ZHOU Jiaming 1,2 , CHEN Xi 1,2 , LIN Rongruo 1,2 , WANG Xiaodong 1 , LI Li 1
  • 1. Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
  • 2. West China School of Medicine in Sichuan University, Chengdu 610041, P. R. China;
LI Li, Email: drlili116@126.com
colorectal cancer; age; hospitalization management; Database from Colorectal Cancer
10.7507/1007-9424.202207019
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Objective  To analyze the influence of the age of colorectal cancer patients served by West China Hospital as a regional center on hospitalization process in the current version of Database from Colorectal Cancer (DACCA). Methods  The DACCA version was updated on January 5, 2022. All data items analyzed included age, date of admission, date of operation, date of discharge, pre-operation time, post-operation time, total hospital stay and management process. Data were assigned to three groups according to age with ≤45, 46–64 and ≥65 years old. Results  After scanning, 8 013 data rows were obtained, from 2005 to 2022. The patients’ ages ranged from 14 to 104 years old, and were (58.01±13.52) years old in average. The results showed that the relationship between age and post-operative time was not statistically related (P>0.05). However, the pre-operative time (P=0.001) and total hospital stay time (P=0.005) were positively correlated with the age of colorectal cancer patients. The pre-operation time was longer in the older-aged group (P=0.021). Youth group had longer total hospital stay than other groups (P=0.028). Additionally, there was significant difference in the management process of colorectal cancer patients of different age groups (χ2=32.824, P＜0.05), but in terms of each process management classification, patients in different age groups had the same choice tendency as the overall choice, with “routine” management accounting for the largest proportion. “ERAS (enhanced recovery after surgery)” management was in the second place. Conclusions  This study showed that the age group of patients with colorectal cancer has a certain influence on the length of hospital stay. Older patients have longer pre-operation time, but the effect of age on the total length of hospital stay still remains to be discussed. The composition of clinical management process varies among different age groups, and the elderly patients received the highest proportion of “ERAS” management process.

Citation： ZHOU Jiaming, CHEN Xi, LIN Rongruo, WANG Xiaodong, LI Li. Relationship between age of patients with colorectal cancer and hospitalization process: a real world study based on DACCA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(8): 1073-1077. doi: 10.7507/1007-9424.202207019 Copy

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