Clinical indications for necessary and discretionary hospital readmissions after radical cystectomy.

ABSTRACT:

Background

To assess predictors, indicators and medical necessity of readmissions after neoadjuvant chemotherapy and radical cystectomy in order to identify opportunities for reducing readmission rates.

Methods

Records for patients treated with cisplatin-based neoadjuvant chemotherapy followed by radical cystectomy between 2007 and 2017 were reviewed for 90-day complications and readmission. Readmissions were classified as necessary vs. discretionary based on independent clinician review. The association between postoperative complications and necessary or discretionary readmission were examined with adjusted regression models.

Results

Among a total of 250 patients, 76 patients (30.4%) were readmitted within 90 days of surgery (19 discretionary and 57 necessary). Age,

SUBMITTER: Aydin AM 

PROVIDER: S-EPMC8960322 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature