than postoperative mortality rate. Copyright © 2004 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Hospital mortality in the West is still nearly 10%
AbstractList There have been three previous reviews of the world literature describing postoperative mortality rate following oesophagectomy. The first documented rates in the first half of the last century, the second the period 1960-1979 and the third the interval 1980-1988. The aim of this review was to document the rate for the period 1990-2000. Reports were sourced through PubMed and/or Medline listings. The number of papers included in the review was 312, involving 70,756 patients. The overall mortality rate was 6.7 per cent. The 30-day mortality rate was 4.9 per cent and the in-hospital mortality rate 8.8 per cent. Survival rates, where reported, were 62.7 per cent at 1 year and 27.9 per cent at 5 years. Operative mortality rates following oesophagectomy have continued to fall. However, the true rate is almost certainly higher than that reported here, for a variety of reasons. The 1-year survival of patients was only reported in about a quarter of the papers. It may be a more meaningful figure than postoperative mortality rate.
Background: There have been three previous reviews of the world literature describing postoperative mortality rate following oesophagectomy. The first documented rates in the first half of the last century, the second the period 1960–1979 and the third the interval 1980–1988. The aim of this review was to document the rate for the period 1990–2000. Methods: Reports were sourced through PubMed and/or Medline listings. Results: The number of papers included in the review was 312, involving 70 756 patients. The overall mortality rate was 6·7 per cent. The 30‐day mortality rate was 4·9 per cent and the in‐hospital mortality rate 8·8 per cent. Survival rates, where reported, were 62·7 per cent at 1 year and 27·9 per cent at 5 years. Conclusion: Operative mortality rates following oesophagectomy have continued to fall. However, the true rate is almost certainly higher than that reported here, for a variety of reasons. The 1‐year survival of patients was only reported in about a quarter of the papers. It may be a more meaningful figure than postoperative mortality rate. Copyright © 2004 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Hospital mortality in the West is still nearly 10%
BACKGROUNDThere have been three previous reviews of the world literature describing postoperative mortality rate following oesophagectomy. The first documented rates in the first half of the last century, the second the period 1960-1979 and the third the interval 1980-1988. The aim of this review was to document the rate for the period 1990-2000.METHODSReports were sourced through PubMed and/or Medline listings.RESULTSThe number of papers included in the review was 312, involving 70,756 patients. The overall mortality rate was 6.7 per cent. The 30-day mortality rate was 4.9 per cent and the in-hospital mortality rate 8.8 per cent. Survival rates, where reported, were 62.7 per cent at 1 year and 27.9 per cent at 5 years.CONCLUSIONOperative mortality rates following oesophagectomy have continued to fall. However, the true rate is almost certainly higher than that reported here, for a variety of reasons. The 1-year survival of patients was only reported in about a quarter of the papers. It may be a more meaningful figure than postoperative mortality rate.
Author Jamieson, G. G.
Ludemann, R.
Wayman, J.
Devitt, P. G.
Mathew, G.
Myers, J. C.
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  surname: Ludemann
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  organization: Department of Surgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia
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Issue 8
Keywords Medicine
Postoperative
Treatment
Surgery
Mortality
Rate
Epidemiology
Language English
License CC BY 4.0
Copyright 2004 British Journal of Surgery Society Ltd.
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PublicationCentury 2000
PublicationDate August 2004
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PublicationTitle British journal of surgery
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1941; 10
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  start-page: 1781
  year: 2000
  end-page: 1787
  article-title: A prospective longitudinal study examining the quality of life patients with esophageal carcinoma
  publication-title: Cancer
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  start-page: 344
  year: 2002
  end-page: 348
  article-title: Surgical workload and outcome after resection for carcinoma of the oesophagus and cardia
  publication-title: Br J Surg
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  year: 1990
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  article-title: Surgical therapy of oesophageal carcinoma
  publication-title: Br J Surg
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  start-page: 401
  year: 1941
  end-page: 445
  article-title: Surgical aspects of carcinoma of the esophagus: review of the literature and report of 4 cases
  publication-title: J Thorac Surg
– volume: 232
  start-page: 729
  year: 2000
  end-page: 732
  article-title: The surgeon as a prognostic factor
  publication-title: Ann Surg
– volume: 84
  start-page: 855
  year: 1997
  end-page: 857
  article-title: Surgical treatment for carcinoma of the oesophagus in Chinese language publications
  publication-title: Br J Surg
– volume: 67
  start-page: 381
  year: 1980
  end-page: 390
  article-title: Oesophageal squamous cell carcinoma: I. A critical review of surgery
  publication-title: Br J Surg
– volume: 10
  start-page: 51
  year: 1997
  end-page: 54
  article-title: Historical control bias: adjuvant chemotherapy in esophageal cancer
  publication-title: Dis Esophagus
– volume: 13
  start-page: 130
  year: 2000
  end-page: 135
  article-title: Risk factor analysis of post‐operative mortality in oesophagectomy
  publication-title: Dis Esophagus
– start-page: 705
  year: 2002
  end-page: 724
– volume: 104
  start-page: 563
  year: 1992
  end-page: 569
  article-title: Surgical and non‐surgical treatment of cancer of the oesophagus and the oesophagogastric junction: results of 200 consecutive cases
  publication-title: Wien Klin Wochenschr
– volume: 346
  start-page: 591
  year: 2002
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  article-title: Obesity
  publication-title: N Engl J Med
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Snippet Background: There have been three previous reviews of the world literature describing postoperative mortality rate following oesophagectomy. The first...
There have been three previous reviews of the world literature describing postoperative mortality rate following oesophagectomy. The first documented rates in...
BACKGROUNDThere have been three previous reviews of the world literature describing postoperative mortality rate following oesophagectomy. The first documented...
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SubjectTerms Biological and medical sciences
Esophageal Neoplasms - mortality
Esophagectomy - mortality
General aspects
Hospital Mortality
Humans
Medical sciences
Postoperative Complications - mortality
Survival Rate
Title Postoperative mortality following oesophagectomy and problems in reporting its rate
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