Next-day discharge after minimally invasive partial nephrectomy: an analysis of the US National Surgical Quality Improvement Program

World Journal of Urology
Ian BergerThomas J Guzzo

Abstract

Clinical care pathways and new technologies have decreased the length of stay after many surgeries. However, doubt exists about the safety of shorter hospital stays. We sought to evaluate the feasibility of next-day discharge after minimally invasive partial nephrectomy in a national cohort of US patients and surgeons. Using the National Surgical Quality Improvement Program database, we analyzed patients who underwent minimally invasive partial nephrectomy from 2012 to 2016. Patients were grouped into discharge on post-operative day 1, or discharge on days 2 and 3. Propensity score matching was used to balance patient characteristics and univariable analysis was used to determine the effect of next-day discharge on readmission, post-discharge complications, and major post-discharge complications. A total of 8153 patients were included in the analysis and 4430 were matched. The matched cohort was balanced on all patient and peri-operative characteristics. On univariable analysis, no increase in odds were observed in the next-day discharge group for readmission (odds ratio 0.8; 95% confidence interval 0.6-1.4; p = 0.2), post-discharge complications (odds ratio 1.0; 95% confidence interval 0.7-1.4; p = 0.9), or post-discharge majo...Continue Reading

References

Aug 12, 2005·The Journal of Urology·Jonathan L Wright, James R Porter
Mar 13, 2010·Cancer·Lori M DulabonWilliam C Huang
May 13, 2011·Annals of Surgery·René VonlanthenPierre-Alain Clavien
Oct 14, 2011·Surgical Endoscopy·M P HaverkampK H Ong
Feb 2, 2013·Updates in Surgery·Jessie A ElliottEmmanouil Zacharakis
Feb 15, 2014·American Journal of Surgery·Brittney M KohlnhoferGregory D Kennedy
May 2, 2014·Anesthesia and Analgesia·Timothy E MillerUNKNOWN Enhanced Recovery Study Group
Aug 12, 2014·JAMA Surgery·Steven C StainJonathan R Hiatt
Dec 3, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Ahmad ElnahasTimothy D Jackson
Dec 18, 2015·World Journal of Urology·Jean-Christophe BernhardJean-Marie Ferriere
Sep 28, 2016·International Urology and Nephrology·Matthew J MauriceJihad H Kaouk
Mar 23, 2017·JAMA Surgery·Scott E RegenbogenJonathan S Skinner
May 25, 2018·The Journal of Urology·Paras H ShahStephen A Boorjian

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Citations

Jan 25, 2021·Urologic Oncology·Kyle JohnsonUNKNOWN Michigan Urological Surgery Improvement Collaborative

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