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 in | British journal of surgery Vol. 91; no. 8; pp. 943 - 947 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Chichester, UK
John Wiley & Sons, Ltd
01.08.2004
Wiley |
Subjects | |
Online Access | Get full text |
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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% |
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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. |
Author_xml | – sequence: 1 givenname: G. G. surname: Jamieson fullname: Jamieson, G. G. email: chris.batesbrownsword@adelaide.edu.au organization: Department of Surgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia – sequence: 2 givenname: G. surname: Mathew fullname: Mathew, G. organization: Department of Surgery, Christian Medical College and Hospital, Vellore, India – sequence: 3 givenname: R. surname: Ludemann fullname: Ludemann, R. organization: Department of Surgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia – sequence: 4 givenname: J. surname: Wayman fullname: Wayman, J. organization: Department of Surgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia – sequence: 5 givenname: J. C. surname: Myers fullname: Myers, J. C. organization: Department of Surgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia – sequence: 6 givenname: P. G. surname: Devitt fullname: Devitt, P. G. organization: Department of Surgery, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia |
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References_xml | – volume: 88 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 – volume: 89 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 – volume: 77 start-page: 845 year: 1990 end-page: 857 article-title: Surgical therapy of oesophageal carcinoma publication-title: Br J Surg – volume: 10 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 end-page: 602 article-title: Obesity publication-title: N Engl J Med |
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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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