Patterns and Consequences of Care Fragmentation in Post-Surgical Management of Upper Gastrointestinal and Hepatopancreatobiliary Cancers.

ABSTRACT:

Background

Upper gastrointestinal (UGI) and hepatopancreatobiliary (HPB) oncologic operations are frequently performed at major referral centers. Postoperatively, many patients face care fragmentation (CF), which has been previously linked to inferior outcomes. This analysis examines clinical and financial outcomes of CF following UGI and HPB cancer operations.

Patients and methods

The 2016-2022 Nationwide Readmissions Database identified adults (≥ 18 years) who underwent UGI and HPB oncologic surgery. Patients readmitted to a nonindex facility within 30 days of discharge comprised the CF cohort. Multivariable models assessed the association of CF with clinical outcomes and identified related factors.

Results

Among 8384 UGI and 16,235 HPB surgical oncology patients, C

SUBMITTER: Justo M 

PROVIDER: S-EPMC12689737 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature