TY - JOUR
T1 - Pancreaticoduodenectomy hospital resource utilization in octogenarians Presented at the Society of Black Academic Surgeons, April 25, 2014, Philadelphia, Pennsylvania.
AU - Langan, Russell C.
AU - Huang, Chun Chih
AU - Mao, Weisheng Renee
AU - Harris, Katherine
AU - Chapman, Will
AU - Fehring, Charles
AU - Oza, Kesha
AU - Jackson, Patrick G.
AU - Jha, Reena
AU - Haddad, Nadim
AU - Carroll, John
AU - Hanna, Jane
AU - Parker, Ann
AU - Al-Refaie, Waddah B.
AU - Johnson, Lynt B.
N1 - Funding Information:
This project has been funded in part with Federal funds (grant # UL1TR000101 , previously UL1RR031975 ) from the National Center for Advancing Translational Sciences , National Institutes of Health (NIH), through the Clinical and Translational Science Awards Program (CTSA), a trademark of DHHS, part of the Roadmap Initiative, “Re-Engineering the Clinical Research Enterprise.”
Publisher Copyright:
© 2016 Elsevier Inc. All rights reserved.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Background Although pancreaticoduodenectomy (PD) is feasible in patients greater than or equal to 80 years, little is known about the potential strain on resource utilization. Methods Outcomes and inpatient charges were compared across age cohorts (I: ≤70, II: 71 to 79, III: ≥80 years) in 99 patients who underwent PD (2005 to 2013) at our institution. The generalized linear modeling approach was used to estimate the impact of age. Results Perioperative complications were equivalent among cohorts. Increasing age was associated with intensive care unit use, increased length of stay (LOS), and the likelihood of discharge to a skilled facility. After controlling for covariates, hospital charges were significantly higher in Cohort III (P =.006) and Cohort II (P =.035) when compared with Cohort I. However, hospital charges between Cohorts II and III were equivalent (P =.374). Complications (P =.005) and LOS (P <.001) were associated with higher hospital charges. Conclusions Increasing age was associated with increased intensive care unit, LOS, and discharge to skilled facilities. However, octogenarians had equivalent PD charges and outcome measures when compared with septuagenarians and future studies should validate these findings in larger national studies.
AB - Background Although pancreaticoduodenectomy (PD) is feasible in patients greater than or equal to 80 years, little is known about the potential strain on resource utilization. Methods Outcomes and inpatient charges were compared across age cohorts (I: ≤70, II: 71 to 79, III: ≥80 years) in 99 patients who underwent PD (2005 to 2013) at our institution. The generalized linear modeling approach was used to estimate the impact of age. Results Perioperative complications were equivalent among cohorts. Increasing age was associated with intensive care unit use, increased length of stay (LOS), and the likelihood of discharge to a skilled facility. After controlling for covariates, hospital charges were significantly higher in Cohort III (P =.006) and Cohort II (P =.035) when compared with Cohort I. However, hospital charges between Cohorts II and III were equivalent (P =.374). Complications (P =.005) and LOS (P <.001) were associated with higher hospital charges. Conclusions Increasing age was associated with increased intensive care unit, LOS, and discharge to skilled facilities. However, octogenarians had equivalent PD charges and outcome measures when compared with septuagenarians and future studies should validate these findings in larger national studies.
KW - Age disparity
KW - Octogenarian
KW - Surgical cost analysis
KW - Whipple
UR - http://www.scopus.com/inward/record.url?scp=84951566827&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2015.04.014
DO - 10.1016/j.amjsurg.2015.04.014
M3 - Article
C2 - 26122361
AN - SCOPUS:84951566827
SN - 0002-9610
VL - 211
SP - 70
EP - 75
JO - American journal of surgery
JF - American journal of surgery
IS - 1
ER -