Fortsat lang indlæggelse efter nefrektomi i Danmark

Nessn H Azawi, Tom Christensen, Anette Lykke Petri, Henrik Kehlet

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

INTRODUCTION: Implementation of the principles of a fast-track surgical programme resulted in a decrease in the length of hospital stay after open nephrectomies. The aim of this study was to describe the regional distribution of nephrectomies, postoperative hospital stay and mortality.

MATERIAL AND METHODS: This study was based on data extracted from the Danish National Patient Registry for the 2000-2009-period.

RESULTS: A total of 6,790 nephrectomies were performed. The mean postoperative stay and mortality decreased from 10.1 days and 2.6% during the 2000-2004-period to 8.3 days (p > 0.05) and 1.7% (p < 0.05) during the 2005-2009-period. A significant decrease in length of postoperative stay (6.4 versus 9.0 days; p < 0.05) and mortality (0.9% versus 2.1%; p < 0.05) was found between laparoscopic and open nephrectomies, respectively, during the 2005-2009-period. Nephrectomies performed by laparoscopic technique rose from 7.6% to 30.8% (p < 0.05) and laparoscopic nephroureterectomies from 1.7% to 10.3% (p < 0.05) from the 2000-2004-period to the 2005-2009-period.

CONCLUSION: We recommend the implementation of fast-track surgery programmes to further decrease postoperative stay and mortality. A further increase in the use of laparoscopy is warranted.

OriginalsprogDansk
ArtikelnummerA4446
TidsskriftDanish Medical Journal
Vol/bind174
Udgave nummer36
ISSN2245-1919
StatusUdgivet - 2012
Udgivet eksterntJa

Fingeraftryk

Denmark
Nephrectomy
Length of Stay
Hospital Mortality
Registries

Citer dette

Azawi, N. H., Christensen, T., Petri, A. L., & Kehlet, H. (2012). Fortsat lang indlæggelse efter nefrektomi i Danmark. Danish Medical Journal, 174(36), [A4446].
Azawi, Nessn H ; Christensen, Tom ; Petri, Anette Lykke ; Kehlet, Henrik. / Fortsat lang indlæggelse efter nefrektomi i Danmark. I: Danish Medical Journal. 2012 ; Bind 174, Nr. 36.
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Azawi, NH, Christensen, T, Petri, AL & Kehlet, H 2012, 'Fortsat lang indlæggelse efter nefrektomi i Danmark', Danish Medical Journal, bind 174, nr. 36, A4446.

Fortsat lang indlæggelse efter nefrektomi i Danmark. / Azawi, Nessn H; Christensen, Tom; Petri, Anette Lykke; Kehlet, Henrik.

I: Danish Medical Journal, Bind 174, Nr. 36, A4446, 2012.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Fortsat lang indlæggelse efter nefrektomi i Danmark

AU - Azawi, Nessn H

AU - Christensen, Tom

AU - Petri, Anette Lykke

AU - Kehlet, Henrik

PY - 2012

Y1 - 2012

N2 - INTRODUCTION: Implementation of the principles of a fast-track surgical programme resulted in a decrease in the length of hospital stay after open nephrectomies. The aim of this study was to describe the regional distribution of nephrectomies, postoperative hospital stay and mortality.MATERIAL AND METHODS: This study was based on data extracted from the Danish National Patient Registry for the 2000-2009-period.RESULTS: A total of 6,790 nephrectomies were performed. The mean postoperative stay and mortality decreased from 10.1 days and 2.6% during the 2000-2004-period to 8.3 days (p > 0.05) and 1.7% (p < 0.05) during the 2005-2009-period. A significant decrease in length of postoperative stay (6.4 versus 9.0 days; p < 0.05) and mortality (0.9% versus 2.1%; p < 0.05) was found between laparoscopic and open nephrectomies, respectively, during the 2005-2009-period. Nephrectomies performed by laparoscopic technique rose from 7.6% to 30.8% (p < 0.05) and laparoscopic nephroureterectomies from 1.7% to 10.3% (p < 0.05) from the 2000-2004-period to the 2005-2009-period.CONCLUSION: We recommend the implementation of fast-track surgery programmes to further decrease postoperative stay and mortality. A further increase in the use of laparoscopy is warranted.

AB - INTRODUCTION: Implementation of the principles of a fast-track surgical programme resulted in a decrease in the length of hospital stay after open nephrectomies. The aim of this study was to describe the regional distribution of nephrectomies, postoperative hospital stay and mortality.MATERIAL AND METHODS: This study was based on data extracted from the Danish National Patient Registry for the 2000-2009-period.RESULTS: A total of 6,790 nephrectomies were performed. The mean postoperative stay and mortality decreased from 10.1 days and 2.6% during the 2000-2004-period to 8.3 days (p > 0.05) and 1.7% (p < 0.05) during the 2005-2009-period. A significant decrease in length of postoperative stay (6.4 versus 9.0 days; p < 0.05) and mortality (0.9% versus 2.1%; p < 0.05) was found between laparoscopic and open nephrectomies, respectively, during the 2005-2009-period. Nephrectomies performed by laparoscopic technique rose from 7.6% to 30.8% (p < 0.05) and laparoscopic nephroureterectomies from 1.7% to 10.3% (p < 0.05) from the 2000-2004-period to the 2005-2009-period.CONCLUSION: We recommend the implementation of fast-track surgery programmes to further decrease postoperative stay and mortality. A further increase in the use of laparoscopy is warranted.

KW - Aged

KW - Denmark

KW - Female

KW - Humans

KW - Laparoscopy

KW - Length of Stay

KW - Male

KW - Middle Aged

KW - Nephrectomy

KW - Registries

KW - Statistics, Nonparametric

KW - Ureter

KW - Journal Article

M3 - Tidsskriftartikel

VL - 174

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 1603-9629

IS - 36

M1 - A4446

ER -

Azawi NH, Christensen T, Petri AL, Kehlet H. Fortsat lang indlæggelse efter nefrektomi i Danmark. Danish Medical Journal. 2012;174(36). A4446.