An evaluation of the 'weekend effect' in patients admitted with metastatic prostate cancer.

摘要: Objectives To investigate whether mortality is increased for patients with metastatic prostate cancer (mCaP) admitted over the weekend. Patients and Methods Using Nationwide Inpatient Sample (NIS) between 1998 2009, a diagnosis of concomitant metastases were identified. Rates in-hospital mortality, complications, use imaging procedures assessed. Adjusted logistic regression models examined associations complications. Results A weighted sample 534 011 mCaP was identified, including 81.7% weekday 18.3% weekend admissions. Of these, 8.6% died after vs 10.9% admission (P < 0.001). Patients more likely to be treated at rural (17.8% 15.7%), non-teaching (57.6% 53.7%) low-volume hospitals (53.4% 49.4%) (all P 0.001) compared They presented higher rates organ failure (25.2% 21.3%), less undergo an interventional procedure (10.6% 11.4%) More had pneumonia (12.2% 8.8%), pyelonephritis (18.3% 14.1%) sepsis (4.5% vs. 3.5%) In multivariate analysis, associated likelihood complications (odds ratio [OR] 1.15, 95% confidence Interval [CI] 1.11–1.19) (OR 1.20, CI 1.14–1.27). Conclusion In admissions are significant increase in morbidity. Our findings suggest that may present acute medical issues; alternatively, quality care inferior.