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Readmissions after major urologic cancer surgery

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Readmissions after major urologic cancer surgery. / Leow, Jeffrey J; Gandaglia, Giorgio; Sood, Akshay; Ruhotina, Nedim; Klett, Dane E; Sammon, Jesse D; Schmid, Marianne; Sun, Maxine; Chang, Steven L; Kibel, Adam S; Trinh, Quoc-Dien.

in: CAN J UROL, Jahrgang 21, Nr. 6, 01.12.2014, S. 7537-7546.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Leow, JJ, Gandaglia, G, Sood, A, Ruhotina, N, Klett, DE, Sammon, JD, Schmid, M, Sun, M, Chang, SL, Kibel, AS & Trinh, Q-D 2014, 'Readmissions after major urologic cancer surgery', CAN J UROL, Jg. 21, Nr. 6, S. 7537-7546.

APA

Leow, J. J., Gandaglia, G., Sood, A., Ruhotina, N., Klett, D. E., Sammon, J. D., Schmid, M., Sun, M., Chang, S. L., Kibel, A. S., & Trinh, Q-D. (2014). Readmissions after major urologic cancer surgery. CAN J UROL, 21(6), 7537-7546.

Vancouver

Leow JJ, Gandaglia G, Sood A, Ruhotina N, Klett DE, Sammon JD et al. Readmissions after major urologic cancer surgery. CAN J UROL. 2014 Dez 1;21(6):7537-7546.

Bibtex

@article{e06dcfcf085044c4a11987b278d9cb55,
title = "Readmissions after major urologic cancer surgery",
abstract = "INTRODUCTION: We examine the incidence and predictors of readmission after major urologic cancer surgery using a national, prospective-maintained database specifically developed to assess quality of surgical care.MATERIALS AND METHODS: Patients undergoing major urologic cancer surgery (radical prostatectomy [RP], radical nephrectomy [RNx], partial nephrectomy [PNx]), radical cystectomy [RC]) in 2011 were identified using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) using Current Procedural Terminology (CPT) codes. Those readmitted within 30 days after surgery were identified. Multivariable logistic regression models examined the association between patient characteristics and the odds of readmission.RESULTS: Overall, we identified 5356 RP, 1301 RNx, 918 PNx and 623 RC patients, of which 206 (3.8%), 533 (6.8%), 348 (6.3%) and 129 (20.7%) were readmitted within 30 days respectively. Independent predictors of readmission for RP included age (Odds Ratio [OR]: 1.02, p = 0.02), American Society of Anesthesiology (ASA) score 3-5 (versus 1-2, OR: 1.35, p = 0.04), smoking status (OR: 1.53, p = 0.04), and the occurrence of wound complications (OR: 9.31, p < 0.001), thromboembolic (OR: 14.7, p < 0.001), and renal failure (OR: 1.62, p = 0.01) complications during the index hospitalization. For RC patients, the only predictor of readmission was age (OR: 0.98, p = 0.04). Predictors of readmission for RNx included higher ASA score (OR: 1.77, p = 0.03), and the presence of any complications during the index hospitalization (OR: 2.21, p = 0.03).CONCLUSIONS: Several patient characteristics have a significant impact on the risk of 30 day readmission after major urologic cancer surgery. Our data suggests that improving prevention and management of complications during the index hospitalization may lead to a substantial decrease in readmission rates.",
author = "Leow, {Jeffrey J} and Giorgio Gandaglia and Akshay Sood and Nedim Ruhotina and Klett, {Dane E} and Sammon, {Jesse D} and Marianne Schmid and Maxine Sun and Chang, {Steven L} and Kibel, {Adam S} and Quoc-Dien Trinh",
year = "2014",
month = dec,
day = "1",
language = "English",
volume = "21",
pages = "7537--7546",
journal = "CAN J UROL",
issn = "1195-9479",
publisher = "Canadian Journal of Urology",
number = "6",

