Wayne State University Dearborn, MI, United States
Nooraldin Merza, MD1, Ghaith Alhatemi, MD2, Sameer Prakash, DO3, Muna Shaaeli, MD4, Tarek Mansi, MD5, Hina Yousuf, MD5, Mazin Saadaldin, MD5, Tarek Naguib, MD5 1Wayne State University, Dearborn, MI; 2Wayne State University, Detroit, MI; 3University of Iowa Hospitals & Clinics, Iowa City, IA; 4Beaumont Hospital, Dearborn, MI; 5Texas Tech University Health Sciences Center, Amarillo, TX
Introduction: Pancreatic cancer is the fourth most frequent cause of cancer death after lung, breast/prostate, and colorectal cancer. Although it is one of the leading causes of cancer death, only a few studies have evaluated population-based trends in diagnosis, average age, hospitalization mortality rate, and total hospital charges
Methods: A retrospective analysis utilizing the de-identified data from the National Inpatient Sample (NIS) was used to analyze patients hospitalized with pancreatic cancer as a primary admission diagnosis from 2004 through 2014. Hospital encounters for pancreas cancer were identified using the International Classification of Diseases (ICD-9) diagnostic codes; '157.9' '157.4' '156.2' '157.0' '157.1' '157.2' '157.3' '157.4. The NIS is a component of the Healthcare Cost and Utilization Project, a national health care database developed through a partnership among federal and state governments and health care institutions sponsored by the Agency for Healthcare Research and Quality. We extracted the average age, length of stay, in-hospital mortality rate, and average total hospital charges. All were demonstrated through the graphs to show the trends
Results: A total of 177763 hospitalizations of pancreatic cancer were identified from 2004 to 2014 nationwide inpatient sample. The mortality rate of in-hospital admissions decreased consistently (from 12.2% in 2004 to 7.61% in 2014), while the average total hospitalization charges continued to increase (33,600 US Dollars in 2004 vs. 59,113 US dollars in 2014), without significant changes in the average age of admissions (68.5 years in 2004 vs. 67.7 years in 2014). Slight trending down could be noticed in the average length of stay (7.82 days in 2004 vs.6.37 days in 2014)
Discussion: A large database was used for trending temporal changes of hospitalization data and survival of patients with pancreatic adenocarcinoma. Our analysis showed downward trends in Length of stay and in-hospital mortality rate. The average total hospital charges continued to trend up, without significant change in the average age of admissions
Figure: Trending graphs of Pancreatic Cancer by the Letters: A) Average age of individuals hospitalized with pancreatic cancer from 2004 to 2014. B) Average Length of Stay for all pancreatic cancer discharges between 2004 and 2014. C) Estimates of Average total charges for pancreatic cancer discharges between 2004 and 2014. D) Mortality rate of individuals with hospital admissions of Pancreatic Cancer between 2004-2014.
Nooraldin Merza indicated no relevant financial relationships.
Ghaith Alhatemi indicated no relevant financial relationships.
Sameer Prakash indicated no relevant financial relationships.
Muna Shaaeli indicated no relevant financial relationships.
Tarek Mansi indicated no relevant financial relationships.
Hina Yousuf indicated no relevant financial relationships.
Mazin Saadaldin indicated no relevant financial relationships.
Tarek Naguib indicated no relevant financial relationships.
Nooraldin Merza, MD1, Ghaith Alhatemi, MD2, Sameer Prakash, DO3, Muna Shaaeli, MD4, Tarek Mansi, MD5, Hina Yousuf, MD5, Mazin Saadaldin, MD5, Tarek Naguib, MD5. P0008 - Trends in Pancreatic Cancer, 2004-2014 Nationwide Inpatient Retrospective Cohort Study, ACG 2021 Annual Scientific Meeting Abstracts. Las Vegas, Nevada: American College of Gastroenterology.