The most frequent cause of 90-day unplanned hospital readmission following colorectal cancer resection is chemotherapy complications

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
C W AngM A S Chapman

Abstract

NHS England deems 90-day readmission rates as a marker of quality of care. The causes of readmission have not been previously reported in the UK. The aim of this study was to examine the factors associated with 90-day readmission following colorectal cancer surgery at a hospital trust with a catchment population 1.2 million. A retrospective review was performed of all patients undergoing resection for colorectal cancer between January 2012 and December 2013. Unplanned readmission was defined as an emergency admission to the trust for any cause within 90 days of surgery. Readmission analyses were restricted to patients discharged from hospital within 28 days of resection. A total of 570 patients underwent surgery, of whom 522 were discharged within 28 days and are included for readmission analysis. The readmission rate was 24.3% (127 patients with a total of 163 episodes of hospital readmissions) within 90 days following surgery. The most frequent cause for readmission was complications related to adjuvant chemotherapy (18.4%) followed by wound-related complications (14.1%). Most patients presenting with wound-related complications were admitted within 60 days and patients with chemotherapy-related complications after 61 days; 1...Continue Reading

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Citations

Jul 15, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shaila J MerchantJoseph Kim
Jan 7, 2017·Diseases of the Colon and Rectum·Ahmed M Al-MazrouRavi P Kiran
May 9, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Dmitri NepogodievAneel Bhangu
Sep 6, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·José M QuintanaUNKNOWN REDISSEC CARESS-CCR (Results and Health Services Research in Colorectal Cancer)- group
Jan 18, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N J CurtisN K Francis
Nov 4, 2015·Journal of Visceral Surgery·L GauduchonJ M Regimbeau

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