Impact of Emergency Presentation on Colon Cancer Surgical Stay and Outcomes Ramzi Amri , 1,2 Liliana G Bordeianou, 1,2 Patricia Sylla, 1,2 David L Berger 1,2 1 Massachusetts General Hospital, Division of General and Gastrointestinal Surgery. 2 Harvard Medical School, Department of Surgery. 03/26/22 9 th Annual Academic Surgical Congress, February 4-6 2014 Integrated Quick Shot Session I: Oncology 3: Colorectal (10.12)
Impact of Emergency Presentation on Colon Cancer Surgical Stay and Outcomes
Jul 24, 2015
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Impact of Emergency Presentation on Colon Cancer Surgical Stay and Outcomes
Ramzi Amri,1,2 Liliana G Bordeianou,1,2 Patricia Sylla,1,2 David L Berger 1,2
1 Massachusetts General Hospital, Division of General and Gastrointestinal Surgery.2 Harvard Medical School, Department of Surgery.
04/14/23 9th Annual Academic Surgical Congress, February 4-6 2014Integrated Quick Shot Session I: Oncology 3: Colorectal (10.12)
Introduction
In colon cancer•Symptomatic presentation is a known poor prognostic factor•ER presentation = symptomatic presentation•Advanced disease?•Complicated stay?•Worse outcomes?
What is the magnitude of this effect?
Methods
• Colon cancer surgeries at MGH (2004-2011: n=1071)
ER presentation
+ necessary to admit
+ DDx: colon cancer
+ operated on within that admission
+ colon cancer on PA
= Emergency admission (n=102)
Results
Results
Results
Results
Conclusions
ER admission for colon cancer:•Worse stage•More complications, perioperative death.
Stage-independent effect on survival:•Aggressive tumor biology?•Worse lifestyle?•Access to care?•Health literacy?Quintessential high risk population
Questions?
Disclosures: None.
W: hsph.me/ramri
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