Association between occupation of patients with colorectal cancer and surgical difficulty and postoperative complications: a real<b>-</b>world study based on DACCA_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Ruwen ^1,2 , YANG Kefei ^1,2 , JING Yixin ^1,2 ,  WANG Xiaodong ¹ , LI Li ^1,3

1. Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. West China School of Medicine, Sichuan University, Chengdu 610041, P. R. China;
3. Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

WANG Xiaodong, Email: wangxiaodong@wchscu.cn

Keywords：

colorectal cancer; occupation; surgical difficulty; postoperative complication; Database from Colorectal Cancer

DOI：

10.7507/1007-9424.202404057

Video：

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Objective To analyze the current version of the West China Database from Colorectal Cancer (DACCA) and explore how the occupational background of colorectal cancer patients affects the complexity of surgical difficulty and postoperative complications. Methods When using the updated version of DACCA data on May 28, 2023 for analysis, the data items concerned covered occupation, operative duration, anatomical difficulty, pelvic stenosis, abdominal obesity, adhesion in surgical area, abnormal mesenteric status, tissue or organ hypertrophy, intestinal quality in surgical area, postoperative complications in hospital, short-term postoperative complications and long-term postoperative complications. According to the “Occupational Classification Code of the People’s Republic of China”, the occupations of patients were divided into professional and technical personnel, staff, service personal, production personnel, manufacturing personnel and retirees according to different occupations. The operative difficulty and postoperative complications of 6 groups were analyzed. Results According to the screening conditions, 5 734 valid data rows were obtained from DACCA. The results of occupation analysis showed that there were significant difference in operative duration (H=11.609, P=0.041), anatomical difficulty (H=29.166, P<0.001), pelvic stenosis (H=16.412, P=0.006), abdominal obesity (H=44.622, P<0.001), adhesion in surgical area (H=23.695, P<0.001), abnormal mesenteric status (χ²=39.252, P=0.035), tissue or organ hypertrophy (χ²=58.284, P<0.001) and intestinal quality in surgical area (H=21.041, P=0.001) between different groups. There were no significant differences in the occurrence of complications in hospital, near and short-term and long-term after operation among different occupations (P>0.05). Further subgroup analysis showed that only the difference of fever (χ²=10.969, P=0.041) and intestinal obstruction (χ²=12.025, P=0.021) were statistically significant among different occupations. Conclusion The occupation of patients may affect the difficulty of colon cancer surgery, and the occurrence of postoperative complications is nothing to do with the occupation of patients, but the occurrence of postoperative fever and postoperative intestinal obstruction is related to occupations, and the possible causes need to be further explored.

Citation： LIU Ruwen, YANG Kefei, JING Yixin, WANG Xiaodong, LI Li. Association between occupation of patients with colorectal cancer and surgical difficulty and postoperative complications: a real-world study based on DACCA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(10): 1228-1235. doi: 10.7507/1007-9424.202404057 Copy

