Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en México
Background: Diagnosis of colorectal cancer (CRC) after emergency presentation is associated with a worse prognosis. Aim: The aim of the study was to determine the sociodemographic factors related with emergency CRC surgery at our institution. Methods: From January 2009 to December 2017, patients tha...
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| Format: | Article |
| Language: | English |
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Permanyer
2021-01-01
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| Series: | Cirugía y Cirujanos |
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| Online Access: | https://www.cirugiaycirujanos.com/frame_esp.php?id=443 |
| _version_ | 1797823405371686912 |
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| author | Omar Vergara-Fernández Óscar Santes Danilo Solórzano-Vicuña Paulina Moctezuma-Velázquez Juan C. Sainz Francisco E. Alvarez-Bautista Noel Salgado-Nesme |
| author_facet | Omar Vergara-Fernández Óscar Santes Danilo Solórzano-Vicuña Paulina Moctezuma-Velázquez Juan C. Sainz Francisco E. Alvarez-Bautista Noel Salgado-Nesme |
| author_sort | Omar Vergara-Fernández |
| collection | DOAJ |
| description | Background: Diagnosis of colorectal cancer (CRC) after emergency presentation is associated with a worse prognosis. Aim: The aim of the study was to determine the sociodemographic factors related with emergency CRC surgery at our institution. Methods: From January 2009 to December 2017, patients that underwent CRC surgery at our institution were included in the study. Univariate and multivariate logistic regression were used to determine the effect of the potential risk factors on the rate of emergency surgery. Results: A total of 247 patients underwent CRC surgery at our institution. The rate of emergency surgery was 7.7%. On univariate analysis, patients without a family history of cancer (odds ratio [OR]: 4.95), living in a rural area (OR: 3.7), and late clinical cancer stage (OR: 5.06) were associated with emergent surgery. Mid-income status was a protective factor for emergency surgery (OR: 0.14, p = 0.003). On multivariate analysis, late clinical cancer stage (OR: 4.41, 95% CI 1.21-16.05, p = 0.024) and mid-income economic status (OR: 0.41, 95% CI 0.04-0.55, p = 0.004) were identified as independent risk factors for emergency surgery. Conclusion: Social, economic, and demographic factors were identified as predictors for emergent CRC surgery.
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| first_indexed | 2024-03-13T10:23:33Z |
| format | Article |
| id | doaj.art-1c61da14d41540949ac6e44e32367b26 |
| institution | Directory Open Access Journal |
| issn | 2444-054X |
| language | English |
| last_indexed | 2024-03-13T10:23:33Z |
| publishDate | 2021-01-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Cirugía y Cirujanos |
| spelling | doaj.art-1c61da14d41540949ac6e44e32367b262023-05-19T20:23:11ZengPermanyerCirugía y Cirujanos2444-054X2021-01-0189110.24875/CIRU.20000042Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en MéxicoOmar Vergara-Fernández0Óscar Santes1Danilo Solórzano-Vicuña2Paulina Moctezuma-Velázquez3Juan C. Sainz4Francisco E. Alvarez-Bautista5Noel Salgado-Nesme6Division of Colorectal Surgery, Instituto Nacional de Ciencias Médicas y Nutrición ”Salvador Zubirán”, Mexico City, MexicoDepartamento de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, MéxicoDepartamento de Cirugía de Colon y Recto, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, MexicoDivision of Colorectal Surgery, Instituto Nacional de Ciencias Médicas y Nutrición ”Salvador Zubirán”, Mexico City, MexicoDepartamento de Cirugía de Colon y Recto, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, MexicoDivision of Colorectal Surgery, Instituto Nacional de Ciencias Médicas y Nutrición ”Salvador Zubirán”, Mexico City, MexicoDivision of Colorectal Surgery, Instituto Nacional de Ciencias Médicas y Nutrición ”Salvador Zubirán”, Mexico City, MexicoBackground: Diagnosis of colorectal cancer (CRC) after emergency presentation is associated with a worse prognosis. Aim: The aim of the study was to determine the sociodemographic factors related with emergency CRC surgery at our institution. Methods: From January 2009 to December 2017, patients that underwent CRC surgery at our institution were included in the study. Univariate and multivariate logistic regression were used to determine the effect of the potential risk factors on the rate of emergency surgery. Results: A total of 247 patients underwent CRC surgery at our institution. The rate of emergency surgery was 7.7%. On univariate analysis, patients without a family history of cancer (odds ratio [OR]: 4.95), living in a rural area (OR: 3.7), and late clinical cancer stage (OR: 5.06) were associated with emergent surgery. Mid-income status was a protective factor for emergency surgery (OR: 0.14, p = 0.003). On multivariate analysis, late clinical cancer stage (OR: 4.41, 95% CI 1.21-16.05, p = 0.024) and mid-income economic status (OR: 0.41, 95% CI 0.04-0.55, p = 0.004) were identified as independent risk factors for emergency surgery. Conclusion: Social, economic, and demographic factors were identified as predictors for emergent CRC surgery. https://www.cirugiaycirujanos.com/frame_esp.php?id=443Colorectal cancer. Emergency colorectal surgery. Late diagnosis. |
| spellingShingle | Omar Vergara-Fernández Óscar Santes Danilo Solórzano-Vicuña Paulina Moctezuma-Velázquez Juan C. Sainz Francisco E. Alvarez-Bautista Noel Salgado-Nesme Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en México Cirugía y Cirujanos Colorectal cancer. Emergency colorectal surgery. Late diagnosis. |
| title | Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en México |
| title_full | Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en México |
| title_fullStr | Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en México |
| title_full_unstemmed | Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en México |
| title_short | Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en México |
| title_sort | factores sociodemograficos asociados a cirugia de cancer colorrectal de urgencia en un centro de referencia en mexico |
| topic | Colorectal cancer. Emergency colorectal surgery. Late diagnosis. |
| url | https://www.cirugiaycirujanos.com/frame_esp.php?id=443 |
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