Matches in SemOpenAlex for { <https://semopenalex.org/work/W2601635536> ?p ?o ?g. }
Showing items 1 to 72 of
72
with 100 items per page.
- W2601635536 endingPage "109" @default.
- W2601635536 startingPage "109" @default.
- W2601635536 abstract "109 Background: Hospital readmissions following surgery are a focus of quality improvement efforts nationwide. Although some reflect appropriate care, others are potentially preventable readmissions (PPRs). We aim to describe the burden, timing, and factors associated with PPRs after complex cancer surgery. Methods: The National Readmissions Dataset (2013) was used to select patients undergoing a complex oncologic resection (defined as esophagectomy/gastrectomy, hepatectomy, pancreatectomy, colorectal resection, lung resection, and cystectomy). All Readmissions occurring within 30 days from discharge were analyzed. Causes for readmissions were categorized in eleven diagnostic groups and tabulated. ICD-9 primary diagnosis codes were reviewed to identify PPRs. Logistic regression analyses were used to identify demographic, clinical and hospital factors associated with PPRs. Results: We analyzed 60,970 patients with 92,260 admissions. A 30 day readmission occurred in 14% of patients, and was highest following cystectomy (25%) and lowest for lung resections (9%). Of all readmissions 82% were deemed to be PPRs. Half of PPRs occurred within the first 10 days of discharge. Infections, gastrointestinal complications and respiratory conditions accounted for 59% of PPRs. Other common causes included dehydration/electrolyte deficiencies (11%), exacerbation of comorbidity (9.2%), bleeding (5%), thromboembolism (3.5%), and wound complications (3.2%). Factors associated with an increased likelihood of PPRs include Medicaid compared with private insurance (OR 1.24, 95%CI 0.8-1.7), higher comorbid conditions (OR 1.44, 95%CI 1.32, 1.59), and discharge to a facility (OR 1.9, 95%CI 1.7-2.1). Patients with a prolonged hospital stay or a major complication during the index admission had a 34% (OR 1.34, 95%CI 1.3-1.4), and 64% (OR 1.64, 95%CI 1.5-1.7) higher likelihood of a PPR respectively. Conclusions: Most 30 day readmissions after complex cancer surgery are potentially preventable and occur within 10 days of discharge. We identify common causes of readmission and high risk populations to help physicians, administrators and policy makers develop strategies to decrease PPRs." @default.
- W2601635536 created "2017-04-07" @default.
- W2601635536 creator A5011259502 @default.
- W2601635536 creator A5018631751 @default.
- W2601635536 creator A5036075019 @default.
- W2601635536 creator A5050316821 @default.
- W2601635536 creator A5082080649 @default.
- W2601635536 date "2017-02-01" @default.
- W2601635536 modified "2023-10-13" @default.
- W2601635536 title "Potentially preventable readmissions after complex cancer surgery: Analysis of the national readmissions dataset." @default.
- W2601635536 doi "https://doi.org/10.1200/jco.2017.35.4_suppl.109" @default.
- W2601635536 hasPublicationYear "2017" @default.
- W2601635536 type Work @default.
- W2601635536 sameAs 2601635536 @default.
- W2601635536 citedByCount "3" @default.
- W2601635536 countsByYear W26016355362018 @default.
- W2601635536 countsByYear W26016355362020 @default.
- W2601635536 crossrefType "journal-article" @default.
- W2601635536 hasAuthorship W2601635536A5011259502 @default.
- W2601635536 hasAuthorship W2601635536A5018631751 @default.
- W2601635536 hasAuthorship W2601635536A5036075019 @default.
- W2601635536 hasAuthorship W2601635536A5050316821 @default.
- W2601635536 hasAuthorship W2601635536A5082080649 @default.
- W2601635536 hasConcept C126322002 @default.
- W2601635536 hasConcept C151956035 @default.
- W2601635536 hasConcept C160735492 @default.
- W2601635536 hasConcept C162324750 @default.
- W2601635536 hasConcept C177713679 @default.
- W2601635536 hasConcept C194828623 @default.
- W2601635536 hasConcept C2776534028 @default.
- W2601635536 hasConcept C2777014857 @default.
- W2601635536 hasConcept C2779159551 @default.
- W2601635536 hasConcept C2908647359 @default.
- W2601635536 hasConcept C45827449 @default.
- W2601635536 hasConcept C50522688 @default.
- W2601635536 hasConcept C71924100 @default.
- W2601635536 hasConcept C99454951 @default.
- W2601635536 hasConceptScore W2601635536C126322002 @default.
- W2601635536 hasConceptScore W2601635536C151956035 @default.
- W2601635536 hasConceptScore W2601635536C160735492 @default.
- W2601635536 hasConceptScore W2601635536C162324750 @default.
- W2601635536 hasConceptScore W2601635536C177713679 @default.
- W2601635536 hasConceptScore W2601635536C194828623 @default.
- W2601635536 hasConceptScore W2601635536C2776534028 @default.
- W2601635536 hasConceptScore W2601635536C2777014857 @default.
- W2601635536 hasConceptScore W2601635536C2779159551 @default.
- W2601635536 hasConceptScore W2601635536C2908647359 @default.
- W2601635536 hasConceptScore W2601635536C45827449 @default.
- W2601635536 hasConceptScore W2601635536C50522688 @default.
- W2601635536 hasConceptScore W2601635536C71924100 @default.
- W2601635536 hasConceptScore W2601635536C99454951 @default.
- W2601635536 hasIssue "4_suppl" @default.
- W2601635536 hasLocation W26016355361 @default.
- W2601635536 hasOpenAccess W2601635536 @default.
- W2601635536 hasPrimaryLocation W26016355361 @default.
- W2601635536 hasRelatedWork W1974171884 @default.
- W2601635536 hasRelatedWork W1974242956 @default.
- W2601635536 hasRelatedWork W2031296182 @default.
- W2601635536 hasRelatedWork W2145833305 @default.
- W2601635536 hasRelatedWork W2150198561 @default.
- W2601635536 hasRelatedWork W2281130122 @default.
- W2601635536 hasRelatedWork W3121145236 @default.
- W2601635536 hasRelatedWork W3145365445 @default.
- W2601635536 hasRelatedWork W4200076348 @default.
- W2601635536 hasRelatedWork W4387241509 @default.
- W2601635536 hasVolume "35" @default.
- W2601635536 isParatext "false" @default.
- W2601635536 isRetracted "false" @default.
- W2601635536 magId "2601635536" @default.
- W2601635536 workType "article" @default.