ArticleThe New England journal of medicine2013
Variation in surgical-readmission rates and quality of hospital care.
Article in The New England journal of medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 230 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
230 citing papers in PubMed, 4 syntheses or guidelines pooled it, 670 citations in OpenAlex.
- Risk factors for unplanned 31-day readmission after surgery for colorectal cancer patients: a meta-analysis.BMC gastroenterology · 2025Pooled it
- Risk Factors for Early Hospital Readmission in Geriatric Patients: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Patient and hospital factors associated with 30-day readmissions after coronary artery bypass graft (CABG) surgery: a systematic review and meta-analysis.Journal of cardiothoracic surgery · 2021Pooled it
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- Validity of Early Outcomes as Indicators for Comparing Hospitals on Quality of Stroke Care.Journal of the American Heart Association · 2023Trial
- Comparison of hospital variation in acute myocardial infarction care and outcome between Sweden and United Kingdom: population based cohort study using nationwide clinical registries.BMJ (Clinical research ed.) · 2015Trial
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- Challenges of Care Transition From Hospital to Home for Older Colorectal Surgery Patients: Surgeons' Perspectives.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Development and validation of dual-time-window readmission prediction models under China's medical insurance multi-payment reform.Frontiers in public health · 2026Article
- Assessment of modified textbook outcomes following gastrectomy based on survival benefits: a multicenter observational study.International journal of surgery (London, England) · 2026Observational
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- Postoperative outcomes in academic versus non-academic hospitals: population-based cohort study.BJS open · 2025Article
- Laparoscopic versus robotic pancreaticoduodenectomy for distal cholangiocarcinoma after learning curves of surgeons: a multicenter propensity score-matched study.Hepatobiliary surgery and nutrition · 2025Article
- [Clinical Practice and Quality Control Strategies for Complex Minimally Invasive Pancreatic Surgery].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Review
- Risk factors for 30-day unplanned readmissions after surgical procedures in the elderly population.Patient safety in surgery · 2025Article
- Surgical transitional care interventions and their outcomes: a scoping review.International journal of nursing studies advances · 2025Review
- Changes in surgical quality and access after rural hospital closures.Health affairs scholar · 2025Article
- Esophagectomy Trends and Postoperative Outcomes at Private Equity-Acquired Health Centers.JAMA surgery · 2025Article
- Comparison of laparoscopic and open pancreaticoduodenectomy for distal cholangiocarcinoma and impact factors on textbook outcome.Surgical endoscopy · 2025Article
- Incidence, timing and variation in unplanned readmissions within 30-days following isolated coronary artery bypass grafting.International journal of cardiology. Heart & vasculature · 2025Article
170 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundReducing hospital-readmission rates is a clinical and policy priority, but little is known about variation in rates of readmission after major surgery and whether these rates at a given hospital are related to other markers of the quality of surgical care.
methodsUsing national Medicare data, we calculated 30-day readmission rates after hospitalization for coronary-artery bypass grafting, pulmonary lobectomy, endovascular repair of abdominal aortic aneurysm, open repair of abdominal aortic aneurysm, colectomy, and hip replacement. We used bivariate and multivariate techniques to assess the relationships between readmission rates and other measures of surgical quality, including adherence to surgical process measures, procedure volume, and mortality.
resultsFor the six index procedures, there were 479,471 discharges from 3004 hospitals. The median risk-adjusted composite readmission rate at 30 days was 13.1% (interquartile range, 9.9 to 17.1). In a multivariate model adjusting for hospital characteristics, we found that hospitals in the highest quartile for surgical volume had a significantly lower composite readmission rate than hospitals in the lowest quartile (12.7% vs. 16.8%, P<0.001), and hospitals with the lowest surgical mortality rates had a significantly lower readmission rate than hospitals with the highest mortality rates (13.3% vs. 14.2%, P<0.001). High adherence to reported surgical process measures was only marginally associated with reduced readmission rates (highest quartile vs. lowest quartile, 13.1% vs. 13.6%; P=0.02). Patterns were similar when each of the six major surgical procedures was examined individually.
conclusionsNearly one in seven patients hospitalized for a major surgical procedure is readmitted to the hospital within 30 days after discharge. Hospitals with high surgical volume and low surgical mortality have lower rates of surgical readmission than other hospitals.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.