TABLE 1.
Complication (n = 35,946) |
30-Day postoperative mortality (n = 10,001) |
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---|---|---|---|---|---|---|---|---|
% | aOR | 95 % | CI | % | aOR | 95 % | CI | |
Sociodemographic characteristics | ||||||||
Poverty rate (%) | ||||||||
<10 | 58.5 | 1.00 | 56.0 | 1.00 | ||||
10–19 | 25.4 | 1.06 | 1.00 | 1.14 | 26.1 | 1.21 | 1.03 | 1.42 |
20+ | 15.6 | 1.06 | 0.98 | 1.15 | 17.4 | 1.25 | 1.02 | 1.53 |
Sex | ||||||||
Male | 42.7 | 1.15 | 1.09 | 1.21 | 43.8 | 1.42 | 1.24 | 1.63 |
Female | 57.4 | 1.00 | 56.2 | 1.00 | ||||
Race | ||||||||
White | 86.3 | 1.00 | 85.7 | 1.00 | ||||
African-American | 7.1 | 1.09 | 0.98 | 1.21 | 8.5 | 0.87 | 0.67 | 1.14 |
Other | 6.6 | 0.70 | 0.62 | 0.78 | 5.8 | 0.85 | 0.62 | 1.16 |
Comorbidity | ||||||||
0 | 43.0 | 1.00 | 31.7 | 1.00 | ||||
1 | 29.3 | 1.39 | 1.31 | 1.48 | 29.0 | 1.09 | 0.93 | 1.29 |
2+ | 27.7 | 2.31 | 2.17 | 2.45 | 39.3 | 0.97 | 0.83 | 1.14 |
Medicaid | ||||||||
Yes | 15.9 | 1.38 | 1.29 | 1.49 | 20.8 | 0.95 | 0.80 | 1.13 |
No | 86.1 | 1.00 | 79.2 | 1.00 | ||||
Age | ||||||||
66–74 | 35.7 | 1.00 | 27.7 | 1.00 | ||||
75–84 | 45.8 | 1.41 | 1.33 | 1.49 | 46.4 | 1.57 | 1.30 | 1.89 |
85+ | 18.6 | 2.15 | 2.01 | 2.31 | 25.9 | 3.04 | 2.50 | 3.71 |
Year | ||||||||
2000 | 16.3 | 1.00 | 15.4 | 1.00 | ||||
2001 | 16.8 | 1.06 | 0.96 | 1.16 | 16.4 | 0.97 | 0.77 | 1.22 |
2002 | 16.8 | 1.06 | 0.96 | 1.16 | 16.3 | 0.85 | 0.67 | 1.08 |
2003 | 17.5 | 1.13 | 1.04 | 1.24 | 17.7 | 0.85 | 0.68 | 1.06 |
2004 | 16.8 | 1.19 | 1.09 | 1.30 | 17.8 | 0.83 | 0.67 | 1.05 |
2005 | 15.8 | 1.13 | 1.03 | 1.23 | 16.4 | 0.75 | 0.60 | 0.95 |
Hospital and surgeon characteristics | ||||||||
Beds | ||||||||
1–199 | 25.2 | 1.00 | 25.0 | 1.00 | ||||
200–349 | 28.6 | 1.00 | 0.91 | 1.09 | 28.5 | 0.89 | 0.72 | 1.08 |
350–499 | 23.8 | 1.03 | 0.93 | 1.14 | 23.6 | 0.90 | 0.71 | 1.13 |
500+ | 22.4 | 1.06 | 0.94 | 1.19 | 22.9 | 0.80 | 0.61 | 1.05 |
Teaching | ||||||||
Yes | 49.7 | 1.00 | 49.8 | 1.00 | ||||
No | 35.4 | 1.00 | 0.92 | 1.09 | 35.5 | 1.16 | 0.96 | 1.40 |
Unknown | 14.9 | 0.89 | 0.89 | 1.09 | 14.7 | 1.24 | 0.98 | 1.57 |
Surgeon case load | ||||||||
<21 | 22.9 | 1.14 | 1.05 | 1.23 | 24.9 | 1.21 | 0.98 | 1.50 |
21–38 1 | 22.7 | 1.08 | 0.99 | 1.17 | 23.3 | 1.06 | 0.86 | 1.31 |
39–69 | 22.1 | 0.97 | 0.90 | 1.05 | 20.8 | 1.10 | 0.88 | 1.37 |
70+ | 23.0 | 1.00 | 21.2 | 1.00 | ||||
Unknown | 9.5 | 9.8 | ||||||
Tumor characteristics | ||||||||
AJCC stage | ||||||||
I | 26.4 | 1.00 | 21.8 | 1.00 | ||||
II | 39.9 | 1.28 | 1.19 | 1.36 | 43.5 | 1.70 | 1.33 | 1.86 |
III | 33.7 | 1.20 | 1.12 | 1.29 | 34.8 | 1.52 | 1.24 | 1.86 |
Grade | ||||||||
Well differentiated | 8.8 | 1.00 | 8.3 | 1.00 | ||||
Moderately | 68.1 | 1.00 | 0.91 | 1.09 | 67.5 | 0.97 | 0.74 | 1.27 |
Poorly | 18.7 | 1.05 | 0.94 | 1.16 | 19.7 | 1.23 | 0.91 | 1.65 |
Undifferentiated | 1.0 | 1.33 | 1.03 | 1.72 | 1.2 | 1.42 | 0.77 | 2.60 |
Unknown | 3.5 | 1.03 | 0.87 | 1.21 | 3.3 | 0.93 | 0.59 | 1.47 |
Location | ||||||||
Proximal colon | 40.7 | 0.79 | 0.72 | 0.87 | 38.6 | 1.43 | 1.09 | 1.87 |
Transverse colon | 15.4 | 0.96 | 0.87 | 1.06 | 16.8 | 1.47 | 1.11 | 1.93 |
Distal colon | 25.5 | 1.02 | 0.94 | 1.11 | 27.0 | 1.59 | 1.25 | 2.03 |
Rectal | 18.4 | 1.00 | 17.6 | 1.00 | ||||
Histology | ||||||||
Mucinous adenocarcinoma | 86.6 | 1.00 | 86.0 | 1.00 | ||||
Other adenocarcinoma | 12.9 | 1.02 | 0.94 | 1.10 | 13.4 | 1.03 | 0.85 | 1.24 |
Non-adeno/unknown | 0.5 | 1.34 | 0.97 | 1.87 | 0.7 | 1.07 | 0.52 | 2.22 |
Treatment characteristics | ||||||||
Emergency surgery | ||||||||
Yes | 22.2 | 2.16 | 2.04 | 2.29 | 33.9 | 1.69 | 1.48 | 1.94 |
No | 77.8 | 1.00 | 66.2 | 1.00 | ||||
Type of surgery | ||||||||
Partial colectomy | 43.2 | 1.00 | 42.8 | 1.00 | ||||
Subtotal colectomy/hemicolectomy | 55.7 | 1.03 | 0.97 | 1.11 | 52.5 | 0.89 | 0.76 | 1.05 |
Total (procto) colectomy | 4.1 | 1.31 | 1.16 | 1.50 | 4.7 | 1.10 | 0.78 | 1.56 |
aOR adjusted odds ratio, 95 % CI 95 % confidence interval