Table 1.
Patient and Hospital Characteristics of Elective Colectomiesa
No. (%) | |||||
---|---|---|---|---|---|
Characteristic | Total (N = 244 129 [100%]) |
Robot-Assisted Colectomy (n = 1584 [0.6%]) |
Laparoscopic Colectomy (n = 116 261 [47.6%]) |
Open Colectomy (n = 126 284 [51.7%]) |
P Valueb |
Patient characteristics | |||||
Resection type | |||||
Right hemicolectomy | 90838 (37.2) | 536 (33.9) | 47532 (40.9) | 42769 (33.9) | <.001c |
Sigmoidectomy | 90 171 (36.9) | 874 (55.2) | 45 965 (39.5) | 43 332 (34.3) | |
Others | 63 120 (25.9) | 174 (10.9) | 22 765 (19.6) | 40 181 (31.8) | |
Age, median (IQR), y | 64 (21) | 61.5 (18) | 62 (20) | 65 (21) | <.001c |
Race/ethnicity | |||||
White | 20 1089 (82.4) | 1219 (76.9) | 96 878 (83.3) | 10 2992 (81.6) | .002c |
Black | 21 175 (8.7) | 86 (5.5) | 9053 (7.8) | 12 036 (9.5) | |
Hispanic | 12 659 (5.2) | 185 (11.7) | 6176 (5.3) | 6484 (4.9) | |
Others | 9206 (3.8) | 93 (5.9) | 4154 (3.6) | 5051 (3.9) | |
Sex | |||||
Male | 110822 (45.4) | 640 (40.4) | 54609 (47.0) | 55573 (44.0) | <.001c |
Female | 133 307 (54.6) | 944 (59.6) | 61 652 (53.0) | 70 710 (56.0) | |
Charlson Comorbidity Index score | |||||
0 | 95 644 (39.2) | 767 (48.4) | 52 883 (45.5) | 41 993 (33.3) | <.001c |
1–2 | 80 857 (33.1) | 533 (33.6) | 39 099 (33.7) | 41 224 (32.6) | |
≥3 | 67 628 (27.7) | 284 (17.9) | 24 279 (20.9) | 43 066 (34.1) | |
Surgical indication | |||||
Colon cancer | 81 423 (33.4) | 456 (28.8) | 37 203 (32.0) | 43 764 (34.7) | <.001c |
Diverticular disease | 77 900 (31.9) | 642 (40.5) | 42 590 (36.6) | 34 669 (27.5) | |
Others | 84 805 (34.7) | 487 (30.7) | 35 967 (31.3) | 47 851 (37.8) | |
Primary payer | |||||
Private | 115 325 (47.2) | 918 (58.0) | 61 387 (52.8) | 53 020 (42.0) | <.001c |
Medicare | 113 614 (46.5) | 603 (38.1) | 49 055 (42.2) | 63 956 (50.6) | |
Medicaid/others | 15190 (6.2) | 63 (4.0) | 5819 (5.0) | 9308 (7.4) | |
Median household income, $ | |||||
<38 999 | 54 659 (22.4) | 214 (13.5) | 21 496 (18.5) | 32 949 (26.1) | <.001c |
39 000–47 999 | 63 516 (26.0) | 352 (22.2) | 27 508 (23.7) | 35 656 (28.2) | |
48 000–62 999 | 62 081 (25.4) | 494 (31.2) | 31 107 (26.8) | 30 480 (24.1) | |
>63 000 | 63 874 (26.2) | 524 (33.1) | 36 151 (31.1) | 27 198 (21.5) | |
Hospital characteristics | |||||
Size | |||||
Small | 27 303 (11.2) | 157 (9.9) | 11 723 (10.1) | 15 423 (12.2) | .14 |
Medium | 58 638 (24.0) | 379 (23.9) | 29 305 (25.2) | 28 954 (22.9) | |
Large | 158 188 (64.8) | 1048 (66.1) | 75 233 (64.7) | 81 907 (64.9) | |
Type | |||||
Nonteaching | 123 706 (50.7) | 418 (26.4) | 57 543 (49.5) | 65 745 (52.1) | .001c |
Teaching | 120 424 (49.3) | 1166 (73.6) | 58 718 (50.5) | 60 539 (47.9) | |
Location | |||||
Rural | 26 882 (11.0) | <11 (0.3) | 8652 (7.4) | 18 226 (14.4) | <.001c |
Urban | 217 248 (89.0) | 1580 (99.7) | 107 610 (92.6) | 108 058 (85.6) | |
Volume tertile | |||||
Small | 81 671 (33.5) | 297 (18.8) | 33 186 (28.5) | 48 188 (38.2) | <.001c |
Middle | 80 955 (33.2) | 612 (38.6) | 39 275 (33.8) | 41 068 (32.5) | |
Large | 81 503 (33.3) | 675 (42.6) | 43 801 (37.7) | 37 028 (29.3) |
Abbreviation: IQR, interquartile range.
Weighted counts using Nationwide Inpatient Sample complex survey weights; numbers may not sum to group totals or percentages may not add to 100 owing to the need for rounding. Numbers are rounded to nearest integral number and percentages are based on rounded numbers.
The P values address comparison across all 3 procedures.
Statistically significant, with P < .05.