Authors
Maia Kayal, Aparna Saha, Priti Poojary, Sudarshan Paramsothy, Robert Hirten, Louis Cohen, Zane Gallinger, Saurabh Mehandru, Judy Cho, Alexander Greenstein, Girish Nadkarni, Marla C Dubinsky, Jean-Frederic Colombel, Benjamin Cohen, Ryan Ungaro
Publication date
2019/10
Journal
International journal of colorectal disease
Volume
34
Pages
1771-1779
Publisher
Springer Berlin Heidelberg
Description
Purpose
Despite advances in biologic therapy, approximately 10–15% of ulcerative colitis (UC) patients require surgery. We aimed to (1) examine the rates of emergent colectomy and elective ileal pouch anal anastomosis (IPAA) over time among UC patients in the USA and (2) investigate disparities in surgery rates by patient demographics.
Methods
Data from the Nationwide Inpatient Sample (NIS) from 2000 to 2014 were analyzed. Inclusion criteria were admissions with a primary UC ICD-9-CM diagnosis code and age > 18. Emergent cases were defined as those admitted through the emergency room with an outcome ICD-9-CM code for subtotal colectomy. Elective IPAA cases were defined with an outcome ICD-9-CM code for IPAA, used as a surrogate measure of colectomy. Patient and hospital-level demographics were analyzed. Temporal trends …
Total citations
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