Fragmentation of Care after Surgical Discharge: Non-Index Readmission after Major Cancer Surgery.

ABSTRACT:

Background

Despite national emphasis on care coordination, little is known about how fragmentation affects cancer surgery outcomes. Our study examines a specific form of fragmentation in post-discharge care-readmission to a hospital different from the location of the operation-and evaluates its causes and consequences among patients readmitted after major cancer surgery.

Study design

We used the State Inpatient Database of California (2004 to 2011) to identify patients who had major cancer surgery and their subsequent readmissions. Logistic models were used to examine correlates of non-index readmissions and to assess associations between location of readmission and outcomes, measured by in-hospital mortality and repeated readmission.

Results

Of 9,233 readmissions wit

SUBMITTER: Zheng C 

PROVIDER: S-EPMC5244824 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature