Impact of Emergency Presentation on Colon Cancer Surgical Stay and Outcomes

Ramzi Amri,1,2 Liliana G Bordeianou,1,2 Patricia Sylla,1,2 David L Berger 1,2

1 Massachusetts General Hospital, Division of General and Gastrointestinal Surgery.2 Harvard Medical School, Department of Surgery.

04/14/23 9th Annual Academic Surgical Congress, February 4-6 2014Integrated Quick Shot Session I: Oncology 3: Colorectal (10.12)

Introduction

In colon cancer•Symptomatic presentation is a known poor prognostic factor•ER presentation = symptomatic presentation•Advanced disease?•Complicated stay?•Worse outcomes?

What is the magnitude of this effect?

Methods

• Colon cancer surgeries at MGH (2004-2011: n=1071)

ER presentation

+ necessary to admit

+ DDx: colon cancer

+ operated on within that admission

+ colon cancer on PA

= Emergency admission (n=102)

Results

Results

Results

Results

Conclusions

ER admission for colon cancer:•Worse stage•More complications, perioperative death.

Stage-independent effect on survival:•Aggressive tumor biology?•Worse lifestyle?•Access to care?•Health literacy?Quintessential high risk population

Questions?

Disclosures: None.

W: hsph.me/ramri