Clin Colon Rectal Surg 2019; 32(01): 033-040
DOI: 10.1055/s-0038-1673352
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Clinical Research Using the National Inpatient Sample: A Brief Review of Colorectal Studies Utilizing the NIS Database

Katherine A. Kelley
1   Division of Gastrointestinal and General Surgery, Department of General Surgery, Oregon Health and Science University, Portland, Oregon
,
V. Liana Tsikitis
1   Division of Gastrointestinal and General Surgery, Department of General Surgery, Oregon Health and Science University, Portland, Oregon
› Author Affiliations
Further Information

Publication History

Publication Date:
08 January 2019 (online)

Abstract

The National Inpatient Sample (NIS) is the largest collection of longitudinal hospital care data in the United States and is sponsored by the Agency for Healthcare Research and Quality. The data are collected from state organizations, hospital associations, private organizations, and the federal government. This database has been used in more than 400 disease-focused studies to examine health care utilization, access, charges, quality, and outcomes of care. The database has been maintained since 1988, making it one of the oldest on hospital data. The focus of this review is to explore and discuss the use of NIS database in colorectal surgery research and to formulate a simplified guide of the data captured for future researchers.

 
  • References

  • 1 Agency for Healthcare Research and Quality. Overview of the National (Nationwide) Inpatient Sample (NIS). 2016. Available at: https://www.hcup-us.ahrq.gov/nisoverview.jsp . Accessed August 29, 2016
  • 2 Cloyd JM, Huang L, Ma Y, Rhoads KF. Predictors of readmission to non-index hospitals after colorectal surgery. Am J Surg 2017; 213 (01) 18-23
  • 3 Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 2009; 360 (14) 1418-1428
  • 4 Department of Veterans Affairs - United States of America. Veterans Health Administration. 2016 Available at: Available at: http://www.va.gov/health/ . Accessed August 29, 2016
  • 5 Ogola GO, Shafi S. Cost of specific emergency general surgery diseases and factors associated with high-cost patients. J Trauma Acute Care Surg 2016; 80 (02) 265-271
  • 6 Diggs JC, Xu F, Diaz M, Cooper GS, Koroukian SM. Failure to screen: predictors and burden of emergency colorectal cancer resection. Am J Manag Care 2007; 13 (03) 157-164
  • 7 Schwartz DA, Hui X, Schneider EB. , et al. Worse outcomes among uninsured general surgery patients: does the need for an emergency operation explain these disparities?. Surgery 2014; 156 (02) 345-351
  • 8 Fry DE, Pine M, Jones BL, Meimban RJ. The impact of ineffective and inefficient care on the excess costs of elective surgical procedures. J Am Coll Surg 2011; 212 (05) 779-786
  • 9 Shaheen NJ, Hansen RA, Morgan DR. , et al. The burden of gastrointestinal and liver diseases, 2006. Am J Gastroenterol 2006; 101 (09) 2128-2138
  • 10 Peery AF, Dellon ES, Lund J. , et al. Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology 2012; 143 (05) 1179-1187.e3
  • 11 Myer PA, Mannalithara A, Singh G, Ladabaum U. Proximal and distal colorectal cancer resection rates in the United States since widespread screening by colonoscopy. Gastroenterology 2012; 143 (05) 1227-1236
  • 12 Cooley EK, McPhee JT, Simons JP, Sweeney WB, Tseng JF, Alavi K. Colorectal neoplasia screening before age 50: current epidemiologic trends in the United States. Dis Colon Rectum 2009; 52 (02) 222-229
