• Surg. Oncol. Clin. N. Am. · Jul 2012

    Review

    Unexpected readmissions after major cancer surgery: an evaluation of readmissions as a quality-of-care indicator.

    • Matthew M Rochefort and James S Tomlinson.
    • Department of Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, Room 54-140 CHS, Box 9511782, Los Angeles, CA 90095-1782, USA.
    • Surg. Oncol. Clin. N. Am. 2012 Jul 1;21(3):397-405, viii.

    AbstractReadmissions following major oncologic operation are common-affecting patient treatment, outcome, and hospital resources. The Center for Medicare and Medicaid Services mandates reporting of certain disease-specific readmissions and Congress is considering using individual hospital readmission rates as a performance measure. Studies using administrative data demonstrate that readmission rates following major cancer surgery are high. Administrative data cannot determine causes. Single-institution studies demonstrate length of hospital stay and comorbidities as risk factors. Discharge processes and outpatient healthcare utilization can be improved. Until studies on readmission rate are conducted, using readmission rates as a measure of quality should be pursued cautiously.Published by Elsevier Inc.

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