201. A Nationwide Analysis of Readmission Rate after Colorectal Cancer Surgery in the US.
- Author
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Jong Wook Kim, Mannalithara, Ajitha, Singh, Gurkirpal, and Ladabaum, Uri
- Subjects
COLORECTAL cancer ,PROCTOLOGY ,ONCOLOGIC surgery ,ANAL cancer ,URBAN hospitals - Abstract
Background/Aims Data on readmission rates after colorectal cancer (CRC) surgery are scarce. We aimed to analyze the readmission rate following CRC surgery in a U.S. nationwide database. Methods We queried the Nationwide Readmissions Database from 2010 to 2015 to estimate the national all-cause 30-day readmission rate after CRC surgery in adults, and to determine the reasons for readmission. Patients with only subepithelial tumors, appendiceal cancer and anal cancer were excluded. Multivariable-adjusted logistic regression models were used to analyze potential factors associated with readmission. All results were weighted for national estimates. Results The estimated number of index cases during the study period was 616,348. Among these patients, 90,555 (14.7%; 95% confidence interval [CI], 14.5% to 14.9%) were readmitted within 30 days of discharge. The most frequent diagnoses for readmission were gastrointestinal (54.8%), infectious (10.6%), and cardio/cerebrovascular (6.3%). Rectal resection, longer length of stay, non-invasive cancer, surgery at a metropolitan teaching hospital, non-routine discharge, elective admission, and higher Elixhauser comorbidity score were associated with subsequent readmission. The readmission rate showed a decreasing trend from 15.5% (95% CI, 15.0% to 16.0%) in 2010 to 13.5% (95% CI, 13.1% to 13.8%) in 2015 (p-trend <0.001) (Fig. 1). There was no obvious change in this trend during the study time. Conclusions In the United States, approximately 1 in 7 persons undergoing CRC surgery is readmitted to the hospital within 30 days. The readmission rate decreased from 2010 through 2015. It remains to be determined whether any of the predictors of readmission can point to modifiable factors that can further decrease readmission rates. [ABSTRACT FROM AUTHOR]
- Published
- 2019