  • 13 Mishra N, Roberts PL, Marcello PW. , et al. Changing paradigms in acute care surgery: a shift to the hindgut. Am Surg 2014; 80 (01) 76-80
  • 14 Bartlett EK, Simmons KD, Wachtel H. , et al. The rise in metastasectomy across cancer types over the past decade. Cancer 2015; 121 (05) 747-757
  • 15 Munene G, Parker RD, Shaheen AA. , et al. Disparities in the surgical treatment of colorectal liver metastases. J Natl Med Assoc 2013; 105 (02) 128-137
  • 16 Schlussel AT, Lustik MB, Johnson EK. , et al. A population-based comparison of open versus minimally invasive abdominoperineal resection. Am J Surg 2015; 209 (05) 815-823 , discussion 823
  • 17 Peterson CY, Palazzi K, Parsons JK, Chang DC, Ramamoorthy SL. The prevalence of laparoscopy and patient safety outcomes: an analysis of colorectal resections. Surg Endosc 2014; 28 (02) 608-616
  • 18 Yeo HL, Abelson JS, Mao J, Cheerharan M, Milsom J, Sedrakyan A. Minimally invasive surgery and sphincter preservation in rectal cancer. J Surg Res 2016; 202 (02) 299-307
  • 19 Kang CY, Halabi WJ, Luo R, Pigazzi A, Nguyen NT, Stamos MJ. Laparoscopic colorectal surgery: a better look into the latest trends. Arch Surg 2012; 147 (08) 724-731
  • 20 Kang CY, Chaudhry OO, Halabi WJ. , et al. Outcomes of laparoscopic colorectal surgery: data from the Nationwide Inpatient Sample 2009. Am J Surg 2012; 204 (06) 952-957
  • 21 Robinson CN, Balentine CJ, Sansgiry S, Berger DH. Disparities in the use of minimally invasive surgery for colorectal disease. J Gastrointest Surg 2012; 16 (05) 897-903 , discussion 903–904
  • 22 Alnasser M, Schneider EB, Gearhart SL. , et al. National disparities in laparoscopic colorectal procedures for colon cancer. Surg Endosc 2014; 28 (01) 49-57
  • 23 Robinson CN, Chen GJ, Balentine CJ. , et al. Minimally invasive surgery is underutilized for colon cancer. Ann Surg Oncol 2011; 18 (05) 1412-1418
  • 24 Schlussel AT, Lustik MB, Johnson EK. , et al. A nationwide assessment comparing nonelective open with minimally invasive complex colorectal procedures. Colorectal Dis 2016; 18 (03) 301-311
  • 25 Schlussel AT, Lustik MB, Johnson EK. , et al. Do the advantages of a minimally invasive approach remain in complex colorectal procedures? A nationwide comparison. Dis Colon Rectum 2015; 58 (04) 431-443
  • 26 Masoomi H, Moghadamyeghaneh Z, Mills S, Carmichael JC, Pigazzi A, Stamos MJ. Risk factors for conversion of laparoscopic colorectal surgery to open surgery: does conversion worsen outcome?. World J Surg 2015; 39 (05) 1240-1247
  • 27 Moghadamyeghaneh Z, Masoomi H, Mills SD. , et al. Outcomes of conversion of laparoscopic colorectal surgery to open surgery. JSLS 2014; 18 (04) e2014
  • 28 Halabi WJ, Kang CY, Jafari MD. , et al. Robotic-assisted colorectal surgery in the United States: a nationwide analysis of trends and outcomes. World J Surg 2013; 37 (12) 2782-2790
  • 29 Lieffers JR, Baracos VE, Winget M, Fassbender K. A comparison of Charlson and Elixhauser comorbidity measures to predict colorectal cancer survival using administrative health data. Cancer 2011; 117 (09) 1957-1965
  • 30 Hyder JA, Wakeam E, Adler JT, DeBord Smith A, Lipsitz SR, Nguyen LL. Comparing preoperative targets to failure-to-rescue for surgical mortality improvement. J Am Coll Surg 2015; 220 (06) 1096-1106
