Table 2.
Unadjusted Changes in Operative Approach and Morbidity Before and After the U.S. Food and Drug Administration Communication
| Operative Variable |
Pre-FDA (n=3,160)* |
Post-FDA (n=4,378)* |
P |
|---|---|---|---|
| Surgical approach | |||
| Abdominal | 1,552 (49.1) | 2,628 (60.0) | <.001 |
| Laparoscopic | 1,608 (50.9) | 1,750 (40.0) | |
| Burden of disease | |||
| Low | 1,932 (61.1) | 2,586 (59.1) | .070 |
| High | 1,228 (38.9) | 1,792 (40.9) | |
| Abdominal | |||
| Low burden | 843 (54.3) | 1,397 (53.2) | .468 |
| High burden | 709 (45.7) | 1,231 (46.8) | |
| Laparoscopic | |||
| Low burden | 108 (67.7) | 1,189 (67.9) | .892 |
| High burden | 519 (32.3) | 561 (32.1) | |
| OR time (min) | 152.4±82.1 | 147.0±76.4 | .003 |
| Length of stay (d) | 1 (0–2) | 1 (0–2) | <.001 |
| Reoperation within 30 d | 23 (0.7) | 37 (0.9) | .572 |
| Readmission within 30 d | 54 (1.7) | 74 (1.7) | .966 |
| Medical morbidity | |||
| DVT or PE | 11 (0.4) | 16 (0.4) | .901 |
| UTI | 32 (1.0) | 45 (1.0) | .948 |
| Sepsis | 9 (0.3) | 23 (0.5) | .113 |
| Surgical morbidity | |||
| Blood transfusion | 298 (9.4) | 399 (9.1) | .640 |
| Surgical site infections | 37 (1.2) | 66 (1.5) | .214 |
| Wound dehiscence | 4 (0.1) | 6 (0.1) | .902 |
| Composite morbidity† | 363 (11.5) | 512 (11.7) | .790 |
FDA, U.S. Food and Drug Administration;OR time, operative time; DVT, deep venous thrombosis;PE, pulmonary embolism; UTI, urinary tract infection.
Data are n (%), mean±standard deviation, or median (interquartile range) unless otherwise specified.
Pre-FDA April 2012 to December 2013; Post-FDA April 2014 to December 2015.
Morbidity represents a composite of blood transfusion, wound dehiscence, wound infection, UTI, sepsis or septic shock, and DVT or PE.