About: Outcomes of Paraesophageal Hernia Repair: Analysis of the Veterans Affairs Surgical Quality Improvement Program Database

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About: Outcomes of Paraesophageal Hernia Repair: Analysis of the Veterans Affairs Surgical Quality Improvement Program Database Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Outcomes of Paraesophageal Hernia Repair: Analysis of the Veterans Affairs Surgical Quality Improvement Program Database
Creator	Brody, Fred Chen, Sheena Lee, & Randall, James Walters, Jarvis
topic	covid:9894672ce867c47c00c11568c97d4276e5471ebf#this
Source	PMC
abstract	BACKGROUND: While there have been many outcome studies on paraesophageal hernia repair in the civilian population, there is sparse recent data on the veteran population. This study analyzes the mortality and morbidities of veterans who underwent paraesophageal hernia repair in the Veterans Affairs Surgical Quality Improvement Program database. METHODS: Veterans who underwent paraesophageal hernia repair from 2010 to 2017 were identified using Current Procedural Terminology codes. Multivariable analysis was used to compare laparoscopic and open, including abdominal and thoracic approaches, groups. The outcomes were postoperative complications and mortality. RESULTS: There were 1607 patients in the laparoscopic group and 366 in the open group, with 84.1% men and mean age of 61 years. Gender and body mass index did not influence the type of surgical approach. The mortality rates at 30 and 180 days were 0.5% and 0.7%, respectively. Postoperative complications, including reintubation (2.2%), pneumonia (2.0%), intubation > 48 h (2.0%), and sepsis (2.0%) were higher in the open group (15.9% versus 7.2%, p < 0.001). The laparoscopic group had a significantly shorter length of stay (4.3 versus 9.6 days, p < 0.001) and a lower percentage of return to surgery within 30 days (3.9% versus 8.2%, p < 0.001) than the open group. The ratio of open versus laparoscopic paraesophageal hernia repairs varied significantly by different Veterans Integrated Services Network regions. CONCLUSIONS: Veterans undergoing laparoscopic paraesophageal hernia repair experience similar outcomes as patients in the private sector. Veterans who underwent laparoscopic paraesophageal hernia repair had significantly less complications compared to an open approach even after adjusting for patient comorbidities and demographics. The difference in open versus laparoscopic practices between various regions requires further investigation.
has issue date	2020-06-04(xsd:dateTime)
bibo:doi	10.1007/s11605-020-04650-2
bibo:pmid	32500419
has license	no-cc
sha1sum (hex)	9894672ce867c47c00c11568c97d4276e5471ebf
schema:url	https://doi.org/10.1007/s11605-020-04650-2
resource representing a document's title	Outcomes of Paraesophageal Hernia Repair: Analysis of the Veterans Affairs Surgical Quality Improvement Program Database
has PubMed Central identifier	PMC7272139
has PubMed identifier	32500419
schema:publication	J Gastrointest Surg
resource representing a document's body	covid:9894672ce867c47c00c11568c97d4276e5471ebf#body_text
is http://vocab.deri.ie/void#inDataset of	proxy:http/ns.inria.fr/covid19/9894672ce867c47c00c11568c97d4276e5471ebf
is schema:about of	named entity 'laparoscopic' named entity 'compare' named entity 'influence' named entity 'length' named entity 'complications' named entity 'stay' named entity 'repair' named entity 'demographics' named entity 'laparoscopic' named entity 'Outcomes' named entity 'open' named entity 'open' named entity 'repair' named entity 'population' named entity 'groups' named entity 'repairs' named entity 'Veterans' named entity 'mortality' named entity 'Maine' named entity 'database' named entity 'hernia' named entity 'CHF' named entity 'VA hospitals' named entity 'database' named entity 'myocardial infarction' named entity 'private sector' named entity 'Puerto Rico' named entity 'database' named entity 'CPT' named entity 'database' named entity 'West Virginia' named entity 'thoracic surgeons' named entity 'thoracotomy' named entity 'comorbidities' named entity 'VA hospitals' named entity 'laparoscopic' named entity 'morbidities' named entity 'VA hospitals' named entity 'general surgery' named entity 'tobacco smokers' named entity 'operating room' named entity 'hypertension' named entity 'mortality rate' named entity 'morbidity' named entity 'Kansas' named entity 'National Surgical Quality Improvement Program' named entity 'quality of life' named entity 'intubated' named entity 'comorbidities' named entity 'from 1999 to 2008' named entity '2017' named entity 'ratio' named entity 'intubation' named entity 'laparoscopic' named entity 'sepsis' named entity 'outcome studies' named entity 'Hernia Repair' named entity 'Database' named entity 'laparoscopic' named entity 'study' named entity 'This' named entity 'operating room' named entity 'BMI' named entity 'hernia repair' named entity 'statistically significant' named entity 'Inpatient' named entity 'laparoscopic' named entity 'thoracic surgeons' named entity 'private sector' named entity 'CPRS' named entity 'pulmonary complications' named entity 'hernia repair' named entity 'Veterans Affairs' named entity 'database' named entity 'laparoscopic'

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