Perioperative medicine & outcomes

Hospital variation in ‘days alive and out of hospital’ after colorectal cancer surgery: a national retrospective cohort study

Br J AnaesthPublished Retrospective cohort study

Authors' conclusion

Hospital variation in DAOH90 among patients with complications reflects differences in capacity to rescue.

Study context

Population
Patients undergoing colorectal cancer resection in Aotearoa New Zealand (2005–2020)
Participants
23,948 patients
Exposure
Complications vs No complications
Outcome
Hospital-level variation in risk-adjusted days alive and out of hospital (DAOH) within 90 days of surgery (DAOH90), stratified by complications
Follow-up
90 days
Methodological detailsnational, population-based linked registry data, risk-adjusted (direct standardisation)
  • National
  • Population-based linked registry data
  • Risk-adjusted (direct standardisation)

Main finding

As reported in the abstract

Hospital variation in DAOH90

Hospital variation, 25th percentile range

67-75 days

Hospital variation, 10th percentile range

39-62 days

Observational data: associations, not effects.

Further findings

DAOH90 by complication status · 90 days

P < 0.001

Postoperative complications

Patients with postoperative complications
44.5%

Correlation of DAOH90 with failure to rescue and mortality

Correlation with failure to rescue
r=−0.82
Correlation with mortality
r=−0.87

Original publication

Hospital variation in ‘days alive and out of hospital’ after colorectal cancer surgery: a national retrospective cohort study. Br J Anaesth. Published 19 January 2026. doi:10.1016/j.bja.2025.11.059

Composed by AI from the published abstract and checked against it. How Briefs are made →

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