Hospital utilization and disposition among patients with malignant bowel obstruction: a population-based comparison of surgical to medical management.

ABSTRACT:

Background

Malignant bowel obstruction (MBO) is often a terminal event in end-stage cancer patients. The decision to intervene surgically is complex, given the risk of harm in patients with a limited lifespan. Therefore, we sought to compare clinically meaningful outcomes in MBO patients treated with surgical versus medical management using population-based data.

Methods

We performed a retrospective analysis of hospitalized patients with MBO from 2006 to 2010 using the California Office of Statewide Health Planning and Development dataset. Hospital-free days (HFDs) at 30-, 90-, and 180-days were calculated accounting for all hospitalization, emergency department visit, and skilled nursing facility lengths of stay. Adjusted regression models were used to compare HFDs, disposi

SUBMITTER: Bateni SB 

PROVIDER: S-EPMC6258444 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature