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Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries

by 1,2, 2,3, 1,2, 4,5, 2,6,7,† and 2,6,7,8,9,*,†
1
Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan
2
Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei 116, Taiwan
3
Department of Anesthesiology, Wan Fang Hospital, Taipei Medical University, Taipei 110, Taiwan
4
Department of Surgery, China Medical University Hospital, Taichung 404, Taiwan
5
Department of Surgery, University of Illinois, Chicago, IL 60607, USA
6
Department of Anesthesiology, Taipei Medical University Hospital, Taipei 110, Taiwan
7
Anesthesiology and Health Policy Research Center, Taipei Medical University Hospital, Taipei 110, Taiwan
8
Research Center of Big Data and Meta-Analysis, Wan Fang Hospital, Taipei Medical University, Taipei 116, Taiwan
9
School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 404, Taiwan
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2019, 16(22), 4432; https://doi.org/10.3390/ijerph16224432
Received: 26 August 2019 / Revised: 7 November 2019 / Accepted: 7 November 2019 / Published: 12 November 2019
(This article belongs to the Section Women's Health)
Although previous studies have shown that health checks may improve several risk factors for chronic diseases, the effect of preoperative health checks on postoperative recovery in surgical patients remains unknown. We aimed to investigate the association between preoperative use of mammography and the risk of perioperative complications. We conducted a matched cohort study of 152,411 patients aged ≥47 years who received mammography screening and later underwent major surgery from 2008 to 2013. Using a propensity score matching procedure adjusted for sociodemographic characteristics, medical condition, surgery type, and anesthesia type, 152,411 controls who underwent surgery but were not screened were selected. We collected patients’ characteristics and medical conditions from claims data of Taiwan’s National Health Insurance. Logistic regressions were used to calculate odds ratios (ORs) with 95% confidence intervals (CIs) for postoperative complications and in-hospital mortality associated with mammography screening. Patients receiving mammography prior to major surgery had significantly lower risks of perioperative complications, including pneumonia, septicemia, acute renal failure, stroke, urinary tract infection, deep wound infection, acute myocardial infarction, intensive care unit stay, and 30 day in-hospital mortality (OR 0.45, 95% CI 0.38–0.53). The association was consistent across each stratum of age, number of hospitalizations, emergency visits, and comorbidities. In conclusion, preoperative use of mammography was strongly associated with fewer perioperative complications and less in-hospital mortality after major surgeries. The evidence provided by this study justifies the implementation of preoperative health checks in clinical practice. View Full-Text
Keywords: mammography; surgery; complications; mortality mammography; surgery; complications; mortality
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MDPI and ACS Style

Tai, Y.-H.; Chen, T.-L.; Cherng, Y.-G.; Yeh, C.-C.; Chang, C.-C.; Liao, C.-C. Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries. Int. J. Environ. Res. Public Health 2019, 16, 4432. https://doi.org/10.3390/ijerph16224432

AMA Style

Tai Y-H, Chen T-L, Cherng Y-G, Yeh C-C, Chang C-C, Liao C-C. Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries. International Journal of Environmental Research and Public Health. 2019; 16(22):4432. https://doi.org/10.3390/ijerph16224432

Chicago/Turabian Style

Tai, Ying-Hsuan, Ta-Liang Chen, Yih-Giun Cherng, Chun-Chieh Yeh, Chuen-Chau Chang, and Chien-Chang Liao. 2019. "Previous Use of Mammography as a Proxy for General Health Checks in Association with Better Outcomes after Major Surgeries" International Journal of Environmental Research and Public Health 16, no. 22: 4432. https://doi.org/10.3390/ijerph16224432

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