Alexander M Ballatori, Shane Shahrestani, Andy Ton, Xiao T Chen, Tarek Yamout, Brandon S Gettleman, Nathanael D Heckmann, Lawrence R Menendez, Alexander B Christ
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The purpose of this study is to compare readmissions, reoperation rate, and complications following surgical excision of soft/connective tissue vs bone malignancies of the upper and lower extremities.</p><p><strong>Methods: </strong>The Nationwide Readmissions Database (NRD) was queried from 2016-2017 to conduct a retrospective analysis of 16,435 patients diagnosed with malignant neoplasms of the long bone (ULLB, <i>n</i> = 1,433) and soft tissue (ULST, <i>n</i> = 2,049) of the upper limb and malignant neoplasms of the long bone (LLLB, <i>n</i> = 5,422) and soft tissue (LLST, <i>n</i> = 7,531) of the lower limb. Patients who underwent surgical excision of their neoplasms were included. Binomial multivariate logistic regression was used to compare complications, nonelective readmission rates, and reoperation rates between the two groups at 30 and 90 days.</p><p><strong>Results: </strong>Average age of the ULST group was 61.88, with 36% female. Average age of the ULLB group was 44.97, with 41.90% female. Average age of the LLST group was 60.96, with 46.90% female. Average age of the LLLB group was 43.09, with 42.60% female. The ULST group had lower odds of readmission within 30 days (<i>p</i>=0.263), which became significant within 90 days of surgery (<i>p</i>=0.045). The LLST group had significantly higher odds of infection, reoperation within 30 to 90 days of the index surgery compared to the LLLB group (<i>p</i> < 0.0001). The LLST group had significantly lower odds of readmission within 30 (<i>p</i>=0.04) and 90 days (<i>p</i>=0.015) of the index surgery.</p><p><strong>Conclusion: </strong>Patients in the ULST group had significantly lower odds of 90-day readmission compared to the ULLB group. There were also significantly lower odds of 30- and 90-day readmission in the LLST group compared to the LLLB group. However, the LLST group had significantly higher odds of infection and reoperation within 30 and 90 days compared to the LLLB group.</p>","PeriodicalId":21431,"journal":{"name":"Sarcoma","volume":"2023 ","pages":"5455719"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10023224/pdf/","citationCount":"0","resultStr":"{\"title\":\"Postoperative Complication and Reoperation Rates Following Resection of Soft Tissue vs. Bone Malignancies Based on Anatomic Location in the Inpatient Setting.\",\"authors\":\"Alexander M Ballatori, Shane Shahrestani, Andy Ton, Xiao T Chen, Tarek Yamout, Brandon S Gettleman, Nathanael D Heckmann, Lawrence R Menendez, Alexander B Christ\",\"doi\":\"10.1155/2023/5455719\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Surgical excisions of upper and lower extremity malignancies are increasing annually, due in part to the rising incidence of sarcomas. The purpose of this study is to compare readmissions, reoperation rate, and complications following surgical excision of soft/connective tissue vs bone malignancies of the upper and lower extremities.</p><p><strong>Methods: </strong>The Nationwide Readmissions Database (NRD) was queried from 2016-2017 to conduct a retrospective analysis of 16,435 patients diagnosed with malignant neoplasms of the long bone (ULLB, <i>n</i> = 1,433) and soft tissue (ULST, <i>n</i> = 2,049) of the upper limb and malignant neoplasms of the long bone (LLLB, <i>n</i> = 5,422) and soft tissue (LLST, <i>n</i> = 7,531) of the lower limb. Patients who underwent surgical excision of their neoplasms were included. Binomial multivariate logistic regression was used to compare complications, nonelective readmission rates, and reoperation rates between the two groups at 30 and 90 days.</p><p><strong>Results: </strong>Average age of the ULST group was 61.88, with 36% female. Average age of the ULLB group was 44.97, with 41.90% female. Average age of the LLST group was 60.96, with 46.90% female. Average age of the LLLB group was 43.09, with 42.60% female. The ULST group had lower odds of readmission within 30 days (<i>p</i>=0.263), which became significant within 90 days of surgery (<i>p</i>=0.045). The LLST group had significantly higher odds of infection, reoperation within 30 to 90 days of the index surgery compared to the LLLB group (<i>p</i> < 0.0001). The LLST group had significantly lower odds of readmission within 30 (<i>p</i>=0.04) and 90 days (<i>p</i>=0.015) of the index surgery.