}

RIS

TY - JOUR

T1 - Readmissions after major urologic cancer surgery

AU - Leow, Jeffrey J

AU - Gandaglia, Giorgio

AU - Sood, Akshay

AU - Ruhotina, Nedim

AU - Klett, Dane E

AU - Sammon, Jesse D

AU - Schmid, Marianne

AU - Sun, Maxine

AU - Chang, Steven L

AU - Kibel, Adam S

AU - Trinh, Quoc-Dien

PY - 2014/12/1

Y1 - 2014/12/1

N2 - INTRODUCTION: We examine the incidence and predictors of readmission after major urologic cancer surgery using a national, prospective-maintained database specifically developed to assess quality of surgical care.MATERIALS AND METHODS: Patients undergoing major urologic cancer surgery (radical prostatectomy [RP], radical nephrectomy [RNx], partial nephrectomy [PNx]), radical cystectomy [RC]) in 2011 were identified using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) using Current Procedural Terminology (CPT) codes. Those readmitted within 30 days after surgery were identified. Multivariable logistic regression models examined the association between patient characteristics and the odds of readmission.RESULTS: Overall, we identified 5356 RP, 1301 RNx, 918 PNx and 623 RC patients, of which 206 (3.8%), 533 (6.8%), 348 (6.3%) and 129 (20.7%) were readmitted within 30 days respectively. Independent predictors of readmission for RP included age (Odds Ratio [OR]: 1.02, p = 0.02), American Society of Anesthesiology (ASA) score 3-5 (versus 1-2, OR: 1.35, p = 0.04), smoking status (OR: 1.53, p = 0.04), and the occurrence of wound complications (OR: 9.31, p < 0.001), thromboembolic (OR: 14.7, p < 0.001), and renal failure (OR: 1.62, p = 0.01) complications during the index hospitalization. For RC patients, the only predictor of readmission was age (OR: 0.98, p = 0.04). Predictors of readmission for RNx included higher ASA score (OR: 1.77, p = 0.03), and the presence of any complications during the index hospitalization (OR: 2.21, p = 0.03).CONCLUSIONS: Several patient characteristics have a significant impact on the risk of 30 day readmission after major urologic cancer surgery. Our data suggests that improving prevention and management of complications during the index hospitalization may lead to a substantial decrease in readmission rates.

AB - INTRODUCTION: We examine the incidence and predictors of readmission after major urologic cancer surgery using a national, prospective-maintained database specifically developed to assess quality of surgical care.MATERIALS AND METHODS: Patients undergoing major urologic cancer surgery (radical prostatectomy [RP], radical nephrectomy [RNx], partial nephrectomy [PNx]), radical cystectomy [RC]) in 2011 were identified using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) using Current Procedural Terminology (CPT) codes. Those readmitted within 30 days after surgery were identified. Multivariable logistic regression models examined the association between patient characteristics and the odds of readmission.RESULTS: Overall, we identified 5356 RP, 1301 RNx, 918 PNx and 623 RC patients, of which 206 (3.8%), 533 (6.8%), 348 (6.3%) and 129 (20.7%) were readmitted within 30 days respectively. Independent predictors of readmission for RP included age (Odds Ratio [OR]: 1.02, p = 0.02), American Society of Anesthesiology (ASA) score 3-5 (versus 1-2, OR: 1.35, p = 0.04), smoking status (OR: 1.53, p = 0.04), and the occurrence of wound complications (OR: 9.31, p < 0.001), thromboembolic (OR: 14.7, p < 0.001), and renal failure (OR: 1.62, p = 0.01) complications during the index hospitalization. For RC patients, the only predictor of readmission was age (OR: 0.98, p = 0.04). Predictors of readmission for RNx included higher ASA score (OR: 1.77, p = 0.03), and the presence of any complications during the index hospitalization (OR: 2.21, p = 0.03).CONCLUSIONS: Several patient characteristics have a significant impact on the risk of 30 day readmission after major urologic cancer surgery. Our data suggests that improving prevention and management of complications during the index hospitalization may lead to a substantial decrease in readmission rates.

M3 - SCORING: Journal article

C2 - 25483761

VL - 21

SP - 7537

EP - 7546

JO - CAN J UROL

JF - CAN J UROL

SN - 1195-9479

IS - 6

ER -