• J Oncol Pract · Mar 2015

    Observational Study

    Hospitalists on an inpatient tertiary care oncology teaching service.

    • Douglas J Koo, Tabitha N Goring, Leonard B Saltz, Marina Kerpelev, Chhavi B Kumar, Cori Salvit, Helen H Chung, Ghassan K Abou-Alfa, Steven C Martin, and Barbara C Egan.
    • Memorial Sloan Kettering Cancer Center, New York, NY kood@mskcc.org.
    • J Oncol Pract. 2015 Mar 1; 11 (2): e114-9.

    PurposeHospitalists provide quality care in various inpatient settings, but the ability of hospitalists to provide quality inpatient care for patients with complex cancer has not been studied. This study explores outcomes with a hospitalist-led versus medical oncologist-led house staff team on an inpatient medical GI oncology teaching service.MethodsThis observational retrospective cohort study examined 829 patient discharges from August 2012 to January 2013 on the GI oncology inpatient teaching service at Memorial Sloan Kettering Cancer Center, a tertiary cancer center in New York, New York. We compared average length of stay (ALOS), 30-day readmission rates, establishment of new do not resuscitate (DNR) orders, nosocomial pneumonia and urinary tract infection (UTI) rates, radiographic and laboratory tests per patient, and disposition on discharge between hospitalist-led and oncologist-led teams.ResultsMedian years of clinical experience was 6 (range, 4 to 9 years) for hospitalists and 7 (range, 0.5 to 36 years) for oncologists. ALOS (hospitalist led, 5.6 v oncologist led, 5.2 days; P = .30), readmission within 30 days (hospitalist led, 14% v oncologist led, 16%; P = .44), new DNR orders (hospitalist led, 18% v oncologist led, 19%; P = .90), nosocomial pneumonia (hospitalist led, 0.5% v oncologist led, 0.7%; P = .63) and UTI rates (hospitalist led, 0.5% v oncologist led, 0.7%; P = .63), number of radiographic studies and laboratory tests, and disposition on discharge were not significantly different between groups.ConclusionA hospitalist-led inpatient service with house staff represents a novel approach for caring for hospitalized GI oncology patients with cancer.Copyright © 2015 by American Society of Clinical Oncology.

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