LIU Yuqing 1,2 , CHEN Zhitong 3 , DAN Jiayue 2 , WANG Hanshuo 3 , WANG Xiaodong 1 , LI Li 4
  • 1. Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
  • 2. West China School of Nursing, Sichuan University, Chengdu 610041, P. R. China;
  • 3. West China School of Medicine, Sichuan University, Chengdu 610041, P. R. China;
  • 4. Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
WANG Xiaodong, Email: wangxiaodong@wchscu.cn
colorectal cancer; cultural level; hospitalization process; hospital stay; Database from Colorectal Cancer
10.7507/1007-9424.202311051
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Objective To analyze the association between the cultural level and hospitalization management process and length of hospitalization of the colorectal patients served by West China Hospital of Sichuan University as a regional center in the current version of the Database from Colorectal Cancer (DACCA). Method According to the established screening criteria, eligible colorectal cancer patients were collected from the updated version of DACCA on June 29, 2022. The analyzed data items included gender, age, BMI, blood type, marriage, waiting time before admission, preoperative hospitalization time, postoperative hospitalization time, total hospitalization time, and management process, and patients were divided into illiterate group, primary education group, medium education group, and higher education group according to their educational level, then compared the hospitalization management process and length of hospitalization of each group. Results A total of 4 765 eligible data were screened, with secondary education being the most prevalent (2 792, 58.6%), followed by primary (1 337, 28.1%) and higher education (417, 8.7%), and illiteracy being the least prevalent (219, 4.6%). In the classification of management processes, “regular” account for the majority (4 219, 88.5%), followed by “enhanced”(274, 5.8%), “individual” was third (231, 4.8%), and “rapid” was the least (41, 0.9%). There was no statistically significant difference in the comparison of waiting time before admission, preoperative hospitalisation time and postoperative hospitalisation time among patients with different literacy levels (P=0.371, P=0.095, P=0.352), but there was a statistically significant difference in total hospitalisation time (P=0.021), with a significant difference in total hospitalisation length between illiterate patients and patients with medium education (P=0.041). There was no statistically significant difference in the comparison of inpatient management processes of patients in different literacy groups (χ2=15.2, P=0.085). Conclusions Analysis of the DACCA data revealed a statistically significant difference in total hospitalisation time between patients with illiteracy and those with medium education. However, the choice of hospitalisation management process was similar for patients with different literacy levels, which needs to be further analysed for the reasons.

Citation： LIU Yuqing, CHEN Zhitong, DAN Jiayue, WANG Hanshuo, WANG Xiaodong, LI Li. Association between cultural level of patients with colorectal cancer and hospitalization management process and length of hospitalization: a real-world study based on DACCA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(2): 212-217. doi: 10.7507/1007-9424.202311051 Copy

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