</p><p><strong>Conclusion: </strong>Patients in the ULST group had significantly lower odds of 90-day readmission compared to the ULLB group. There were also significantly lower odds of 30- and 90-day readmission in the LLST group compared to the LLLB group. However, the LLST group had significantly higher odds of infection and reoperation within 30 and 90 days compared to the LLLB group.</p>\",\"PeriodicalId\":21431,\"journal\":{\"name\":\"Sarcoma\",\"volume\":\"2023 \",\"pages\":\"5455719\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10023224/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sarcoma\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2023/5455719\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sarcoma","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2023/5455719","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
导读:上肢和下肢恶性肿瘤的手术切除每年都在增加，部分原因是肉瘤发病率的上升。本研究的目的是比较软性/结缔组织与上肢和下肢骨恶性肿瘤手术切除后的再入院率、再手术率和并发症。方法:查询2016-2017年全国再入院数据库(NRD)，对16435例诊断为上肢长骨恶性肿瘤(ULLB, n = 1433)、软组织恶性肿瘤(ULST, n = 2049)和下肢长骨恶性肿瘤(LLLB, n = 5422)、软组织恶性肿瘤(LLST, n = 7531)的患者进行回顾性分析。接受手术切除肿瘤的患者也包括在内。采用二项多因素logistic回归比较两组患者在30天和90天的并发症、非选择性再入院率和再手术率。结果:ULST组患者平均年龄61.88岁，女性占36%。ULLB组平均年龄44.97岁，女性占41.90%。LLST组平均年龄60.96岁，女性占46.90%。LLLB组平均年龄43.09岁，女性占42.60%。ULST组在30天内再入院的几率较低(p=0.263)，这在90天内变得显著(p=0.045)。与LLLB组相比，LLST组在指数手术后30 ~ 90天内感染和再手术的几率显著高于LLLB组(p < 0.0001)。LLST组在指数手术后30天(p=0.04)和90天(p=0.015)内再入院的几率显著降低。结论:ULST组患者90天再入院率明显低于ULLB组。与LLLB组相比，LLST组30天和90天再入院的几率也显著降低。然而，与LLLB组相比，LLST组在30天和90天内感染和再手术的几率明显更高。
Postoperative Complication and Reoperation Rates Following Resection of Soft Tissue vs. Bone Malignancies Based on Anatomic Location in the Inpatient Setting.
Introduction: Surgical excisions of upper and lower extremity malignancies are increasing annually, due in part to the rising incidence of sarcomas. The purpose of this study is to compare readmissions, reoperation rate, and complications following surgical excision of soft/connective tissue vs bone malignancies of the upper and lower extremities.
Methods: The Nationwide Readmissions Database (NRD) was queried from 2016-2017 to conduct a retrospective analysis of 16,435 patients diagnosed with malignant neoplasms of the long bone (ULLB, n = 1,433) and soft tissue (ULST, n = 2,049) of the upper limb and malignant neoplasms of the long bone (LLLB, n = 5,422) and soft tissue (LLST, n = 7,531) of the lower limb. Patients who underwent surgical excision of their neoplasms were included. Binomial multivariate logistic regression was used to compare complications, nonelective readmission rates, and reoperation rates between the two groups at 30 and 90 days.
Results: Average age of the ULST group was 61.88, with 36% female. Average age of the ULLB group was 44.97, with 41.90% female. Average age of the LLST group was 60.96, with 46.90% female. Average age of the LLLB group was 43.09, with 42.60% female. The ULST group had lower odds of readmission within 30 days (p=0.263), which became significant within 90 days of surgery (p=0.045). The LLST group had significantly higher odds of infection, reoperation within 30 to 90 days of the index surgery compared to the LLLB group (p < 0.0001). The LLST group had significantly lower odds of readmission within 30 (p=0.04) and 90 days (p=0.015) of the index surgery.
Conclusion: Patients in the ULST group had significantly lower odds of 90-day readmission compared to the ULLB group. There were also significantly lower odds of 30- and 90-day readmission in the LLST group compared to the LLLB group. However, the LLST group had significantly higher odds of infection and reoperation within 30 and 90 days compared to the LLLB group.
SarcomaMedicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.00
自引率
0.00%
发文量
15
审稿时长
14 weeks
期刊介绍：
Sarcoma is dedicated to publishing papers covering all aspects of connective tissue oncology research. It brings together work from scientists and clinicians carrying out a broad range of research in this field, including the basic sciences, molecular biology and pathology and the clinical sciences of epidemiology, surgery, radiotherapy and chemotherapy. High-quality papers concerning the entire range of bone and soft tissue sarcomas in both adults and children, including Kaposi"s sarcoma, are published as well as preclinical and animal studies. This journal provides a central forum for the description of advances in diagnosis, assessment and treatment of this rarely seen, but often mismanaged, group of patients.
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