Association between occupation of patients with colorectal cancer and surgical difficulty and postoperative complications: a real<b>-</b>world study based on DACCA_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Ruwen ^1,2 , YANG Kefei ^1,2 , JING Yixin ^1,2 ,  WANG Xiaodong ¹ , LI Li ^1,3

1. Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. West China School of Medicine, Sichuan University, Chengdu 610041, P. R. China;
3. Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

WANG Xiaodong, Email: wangxiaodong@wchscu.cn

Keywords：

colorectal cancer; occupation; surgical difficulty; postoperative complication; Database from Colorectal Cancer

DOI：

10.7507/1007-9424.202404057

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the current version of the West China Database from Colorectal Cancer (DACCA) and explore how the occupational background of colorectal cancer patients affects the complexity of surgical difficulty and postoperative complications. Methods When using the updated version of DACCA data on May 28, 2023 for analysis, the data items concerned covered occupation, operative duration, anatomical difficulty, pelvic stenosis, abdominal obesity, adhesion in surgical area, abnormal mesenteric status, tissue or organ hypertrophy, intestinal quality in surgical area, postoperative complications in hospital, short-term postoperative complications and long-term postoperative complications. According to the “Occupational Classification Code of the People’s Republic of China”, the occupations of patients were divided into professional and technical personnel, staff, service personal, production personnel, manufacturing personnel and retirees according to different occupations. The operative difficulty and postoperative complications of 6 groups were analyzed. Results According to the screening conditions, 5 734 valid data rows were obtained from DACCA. The results of occupation analysis showed that there were significant difference in operative duration (H=11.609, P=0.041), anatomical difficulty (H=29.166, P<0.001), pelvic stenosis (H=16.412, P=0.006), abdominal obesity (H=44.622, P<0.001), adhesion in surgical area (H=23.695, P<0.001), abnormal mesenteric status (χ²=39.252, P=0.035), tissue or organ hypertrophy (χ²=58.284, P<0.001) and intestinal quality in surgical area (H=21.041, P=0.001) between different groups. There were no significant differences in the occurrence of complications in hospital, near and short-term and long-term after operation among different occupations (P>0.05). Further subgroup analysis showed that only the difference of fever (χ²=10.969, P=0.041) and intestinal obstruction (χ²=12.025, P=0.021) were statistically significant among different occupations. Conclusion The occupation of patients may affect the difficulty of colon cancer surgery, and the occurrence of postoperative complications is nothing to do with the occupation of patients, but the occurrence of postoperative fever and postoperative intestinal obstruction is related to occupations, and the possible causes need to be further explored.

Citation： LIU Ruwen, YANG Kefei, JING Yixin, WANG Xiaodong, LI Li. Association between occupation of patients with colorectal cancer and surgical difficulty and postoperative complications: a real-world study based on DACCA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(10): 1228-1235. doi: 10.7507/1007-9424.202404057 Copy

