ArticleAnnals of surgical oncology2025
Clinical Characteristics and Outcomes of Oncologic Surgical Emergencies: A Retrospective Study.
Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
backgroundOncologic surgical emergencies (OSEs) are increasing, with rising cancer incidences and prolonged patient survival. However, prior OSEs studies have been limited by a narrow focus. This study aimed to determine whether a five-category classification for OSEs can effectively guide clinical decision-making based on patient outcomes.
methodsThis retrospective cohort study used prospectively collected data from 1 May 2015 to 31 December 2023 at Zhongshan Hospital, Fudan University. Among in-patients undergoing emergency general surgery, 2908 patients with OSEs were included. The OSEs were classified into five categories based on the tumor course: (1) emergency as the initial symptom, (2) emergency due to tumor progression or recurrence, (3) complications from non-invasive treatments, (4) complications from invasive treatments, and (5) emergencies unrelated to tumors but with a history of malignancy. The primary outcome was in-hospital mortality.
resultsObstruction was the most common emergency (58.0%), and gastrointestinal tumors were the primary source (79.8%). Category 1 emergencies were the most frequent (42.8%), followed by categories 2 (16.4%), 4 (16.0%), 5 (19.5%), and 3 (5.5%). The patients with OSEs had a higher in-hospital mortality rate than those with other types of emergencies (4.0% vs. 1.5%; p < 0.001). Perforation, age ≥ 65 years, and male sex were independent risk factors for in-hospital mortality.
conclusionsThe comprehensive five-category classification system for OSEs provided a valuable framework that may enhance clinical decision-making and guide management strategies for this patient population. Thus, it has potential to be integrated into clinical practice.
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