BMI of colorectal cancer patients will affect post-operative hospital stay: a real world study based on DACCA_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Yong ¹ , LIU Guina ² , GONG Jiaqi ² ,  WANG Xiaodong ¹ , LI Li ¹ , ZHOU Zongguang ¹

1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. West China School of Medicine in Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

WANG Xiaodong, Email: wangxiaodong@wchscu.cn

Keywords：

colorectal cancer; BMI; database; hospitalization management

DOI：

10.7507/1007-9424.202110008

Video：

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Objective To analyze the impact of body mass index (BMI) on hospitalization process of colorectal cancer patients served by West China Hospital, based on the current version of Database from Colorectal Cancer (DACCA). Methods The data of DACCA was updated on April 30, 2021. All data items included BMI, visiting data, admission date, operation date, discharging date, pre-hospitalization time, pre-operation time, post-operation time, total hospital stay, and management process. Results After scanning, 5 564 data rows were analyzed, from 2007 to 2021. The range of BMI was 11.02–39.67 kg/m², the average of BMI was (22.86±3.28) kg/m², and the BMI increased with year =0.058x–94.23, R²=0.005, P<0.001). The results of BMI characteristic analysis showed that BMI was not statistically significant related to the pre-hospitalization time, the pre-operation time, and the total length of hospital stay (P>0.05). However, the BMI would affect patients’ postoperative hospital stay and process management (P<0.05). Among them,obese group had shorter postoperative hospital stay than other groups (P=0.014). Additionally, there was significant difference in management process among colorectal cancer patients with different BMI (χ²=26.84, P=0.001). In process management, “ERAS” management accounted for the largest proportion (66.37%), but for each process management category, lean people were more likely to choose “enhanced” management process (11.08%), and obese people were more likely to choose “individual” process management (6.05%). Conclusions The analysis results reflect that the BMI of colorectal cancer patients have an increasing trend year by year. BMI has no clear correlation with patients’ waiting time before admission, pre-operative time, and total hospital stay. Therefore, from the perspective of hospitalization management, the hospitalization operation ability of patients with colorectal cancer was not affected by BMI. The BMI of patients will affect the postoperative hospital stay and process management. The obese people have a shorter postoperative hospital stay and are more likely to choose non-process management.

Citation： LIU Yong, LIU Guina, GONG Jiaqi, WANG Xiaodong, LI Li, ZHOU Zongguang. BMI of colorectal cancer patients will affect post-operative hospital stay: a real world study based on DACCA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(11): 1486-1493. doi: 10.7507/1007-9424.202110008 Copy

1.	汪晓东, 吕炘沂, 黄明君, 等. 数据库建设第二部分: 结直肠癌住院流程管理的标签与结构化. 中国普外基础与临床杂志, 2019, 26(7): 852-855.
2.	汪晓东, 李希, 何欣林, 等. 数据库研究第一部分: 区域性医疗中心的结直肠癌与人群特征. 中国普外基础与临床杂志, 2019, 26(2): 212-220.
3.	汪晓东, 李立. 数据库建设第一部分: 个人数据的标签与结构化. 中国普外基础与临床杂志, 2019, 26(3): 335-342.
4.	Li JB, Luo S, Wong MCS, et al. Longitudinal associations between BMI change and the risks of colorectal cancer incidence, cancer-relate and all-cause mortality among 81,388 older adults: BMI change and the risks of colorectal cancer incidence and mortality. BMC Cancer, 2019, 19(1): 1082.
5.	Soltani G, Poursheikhani A, Yassi M, et al. Obesity, diabetes and the risk of colorectal adenoma and cancer. BMC Endocr Disord, 2019, 19(1): 113.
6.	汪晓东, 安丽珉, 李立. 数据库研究第二部分: 结直肠癌的住院流程管理. 中国普外基础与临床杂志, 2019, 26(4): 469-475.
7.	Smith RK, Broach RB, Hedrick TL, et al. Impact of BMI on postoperative outcomes in patients undergoing proctectomy for rectal cancer: a national surgical quality improvement program analysis. Dis Colon Rectum, 2014, 57(6): 687-693.
8.	Sinicrope FA, Foster NR, Yothers G, et al. Body mass index at diagnosis and survival among colon cancer patients enrolled in clinical trials of adjuvant chemotherapy. Cancer, 2013, 119(8): 1528-1536.
9.	Arkenbosch JHC, van Erning FN, Rutten HJ, et al. The association between body mass index and postoperative complications, 30-day mortality and long-term survival in Dutch patients with colorectal cancer. Eur J Surg Oncol, 2019, 45(2): 160-166.
10.	Alizadeh RF, Moghadamyeghaneh Z, Whealon MD, et al. Body mass index significantly impacts outcomes of colorectal surgery. Am Surg, 2016, 82(10): 930-935.
11.	杨学娜, 王金英, 母俊婷, 等. 体重指数对胃结直肠癌预后的影响. 河北医药, 2021, 43(11): 1668-1671.
12.	Liang X, Shu W, Linyong Z, et al. Preoperative nutritional evaluation of patients with hepatic alveolar echinococcosis. PLoS One, 2020, 15(2): e0229396.
13.	刘涛, 姬乐, 白铁成. 体重指数对腹腔镜下全胃切除术治疗胃上部癌的预后影响. 中国现代普通外科进展, 2019, 22(5): 402-404.
14.	Shin HD, Rodriguez AM, Abraham JT, et al. Does ERAS benefit higher BMI patients? A single institutional review. J Plast Reconstr Aesthet Surg, 2021, 74(3): 475-479.