1.	汪曉東, 李希, 何欣林, 等. 數據庫研究第一部分: 區域性醫療中心的結直腸癌與人群特征. 中國普外基礎與臨床雜志, 2019, 26(2): 212-220.
2.	汪曉東, 呂炘沂, 劉健博, 等. 數據庫建設第七部分: 結直腸癌手術的特征(三). 中國普外基礎與臨床雜志, 2020, 27(12): 1568-1574.
3.	汪曉東, 孟鑫宇, 劉健博, 等. 數據庫研究第八部分: 結直腸癌術后風險與并發癥. 中國普外基礎與臨床雜志, 2021, 28(3): 369-375.
4.	姚宏偉, 李心翔, 崔龍, 等. 中國結直腸癌手術病例登記數據庫2022年度報告: 一項全國性登記研究. 中國實用外科雜志, 2023, 43(1): 93-99.
5.	Mahmood S, MacInnis RJ, English DR, et al. Domain-specific physical activity and sedentary behaviour in relation to colon and rectal cancer risk: a systematic review and meta-analysis. Int J Epidemiol, 2017, 46(6): 1797-1813.
6.	Eguchi H, Wada K, Prieto-Merino D, et al. Lung, gastric and colorectal cancer mortality by occupation and industry among working-aged men in Japan. Sci Rep, 2017, 7: 43204. doi: 10.1038/srep43204.
7.	Harfouch RM, Alkhaier Z, Ismail S, et al. Epidemiology and risk factors of colorectal cancer in Syria: a single-center retrospective study. Eur Rev Med Pharmacol Sci, 2022, 26(13): 4654-4658.
8.	Kozhimannil KB, Attanasio LB, Johnson PJ, et al. Employment during pregnancy and obstetric intervention without medical reason: labor induction and cesarean delivery. Womens Health Issues, 2014, 24(5): 469-476.
9.	Eshak ES, Noda H, Tamakoshi A, et al. Walking time, sports activity, job type, and body posture during work in relation to incident colorectal cancer: the JACC prospective cohort study. Cancer Causes Control, 2022, 33(3): 473-481.
10.	國家職業分類大典修訂工作委員會. 中華人民共和國職業分類大典(2022年版). 北京: 中國人力資源和社會保障出版集團有限公司, 中國勞動社會保障出版社, 中國人事出版社, 2022: 3-556 .
11.	汪曉東, 林容若, 劉健博, 等. 數據庫建設第七部分: 結直腸癌手術特征的標簽與結構化(一). 中國普外基礎與臨床雜志, 2020, 27(9): 1150-1152.
12.	王海濤, 張景周, 李毅. 不同內臟肥胖指數結直腸癌患者手術效果、并發癥及預后比較. 現代腫瘤醫學, 2023, 31(2): 294-299.
13.	Orysiak J, M?ynarczyk M, Piec R, et al. Lifestyle and environmental factors may induce airway and systemic inflammation in firefighters. Environ Sci Pollut Res Int, 2022, 29(49): 73741-73768.
14.	Granholm Valmari E, Ghazinour M, Nygren U, et al. A systematic review of lifestyle and health among patrolling police officers. Scand J Occup Ther, 2023, 30(5): 721-744.
15.	中國醫師協會結直腸腫瘤專業委員會. 中國老年結直腸腫瘤患者圍手術期管理專家共識(2020版). 中華結直腸疾病電子雜志, 2020, 9(4): 325-334.
16.	Rasouli MA, Moradi G, Roshani D, et al. Prognostic factors and survival of colorectal cancer in Kurdistan province, Iran: A population-based study (2009-2014). Medicine (Baltimore), 2017, 96(6): e5941. doi: 10.1097/MD.0000000000005941.
17.	Gorey KM, Luginaah IN, Bartfay E, et al. Effects of socioeconomic status on colon cancer treatment accessibility and survival in Toronto, Ontario, and San Francisco, California, 1996-2006. Am J Public Health, 2011, 101(1): 112-119.
18.	Kokkinen L, Muntaner C, Koskinen A, et al. Occupational class, capitalist class advantage and mortality among working-age men. J Epidemiol Community Health, 2020, 74(1): 3-6.
19.	Steeves JA, Bassett DR, Thompson DL, et al. Relationships of occupational and non-occupational physical activity to abdominal obesity. Int J Obes (Lond), 2012, 36(1): 100-106.
20.	Stirling PHC, Jenkins PJ, Clement ND, et al. Occupation classification predicts return to work after carpal tunnel decompression. Occup Med (Lond), 2020, 70(6): 415-420.
21.	Desoubeaux N, Herbert C, Launoy G, et al. Social environment and prognosis of colorectal cancer patients: a French population-based study. Int J Cancer, 1997, 73(3): 317-322.
22.	Eloranta S, Lambert PC, Cavalli-Bjorkman N, et al. Does socioeconomic status influence the prospect of cure from colon cancer--a population-based study in Sweden 1965-2000. Eur J Cancer, 2010, 46(16): 2965-2972.
23.	Ren Y, Zhou Y, Zhang L, et al. Readiness for return-to-work model-based analysis of return-to-work perception of young and middle-aged colorectal cancer patients with stoma in the early postoperative period: a descriptive qualitative study. Support Care Cancer, 2023, 31(7): 411. doi: 10.1007/s00520-023-07828-x.
24.	Zaganjor I, Carmichael SL, Agopian AJ, et al. Differences in pre-pregnancy diet quality by occupation among employed women. Public Health Nutr, 2020, 23(11): 1974-1981.
25.	Yusup A, Wang HJ, Rahmutula A, et al. Clinical features and prognosis in colorectal cancer patients with different ethnicities in Northwest China. World J Gastroenterol, 2013, 19(41): 7183-7188.
26.	Heidarnia MA, Monfared ED, Akbari ME, et al. Social determinants of health and 5-year survival of colorectal cancer. Asian Pac J Cancer Prev, 2013, 14(9): 5111-5116.
27.	孫康寧, 張秀杰, 王春輝, 等. 山東省中晚期結直腸癌患者生命質量現狀及影響因素分析. 中華腫瘤防治雜志, 2023, 30(15): 897-903.
28.	龔熙, 陸葉青, 吳秀芳, 等. 腹腔鏡結直腸癌手術患者并發癥影響因素分析. 中國醫藥導報, 2023, 20(17): 123-126.

1. 汪曉東, 李希, 何欣林, 等. 數據庫研究第一部分: 區域性醫療中心的結直腸癌與人群特征. 中國普外基礎與臨床雜志, 2019, 26(2): 212-220.
2. 汪曉東, 呂炘沂, 劉健博, 等. 數據庫建設第七部分: 結直腸癌手術的特征(三). 中國普外基礎與臨床雜志, 2020, 27(12): 1568-1574.
3. 汪曉東, 孟鑫宇, 劉健博, 等. 數據庫研究第八部分: 結直腸癌術后風險與并發癥. 中國普外基礎與臨床雜志, 2021, 28(3): 369-375.
4. 姚宏偉, 李心翔, 崔龍, 等. 中國結直腸癌手術病例登記數據庫2022年度報告: 一項全國性登記研究. 中國實用外科雜志, 2023, 43(1): 93-99.
5. Mahmood S, MacInnis RJ, English DR, et al. Domain-specific physical activity and sedentary behaviour in relation to colon and rectal cancer risk: a systematic review and meta-analysis. Int J Epidemiol, 2017, 46(6): 1797-1813.
6. Eguchi H, Wada K, Prieto-Merino D, et al. Lung, gastric and colorectal cancer mortality by occupation and industry among working-aged men in Japan. Sci Rep, 2017, 7: 43204. doi: 10.1038/srep43204.
7. Harfouch RM, Alkhaier Z, Ismail S, et al. Epidemiology and risk factors of colorectal cancer in Syria: a single-center retrospective study. Eur Rev Med Pharmacol Sci, 2022, 26(13): 4654-4658.
8. Kozhimannil KB, Attanasio LB, Johnson PJ, et al. Employment during pregnancy and obstetric intervention without medical reason: labor induction and cesarean delivery. Womens Health Issues, 2014, 24(5): 469-476.
9. Eshak ES, Noda H, Tamakoshi A, et al. Walking time, sports activity, job type, and body posture during work in relation to incident colorectal cancer: the JACC prospective cohort study. Cancer Causes Control, 2022, 33(3): 473-481.
10. 國家職業分類大典修訂工作委員會. 中華人民共和國職業分類大典(2022年版). 北京: 中國人力資源和社會保障出版集團有限公司, 中國勞動社會保障出版社, 中國人事出版社, 2022: 3-556 .
11. 汪曉東, 林容若, 劉健博, 等. 數據庫建設第七部分: 結直腸癌手術特征的標簽與結構化(一). 中國普外基礎與臨床雜志, 2020, 27(9): 1150-1152.
12. 王海濤, 張景周, 李毅. 不同內臟肥胖指數結直腸癌患者手術效果、并發癥及預后比較. 現代腫瘤醫學, 2023, 31(2): 294-299.
13. Orysiak J, M?ynarczyk M, Piec R, et al. Lifestyle and environmental factors may induce airway and systemic inflammation in firefighters. Environ Sci Pollut Res Int, 2022, 29(49): 73741-73768.
14. Granholm Valmari E, Ghazinour M, Nygren U, et al. A systematic review of lifestyle and health among patrolling police officers. Scand J Occup Ther, 2023, 30(5): 721-744.
15. 中國醫師協會結直腸腫瘤專業委員會. 中國老年結直腸腫瘤患者圍手術期管理專家共識(2020版). 中華結直腸疾病電子雜志, 2020, 9(4): 325-334.
16. Rasouli MA, Moradi G, Roshani D, et al. Prognostic factors and survival of colorectal cancer in Kurdistan province, Iran: A population-based study (2009-2014). Medicine (Baltimore), 2017, 96(6): e5941. doi: 10.1097/MD.0000000000005941.
17. Gorey KM, Luginaah IN, Bartfay E, et al. Effects of socioeconomic status on colon cancer treatment accessibility and survival in Toronto, Ontario, and San Francisco, California, 1996-2006. Am J Public Health, 2011, 101(1): 112-119.
18. Kokkinen L, Muntaner C, Koskinen A, et al. Occupational class, capitalist class advantage and mortality among working-age men. J Epidemiol Community Health, 2020, 74(1): 3-6.
19. Steeves JA, Bassett DR, Thompson DL, et al. Relationships of occupational and non-occupational physical activity to abdominal obesity. Int J Obes (Lond), 2012, 36(1): 100-106.
20. Stirling PHC, Jenkins PJ, Clement ND, et al. Occupation classification predicts return to work after carpal tunnel decompression. Occup Med (Lond), 2020, 70(6): 415-420.
21. Desoubeaux N, Herbert C, Launoy G, et al. Social environment and prognosis of colorectal cancer patients: a French population-based study. Int J Cancer, 1997, 73(3): 317-322.
22. Eloranta S, Lambert PC, Cavalli-Bjorkman N, et al. Does socioeconomic status influence the prospect of cure from colon cancer--a population-based study in Sweden 1965-2000. Eur J Cancer, 2010, 46(16): 2965-2972.
23. Ren Y, Zhou Y, Zhang L, et al. Readiness for return-to-work model-based analysis of return-to-work perception of young and middle-aged colorectal cancer patients with stoma in the early postoperative period: a descriptive qualitative study. Support Care Cancer, 2023, 31(7): 411. doi: 10.1007/s00520-023-07828-x.
24. Zaganjor I, Carmichael SL, Agopian AJ, et al. Differences in pre-pregnancy diet quality by occupation among employed women. Public Health Nutr, 2020, 23(11): 1974-1981.
25. Yusup A, Wang HJ, Rahmutula A, et al. Clinical features and prognosis in colorectal cancer patients with different ethnicities in Northwest China. World J Gastroenterol, 2013, 19(41): 7183-7188.
26. Heidarnia MA, Monfared ED, Akbari ME, et al. Social determinants of health and 5-year survival of colorectal cancer. Asian Pac J Cancer Prev, 2013, 14(9): 5111-5116.
27. 孫康寧, 張秀杰, 王春輝, 等. 山東省中晚期結直腸癌患者生命質量現狀及影響因素分析. 中華腫瘤防治雜志, 2023, 30(15): 897-903.
28. 龔熙, 陸葉青, 吳秀芳, 等. 腹腔鏡結直腸癌手術患者并發癥影響因素分析. 中國醫藥導報, 2023, 20(17): 123-126.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Association between occupation of patients with colorectal cancer and surgical difficulty and postoperative complications: a real-world study based on DACCA

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content