1.	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.
2.	汪晓东, 吕炘沂, 刘健博, 等. 数据库建设第七部分: 结直肠癌手术的特征(三). 中国普外基础与临床杂志, 2020, 27(12): 1568-1574.
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4.	姚宏伟, 李心翔, 崔龙, 等. 中国结直肠癌手术病例登记数据库2022年度报告: 一项全国性登记研究. 中国实用外科杂志, 2023, 43(1): 93-99.
5.	Mahmood S, MacInnis RJ, English DR, et al. Domain-specific physical activity and sedentary behaviour in relation to colon and rectal cancer risk: a systematic review and meta-analysis. Int J Epidemiol, 2017, 46(6): 1797-1813.
6.	Eguchi H, Wada K, Prieto-Merino D, et al. Lung, gastric and colorectal cancer mortality by occupation and industry among working-aged men in Japan. Sci Rep, 2017, 7: 43204. doi: 10.1038/srep43204.
7.	Harfouch RM, Alkhaier Z, Ismail S, et al. Epidemiology and risk factors of colorectal cancer in Syria: a single-center retrospective study. Eur Rev Med Pharmacol Sci, 2022, 26(13): 4654-4658.
8.	Kozhimannil KB, Attanasio LB, Johnson PJ, et al. Employment during pregnancy and obstetric intervention without medical reason: labor induction and cesarean delivery. Womens Health Issues, 2014, 24(5): 469-476.
9.	Eshak ES, Noda H, Tamakoshi A, et al. Walking time, sports activity, job type, and body posture during work in relation to incident colorectal cancer: the JACC prospective cohort study. Cancer Causes Control, 2022, 33(3): 473-481.
10.	国家职业分类大典修订工作委员会. 中华人民共和国职业分类大典(2022年版). 北京: 中国人力资源和社会保障出版集团有限公司, 中国劳动社会保障出版社, 中国人事出版社, 2022: 3-556 .
11.	汪晓东, 林容若, 刘健博, 等. 数据库建设第七部分: 结直肠癌手术特征的标签与结构化(一). 中国普外基础与临床杂志, 2020, 27(9): 1150-1152.
12.	王海涛, 张景周, 李毅. 不同内脏肥胖指数结直肠癌患者手术效果、并发症及预后比较. 现代肿瘤医学, 2023, 31(2): 294-299.
13.	Orysiak J, Młynarczyk M, Piec R, et al. Lifestyle and environmental factors may induce airway and systemic inflammation in firefighters. Environ Sci Pollut Res Int, 2022, 29(49): 73741-73768.
14.	Granholm Valmari E, Ghazinour M, Nygren U, et al. A systematic review of lifestyle and health among patrolling police officers. Scand J Occup Ther, 2023, 30(5): 721-744.
15.	中国医师协会结直肠肿瘤专业委员会. 中国老年结直肠肿瘤患者围手术期管理专家共识(2020版). 中华结直肠疾病电子杂志, 2020, 9(4): 325-334.
16.	Rasouli MA, Moradi G, Roshani D, et al. Prognostic factors and survival of colorectal cancer in Kurdistan province, Iran: A population-based study (2009-2014). Medicine (Baltimore), 2017, 96(6): e5941. doi: 10.1097/MD.0000000000005941.
17.	Gorey KM, Luginaah IN, Bartfay E, et al. Effects of socioeconomic status on colon cancer treatment accessibility and survival in Toronto, Ontario, and San Francisco, California, 1996-2006. Am J Public Health, 2011, 101(1): 112-119.
18.	Kokkinen L, Muntaner C, Koskinen A, et al. Occupational class, capitalist class advantage and mortality among working-age men. J Epidemiol Community Health, 2020, 74(1): 3-6.
19.	Steeves JA, Bassett DR, Thompson DL, et al. Relationships of occupational and non-occupational physical activity to abdominal obesity. Int J Obes (Lond), 2012, 36(1): 100-106.
20.	Stirling PHC, Jenkins PJ, Clement ND, et al. Occupation classification predicts return to work after carpal tunnel decompression. Occup Med (Lond), 2020, 70(6): 415-420.
21.	Desoubeaux N, Herbert C, Launoy G, et al. Social environment and prognosis of colorectal cancer patients: a French population-based study. Int J Cancer, 1997, 73(3): 317-322.
22.	Eloranta S, Lambert PC, Cavalli-Bjorkman N, et al. Does socioeconomic status influence the prospect of cure from colon cancer--a population-based study in Sweden 1965-2000. Eur J Cancer, 2010, 46(16): 2965-2972.
23.	Ren Y, Zhou Y, Zhang L, et al. Readiness for return-to-work model-based analysis of return-to-work perception of young and middle-aged colorectal cancer patients with stoma in the early postoperative period: a descriptive qualitative study. Support Care Cancer, 2023, 31(7): 411. doi: 10.1007/s00520-023-07828-x.
24.	Zaganjor I, Carmichael SL, Agopian AJ, et al. Differences in pre-pregnancy diet quality by occupation among employed women. Public Health Nutr, 2020, 23(11): 1974-1981.
25.	Yusup A, Wang HJ, Rahmutula A, et al. Clinical features and prognosis in colorectal cancer patients with different ethnicities in Northwest China. World J Gastroenterol, 2013, 19(41): 7183-7188.
26.	Heidarnia MA, Monfared ED, Akbari ME, et al. Social determinants of health and 5-year survival of colorectal cancer. Asian Pac J Cancer Prev, 2013, 14(9): 5111-5116.
27.	孙康宁, 张秀杰, 王春辉, 等. 山东省中晚期结直肠癌患者生命质量现状及影响因素分析. 中华肿瘤防治杂志, 2023, 30(15): 897-903.
28.	龚熙, 陆叶青, 吴秀芳, 等. 腹腔镜结直肠癌手术患者并发症影响因素分析. 中国医药导报, 2023, 20(17): 123-126.

