Original scientific articleThe impact of complications on outcomes after resection for esophageal and gastroesophageal junction carcinoma☆
Section snippets
Study overview
We performed a retrospective review of the medical records of patients who had an esophagogastrectomy for invasive adenocarcinoma or squamous cell carcinoma of the esophagus or the gastroesophageal junction at Memorial Sloan Kettering between January 1996 and December 2001. January 1996 was the point at which an institutional electronic medical record system with complete treatment data was initiated. The review was performed by a single investigator (NPR) and consisted of a complete
Patient characteristics
We sampled all patients who underwent an operation for invasive squamous cell carcinoma or adenocarcinoma (n = 531). We then used the Social Security Death Index to make certain that all deaths were captured. We excluded from analysis patients who did not have a social security number (n = 11) and whose date of death could not be confirmed. Of these 11 patients who were lost to followup 2 had operative complications and 9 did not. Because of the initiation of an institutional electronic medical
Discussion
For patients who are fit to undergo esophagogastrectomy for localized cancer, quality improvement initiatives may enhance outcome. In this study we observed that patients whose operations were not associated with technical complications had fewer shortterm complications, shorter lengths of stay, and substantially better overall survival than those whose operations had technical complications. Between the two groups, the absolute survival difference was 17% 3 years after operation. We found no
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No competing interests declared.