Faculty Collaboration Database

Results of colectomy in elderly patients with colon cancer, based on Medicare claims data. Am J Surg 1992 Jun;163(6):572-6

Date

06/01/1992

Pubmed ID

1308654

DOI

10.1016/0002-9610(92)90559-a

Scopus ID

2-s2.0-0026651715 (requires institutional sign-in at Scopus site)   51 Citations

Abstract

Currently available estimates of outcomes following colon resection in elderly patients with colon cancer are based on series collected at academic medical centers. We used Medicare Part A claims and enrollment records of a 5% nationally random sample of elderly Medicare beneficiaries from 1983 to 1985 to estimate how patient age and sex affected perioperative mortality and 1- and 2-year survival rates among elderly patients undergoing a colon resection procedure for colon cancer. Among the 5,586 individuals in our data set, the overall perioperative mortality rate was 5.0%, ranging from 3.3% in beneficiaries 66 to 69 years of age to 9.3% in those 85 years of age and older. Men had a 31% higher perioperative mortality rate than women (5.8% versus 4.4%, p less than 0.05). The overall postoperative survival rates at 1 and 2 years were 72% and 63%, respectively, decreasing with increasing age, but were similar in men and women. This analysis provides age- and sex-specific estimates of outcomes following surgery for elderly patients with colon cancer that are more precise and have more potential for generalization than those that were available previously.

Author List

Whittle J, Steinberg EP, Anderson GF, Herbert R

Author

Jeffrey Whittle MD Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Age Factors
Aged
Aged, 80 and over
Colectomy
Colonic Neoplasms
Confidence Intervals
Female
Humans
Life Expectancy
Logistic Models
Male
Medical Audit
Medicare Part A
Regression Analysis
Sex Factors
Survival Rate
Treatment Outcome
United States