1. 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.
2. 汪晓东, 吕炘沂, 刘健博, 等. 数据库建设第七部分: 结直肠癌手术的特征(三). 中国普外基础与临床杂志, 2020, 27(12): 1568-1574.
3. 汪晓东, 孟鑫宇, 刘健博, 等. 数据库研究第八部分: 结直肠癌术后风险与并发症. 中国普外基础与临床杂志, 2021, 28(3): 369-375.
4. 姚宏伟, 李心翔, 崔龙, 等. 中国结直肠癌手术病例登记数据库2022年度报告: 一项全国性登记研究. 中国实用外科杂志, 2023, 43(1): 93-99.
5. Mahmood S, MacInnis RJ, English DR, et al. Domain-specific physical activity and sedentary behaviour in relation to colon and rectal cancer risk: a systematic review and meta-analysis. Int J Epidemiol, 2017, 46(6): 1797-1813.
6. Eguchi H, Wada K, Prieto-Merino D, et al. Lung, gastric and colorectal cancer mortality by occupation and industry among working-aged men in Japan. Sci Rep, 2017, 7: 43204. doi: 10.1038/srep43204.
7. Harfouch RM, Alkhaier Z, Ismail S, et al. Epidemiology and risk factors of colorectal cancer in Syria: a single-center retrospective study. Eur Rev Med Pharmacol Sci, 2022, 26(13): 4654-4658.
8. Kozhimannil KB, Attanasio LB, Johnson PJ, et al. Employment during pregnancy and obstetric intervention without medical reason: labor induction and cesarean delivery. Womens Health Issues, 2014, 24(5): 469-476.
9. Eshak ES, Noda H, Tamakoshi A, et al. Walking time, sports activity, job type, and body posture during work in relation to incident colorectal cancer: the JACC prospective cohort study. Cancer Causes Control, 2022, 33(3): 473-481.
10. 国家职业分类大典修订工作委员会. 中华人民共和国职业分类大典(2022年版). 北京: 中国人力资源和社会保障出版集团有限公司, 中国劳动社会保障出版社, 中国人事出版社, 2022: 3-556 .
11. 汪晓东, 林容若, 刘健博, 等. 数据库建设第七部分: 结直肠癌手术特征的标签与结构化(一). 中国普外基础与临床杂志, 2020, 27(9): 1150-1152.
12. 王海涛, 张景周, 李毅. 不同内脏肥胖指数结直肠癌患者手术效果、并发症及预后比较. 现代肿瘤医学, 2023, 31(2): 294-299.
13. Orysiak J, Młynarczyk M, Piec R, et al. Lifestyle and environmental factors may induce airway and systemic inflammation in firefighters. Environ Sci Pollut Res Int, 2022, 29(49): 73741-73768.
14. Granholm Valmari E, Ghazinour M, Nygren U, et al. A systematic review of lifestyle and health among patrolling police officers. Scand J Occup Ther, 2023, 30(5): 721-744.
15. 中国医师协会结直肠肿瘤专业委员会. 中国老年结直肠肿瘤患者围手术期管理专家共识(2020版). 中华结直肠疾病电子杂志, 2020, 9(4): 325-334.
16. Rasouli MA, Moradi G, Roshani D, et al. Prognostic factors and survival of colorectal cancer in Kurdistan province, Iran: A population-based study (2009-2014). Medicine (Baltimore), 2017, 96(6): e5941. doi: 10.1097/MD.0000000000005941.
17. Gorey KM, Luginaah IN, Bartfay E, et al. Effects of socioeconomic status on colon cancer treatment accessibility and survival in Toronto, Ontario, and San Francisco, California, 1996-2006. Am J Public Health, 2011, 101(1): 112-119.
18. Kokkinen L, Muntaner C, Koskinen A, et al. Occupational class, capitalist class advantage and mortality among working-age men. J Epidemiol Community Health, 2020, 74(1): 3-6.
19. Steeves JA, Bassett DR, Thompson DL, et al. Relationships of occupational and non-occupational physical activity to abdominal obesity. Int J Obes (Lond), 2012, 36(1): 100-106.
20. Stirling PHC, Jenkins PJ, Clement ND, et al. Occupation classification predicts return to work after carpal tunnel decompression. Occup Med (Lond), 2020, 70(6): 415-420.
21. Desoubeaux N, Herbert C, Launoy G, et al. Social environment and prognosis of colorectal cancer patients: a French population-based study. Int J Cancer, 1997, 73(3): 317-322.
22. Eloranta S, Lambert PC, Cavalli-Bjorkman N, et al. Does socioeconomic status influence the prospect of cure from colon cancer--a population-based study in Sweden 1965-2000. Eur J Cancer, 2010, 46(16): 2965-2972.
23. Ren Y, Zhou Y, Zhang L, et al. Readiness for return-to-work model-based analysis of return-to-work perception of young and middle-aged colorectal cancer patients with stoma in the early postoperative period: a descriptive qualitative study. Support Care Cancer, 2023, 31(7): 411. doi: 10.1007/s00520-023-07828-x.
24. Zaganjor I, Carmichael SL, Agopian AJ, et al. Differences in pre-pregnancy diet quality by occupation among employed women. Public Health Nutr, 2020, 23(11): 1974-1981.
25. Yusup A, Wang HJ, Rahmutula A, et al. Clinical features and prognosis in colorectal cancer patients with different ethnicities in Northwest China. World J Gastroenterol, 2013, 19(41): 7183-7188.
26. Heidarnia MA, Monfared ED, Akbari ME, et al. Social determinants of health and 5-year survival of colorectal cancer. Asian Pac J Cancer Prev, 2013, 14(9): 5111-5116.
27. 孙康宁, 张秀杰, 王春辉, 等. 山东省中晚期结直肠癌患者生命质量现状及影响因素分析. 中华肿瘤防治杂志, 2023, 30(15): 897-903.
28. 龚熙, 陆叶青, 吴秀芳, 等. 腹腔镜结直肠癌手术患者并发症影响因素分析. 中国医药导报, 2023, 20(17): 123-126.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Association between occupation of patients with colorectal cancer and surgical difficulty and postoperative complications: a real-world study based on DACCA

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