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Gender as a Predictor of Complications in Endoscopic Sinus Surgery.

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Title: Gender as a Predictor of Complications in Endoscopic Sinus Surgery.
Authors: Sharma, Rahul K., Dodhia, Sonam, Golub, Justin S., Overdevest, Jonathan B., Gudis, David A.
Source: Annals of Otology, Rhinology & Laryngology. Aug2021, Vol. 130 Issue 8, p892-898. 7p.
Subjects: Paranasal sinus surgery, Evaluation of human services programs, Nosology, Confidence intervals, Multivariate analysis, Adenoidectomy, Surgical complications, Retrospective studies, Regression analysis, Patient readmissions, Race, Health outcome assessment, Sex distribution, Risk assessment, Sinusitis, Quality assurance, Tonsillectomy, Reoperation, Descriptive statistics, Logistic regression analysis, Smoking, Odds ratio, Data analytics, Endoscopy, Longitudinal method, Comorbidity
Geographic Terms: United States
Abstract: Background: Understanding patient-specific risk factors for complications of functional endoscopic sinus surgery (ESS) is critical. Previous work has investigated such risk factors, but a population-based analysis has not been performed to date. Objectives: This study analyzes the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to identify patient-specific risk factors associated with complications following ESS. Methods: A retrospective cohort study of patients who underwent ESS was conducted using the NSQIP database from 2011 to 2017. Patients were identified using CPT-codes for ESS procedures. The primary outcome analyzed was any postoperative complication. Simultaneous procedures with ESS were controlled for with regression analysis. Post-operative complications and 30-day readmission were evaluated using multivariate logistic regression controlling for age, gender, race, comorbidities (diabetes mellitus, hypertension, chronic obstructive pulmonary disease, congestive heart failure, renal failure, steroid use, and cancer history), smoking history, and intraoperative factors. Results: A total of 1279 patients who underwent ESS were identified. The average age of patients was 46.1 (SD = 16.8). Most patients (58.2%) had no major comorbidities. 594 (46.4%) patients had a tonsillectomy, adenoidectomy, or uvulopharyngoplasty at the same time as ESS. 101 (7.9%) patients experienced a complication post-operatively. 46 (3.6%) patients experienced a readmission postoperatively. The most common complication was reoperation (N = 40, 3.1%). Regression analysis revealed that gender was the only demographic factor associated with risk of post-operative complications, with women having a significantly lower risk than men (OR = 0.61, 95% CI 0.37-0.99, P =.046). Conclusions: ESS is typically performed on a relatively young and healthy population. Women have a significantly lower risk of complications after controlling for comorbidities. Further analysis of gender-specific differences in surgical outcomes should be evaluated to understand this phenomenon. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Gender as a Predictor of Complications in Endoscopic Sinus Surgery.
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  Data: <searchLink fieldCode="AR" term="%22Sharma%2C+Rahul+K%2E%22">Sharma, Rahul K.</searchLink><br /><searchLink fieldCode="AR" term="%22Dodhia%2C+Sonam%22">Dodhia, Sonam</searchLink><br /><searchLink fieldCode="AR" term="%22Golub%2C+Justin+S%2E%22">Golub, Justin S.</searchLink><br /><searchLink fieldCode="AR" term="%22Overdevest%2C+Jonathan+B%2E%22">Overdevest, Jonathan B.</searchLink><br /><searchLink fieldCode="AR" term="%22Gudis%2C+David+A%2E%22">Gudis, David A.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Otology%2C+Rhinology+%26+Laryngology%22">Annals of Otology, Rhinology & Laryngology</searchLink>. Aug2021, Vol. 130 Issue 8, p892-898. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Paranasal+sinus+surgery%22">Paranasal sinus surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Nosology%22">Nosology</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Adenoidectomy%22">Adenoidectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+readmissions%22">Patient readmissions</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Sinusitis%22">Sinusitis</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Tonsillectomy%22">Tonsillectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Reoperation%22">Reoperation</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analytics%22">Data analytics</searchLink><br /><searchLink fieldCode="DE" term="%22Endoscopy%22">Endoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink>
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  Group: Su
  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Understanding patient-specific risk factors for complications of functional endoscopic sinus surgery (ESS) is critical. Previous work has investigated such risk factors, but a population-based analysis has not been performed to date. Objectives: This study analyzes the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to identify patient-specific risk factors associated with complications following ESS. Methods: A retrospective cohort study of patients who underwent ESS was conducted using the NSQIP database from 2011 to 2017. Patients were identified using CPT-codes for ESS procedures. The primary outcome analyzed was any postoperative complication. Simultaneous procedures with ESS were controlled for with regression analysis. Post-operative complications and 30-day readmission were evaluated using multivariate logistic regression controlling for age, gender, race, comorbidities (diabetes mellitus, hypertension, chronic obstructive pulmonary disease, congestive heart failure, renal failure, steroid use, and cancer history), smoking history, and intraoperative factors. Results: A total of 1279 patients who underwent ESS were identified. The average age of patients was 46.1 (SD = 16.8). Most patients (58.2%) had no major comorbidities. 594 (46.4%) patients had a tonsillectomy, adenoidectomy, or uvulopharyngoplasty at the same time as ESS. 101 (7.9%) patients experienced a complication post-operatively. 46 (3.6%) patients experienced a readmission postoperatively. The most common complication was reoperation (N = 40, 3.1%). Regression analysis revealed that gender was the only demographic factor associated with risk of post-operative complications, with women having a significantly lower risk than men (OR = 0.61, 95% CI 0.37-0.99, P =.046). Conclusions: ESS is typically performed on a relatively young and healthy population. Women have a significantly lower risk of complications after controlling for comorbidities. Further analysis of gender-specific differences in surgical outcomes should be evaluated to understand this phenomenon. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=151158589
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    Identifiers:
      – Type: doi
        Value: 10.1177/0003489420987418
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        Text: English
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        PageCount: 7
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    Subjects:
      – SubjectFull: Paranasal sinus surgery
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Nosology
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Adenoidectomy
        Type: general
      – SubjectFull: Surgical complications
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Patient readmissions
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Sinusitis
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      – SubjectFull: Quality assurance
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      – SubjectFull: Tonsillectomy
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Comorbidity
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      – SubjectFull: United States
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      – TitleFull: Gender as a Predictor of Complications in Endoscopic Sinus Surgery.
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              Text: Aug2021
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              Y: 2021
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