1. 汪晓东, 吕炘沂, 黄明君, 等. 数据库建设第二部分: 结直肠癌住院流程管理的标签与结构化. 中国普外基础与临床杂志, 2019, 26(7): 852-855.
2. 汪晓东, 李希, 何欣林, 等. 数据库研究第一部分: 区域性医疗中心的结直肠癌与人群特征. 中国普外基础与临床杂志, 2019, 26(2): 212-220.
3. 汪晓东, 李立. 数据库建设第一部分: 个人数据的标签与结构化. 中国普外基础与临床杂志, 2019, 26(3): 335-342.
4. Li JB, Luo S, Wong MCS, et al. Longitudinal associations between BMI change and the risks of colorectal cancer incidence, cancer-relate and all-cause mortality among 81,388 older adults: BMI change and the risks of colorectal cancer incidence and mortality. BMC Cancer, 2019, 19(1): 1082.
5. Soltani G, Poursheikhani A, Yassi M, et al. Obesity, diabetes and the risk of colorectal adenoma and cancer. BMC Endocr Disord, 2019, 19(1): 113.
6. 汪晓东, 安丽珉, 李立. 数据库研究第二部分: 结直肠癌的住院流程管理. 中国普外基础与临床杂志, 2019, 26(4): 469-475.
7. Smith RK, Broach RB, Hedrick TL, et al. Impact of BMI on postoperative outcomes in patients undergoing proctectomy for rectal cancer: a national surgical quality improvement program analysis. Dis Colon Rectum, 2014, 57(6): 687-693.
8. Sinicrope FA, Foster NR, Yothers G, et al. Body mass index at diagnosis and survival among colon cancer patients enrolled in clinical trials of adjuvant chemotherapy. Cancer, 2013, 119(8): 1528-1536.
9. Arkenbosch JHC, van Erning FN, Rutten HJ, et al. The association between body mass index and postoperative complications, 30-day mortality and long-term survival in Dutch patients with colorectal cancer. Eur J Surg Oncol, 2019, 45(2): 160-166.
10. Alizadeh RF, Moghadamyeghaneh Z, Whealon MD, et al. Body mass index significantly impacts outcomes of colorectal surgery. Am Surg, 2016, 82(10): 930-935.
11. 杨学娜, 王金英, 母俊婷, 等. 体重指数对胃结直肠癌预后的影响. 河北医药, 2021, 43(11): 1668-1671.
12. Liang X, Shu W, Linyong Z, et al. Preoperative nutritional evaluation of patients with hepatic alveolar echinococcosis. PLoS One, 2020, 15(2): e0229396.
13. 刘涛, 姬乐, 白铁成. 体重指数对腹腔镜下全胃切除术治疗胃上部癌的预后影响. 中国现代普通外科进展, 2019, 22(5): 402-404.
14. Shin HD, Rodriguez AM, Abraham JT, et al. Does ERAS benefit higher BMI patients? A single institutional review. J Plast Reconstr Aesthet Surg, 2021, 74(3): 475-479.

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BMI of colorectal cancer patients will affect post-operative hospital stay: a real world study based on DACCA

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