  • 31 Etzioni DA, Beart Jr RW, Madoff RD, Ault GT. Impact of the aging population on the demand for colorectal procedures. Dis Colon Rectum 2009; 52 (04) 583-590 , discussion 590–591
  • 32 Kang CY, Halabi WJ, Chaudhry OO. , et al. A nationwide analysis of laparoscopy in high-risk colorectal surgery patients. J Gastrointest Surg 2013; 17 (02) 382-391
  • 33 Hussan H, Gray II DM, Hinton A, Krishna SG, Conwell DL, Stanich PP. Morbid obesity is associated with increased mortality, surgical complications, and incremental health care utilization in the peri-operative period of colorectal cancer surgery. World J Surg 2016; 40 (04) 987-994
  • 34 Anand N, Chong CA, Chong RY, Nguyen GC. Impact of diabetes on postoperative outcomes following colon cancer surgery. J Gen Intern Med 2010; 25 (08) 809-813
  • 35 Balentine CJ, Hermosillo-Rodriguez J, Robinson CN, Berger DH, Naik AD. Depression is associated with prolonged and complicated recovery following colorectal surgery. J Gastrointest Surg 2011; 15 (10) 1712-1717
  • 36 de Lissovoy G, Fraeman K, Hutchins V, Murphy D, Song D, Vaughn BB. Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control 2009; 37 (05) 387-397
  • 37 Masoomi H, Kang CY, Chaudhry O. , et al. Predictive factors of early bowel obstruction in colon and rectal surgery: data from the Nationwide Inpatient Sample, 2006-2008. J Am Coll Surg 2012; 214 (05) 831-837
  • 38 Mukherjee D, Lidor AO, Chu KM, Gearhart SL, Haut ER, Chang DC. Postoperative venous thromboembolism rates vary significantly after different types of major abdominal operations. J Gastrointest Surg 2008; 12 (11) 2015-2022
  • 39 Buchberg B, Masoomi H, Lusby K. , et al. Incidence and risk factors of venous thromboembolism in colorectal surgery: does laparoscopy impart an advantage?. Arch Surg 2011; 146 (06) 739-743
  • 40 Moghadamyeghaneh Z, Mills SD, Carmichael JC, Pigazzi A, Stamos MJ. Risk factors of postoperative myocardial infarction after colorectal surgeries. Am Surg 2015; 81 (04) 358-364
  • 41 Diamant MJ, Coward S, Buie WD. , et al. Hospital volume and other risk factors for in-hospital mortality among diverticulitis patients: a nationwide analysis. Can J Gastroenterol Hepatol 2015; 29 (04) 193-197
  • 42 Stitzenberg KB, Meropol NJ. Trends in centralization of cancer surgery. Ann Surg Oncol 2010; 17 (11) 2824-2831
  • 43 Masoomi H, Kang CY, Chen A. , et al. Predictive factors of in-hospital mortality in colon and rectal surgery. J Am Coll Surg 2012; 215 (02) 255-261
  • 44 Balentine CJ, Naik AD, Robinson CN. , et al. Association of high-volume hospitals with greater likelihood of discharge to home following colorectal surgery. JAMA Surg 2014; 149 (03) 244-251
  • 45 Gadzinski AJ, Dimick JB, Ye Z, Zeller JL, Miller DC. Transfer rates and use of post-acute care after surgery at critical access vs non-critical access hospitals. JAMA Surg 2014; 149 (07) 671-677
  • 46 Boudourakis LD, Wang TS, Roman SA, Desai R, Sosa JA. Evolution of the surgeon-volume, patient-outcome relationship. Ann Surg 2009; 250 (01) 159-165
  • 47 Rea JD, Lu KC, Diggs BS, Cone MM, Hardiman KM, Herzig DO. Specialized practice reduces inpatient mortality, length of stay, and cost in the care of colorectal patients. Dis Colon Rectum 2011; 54 (07) 780-786
  • 48 Hayanga AJ, Mukherjee D, Chang D. , et al. Teaching hospital status and operative mortality in the United States: tipping point in the volume-outcome relationship following colon resections?. Arch Surg 2010; 145 (04) 346-350