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Hospital Colectomy Volume & Complications

Clin Gastroenterol Hepatol; ePub 2019 Mar 7; Egberg, et al

In a pediatric population, patients with ulcerative colitis (UC) who undergo colectomy at high-volume hospitals have fewer complications, yet only a small proportion of pediatric colectomies are performed at high-volume centers. This according to a recent study that evaluated hospital volume of total abdominal colectomy (TAC) for pediatric patients with UC and examined time trends in the proportion of colectomies performed at high-volume centers. Researchers performed a cross-sectional analysis of pediatric patients aged ≤18 years hospitalized for UC. They found:

  • A total of 1,453 hospitalizations of children with UC included a TAC (2,306 colectomies nationwide).
  • 766 hospitals performed ≥1 annual colectomy and only 36 (4.7%) were high-volume hospitals, accounting for 21% of colectomies.
  • The absolute risk of complication was 16% at high-volume centers vs 22% at low-volume centers.


Egberg MD, Galanko JA, Kappelman MD. Patients who undergo colectomy for pediatric ulcerative colitis at low-volume hospitals have more complications. [Published online ahead of print March 7, 2019]. Clin Gastroenterol Hepatol. doi:10.1016/j.cgh.2019.03.003.