• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • 2022 NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Blog
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
    • All Blog Posts
  • Log In

Outcomes of Laparoscopic Colectomy in Younger and Older Patients

Hemalkumar B Mehta, PhD1, Deepak Adhikari, MS1, Sneha D Sura, MS2, Byron D Hughes, MD, MPH1, Anthony J Senagore, MD, MS, MBA1. 1University of Texas Medical Branch, 2University of Houston

Introduction: Prior studies reported safety and effectiveness of laparoscopic colectomy in older patients, however impending changes in health care reimbursement will require knowledge of costs related to the index hospitalization, post-discharge care, and readmissions. The goal of this study was to examine the impact of laparoscopic colectomy on discharge destination and 30-day readmission rates in younger (age:19-64 years) and older patients (age:65-90 years).

Methods: The study used the nationwide readmission database from 2013, the first nationally representative data on readmissions for patients of all ages. The cohort included adults undergoing elective colectomy: left hemicolectomy, right hemicolectomy, and sigmoidectomy. The outcomes were discharge destination for the index hospitalization (routine, skilled nursing facility [SNF]/ intermediate care facility [ICF], and home health care) and 30-day readmission rate. Multinomial logistic regression was conducted to determine the association of laparoscopic colectomy with discharge destination and multivariable logistic regression for 30-day readmission rates. An interaction between age and colectomy approach was included in determining the effect of laparoscopic colectomy by age on outcomes. Both models were risk-adjusted for age, gender, income, insurance status APR-DRG, Elixhauser comorbidities, hospital bed size, ownership and teaching status.

Results: Of 79,581 colectomy, 40.2% were laparoscopic. Laparoscopic colectomy was more frequent in younger patients (41.9% vs. 38.5%, p<0.0001). Laparoscopic patients were less likely to require additional post-discharge care compared to open colectomy: SNF/ICF (young, 1.3% vs. 7.0%; old, 11.0% vs. 31.0%); and home health (young, 6.0% vs. 23.8%; old, 6.1% vs. 25.1%). Laparoscopic colectomy had lower 30-day readmission rates in both age groups: younger (8.1% vs. 14.2%); and older (9.7% vs. 16.1%). In the risk-adjusted multinomial logistic model, the interaction between age and colectomy was significant for discharge destination. The laparoscopic approach had a more pronounced effect on SNF/ICF discharge location in younger patients (OR 0.35, 95% CI 0.30-0.41) compared to older patients (OR 0.43, 95% CI 0.40-0.46). Similar results were observed for home health discharge (young: OR 0.31, 95% CI 0.29-0.34, and old: OR 0.57, 95% CI 0.54-0.60). The risk-adjusted logistic model showed that laparoscopic colectomy the likelihood of 30-day readmissions in younger (OR 0.77, 95% CI 0.72-0.83) and older patients (OR 0.76, 95% CI, 0.71-0.81); the interaction term was not significant.

Conclusions: Laparoscopic colectomy offers the benefit of the lower level of post-discharge care for both younger and older patients, however regardless of technique age appears to be associated with a greater exposure to post-acute care costs and resource consumption.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78760

Program Number: P003

Presentation Session: Poster of Distinction (Non CME)

Presentation Type: PDIST

37

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2017 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons