Hospital readmission after ovarian cancer surgery: Are we measuring surgical quality?

Gynecologic Oncology
Emma L BarberPaola A Gehrig

Abstract

Readmission after surgery is a quality metric hypothesized to reflect the quality of care in the index hospitalization. We examined the link between readmissions and a surrogate of surgical quality - major postoperative complication - among ovarian cancer patients. Patients who underwent surgery for ovarian cancer between 2012 and 2013 were identified from the National Surgical Quality Improvement Project (NSQIP). Major complications were defined as grade 3 or ≥complications on the validated Claviden-Dindo scale and included both NSQIP and non-NSQIP defined complications based on readmission ICD-9 code. Readmissions and complications within 30-days of surgery were analyzed using rate ratios and modified Poisson regression. We identified 2806 ovarian cancer patients of whom 9.1% (n=259) experienced an unplanned readmission. Overall major complication rate was 10.9% (n=307). Major complications in the index hospitalization were not associated with subsequent readmission (RR 1.2, 95% CI 0.7-1.9). Overall, 41.4% of readmissions were not attributable to any major postoperative complication. Of the unplanned readmissions, 55.2% (n=143) never experienced a NSQIP-defined major complication. Of these 143 patients, the reason for readmis...Continue Reading

Citations

Aug 11, 2018·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Alexandra L MartinErin E Medlin
Jul 24, 2020·Journal of Surgical Oncology·Alexandra L MardockJoshua G Cohen
Nov 25, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Brooke E SandersRamez N Eskander
Sep 2, 2020·Gynecologic Oncology·Tiffany Y SiaJason D Wright
Sep 15, 2019·American Journal of Obstetrics and Gynecology·Stephanie ChamJason D Wright

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