| [RESEARCH] Mortality in patients with and without colectomy admitted to hospital for -
30-10-2007, 10:01 PM
Objective To compare mortality outcomes in the three years after elective colectomy, no colectomy, and emergency colectomy among people admitted to hospital for inflammatory bowel disease, to inform whether the threshold for elective colectomy in clinical practice is appropriate.
Design Record linkage studies.
Setting Oxford region (1968-99) and England (1998-2003).
Participants 23 464 people with hospital stay for more than three days for inflammatory bowel disease, including 5480 who had colectomy.
Main outcome measures Case fatality, relative survival, and standardised mortality ratios.
Results In the Oxford region, three year mortality was lower after elective colectomy than after either no colectomy or emergency colectomy, although this was not significant. For England, mortality three years after elective colectomy for ulcerative colitis (3.7%) and Crohn's disease (3.3%) was significantly lower than that after either admission without colectomy (13.6% and 10.1%; both P | 
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