ArticleObstetrics and gynecology2015
Factors associated with 30-day hospital readmission after hysterectomy.
Article in Obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health Care Disparities in Patients Undergoing Hysterectomy for Benign Indications: A Systematic Review.Obstetrics and gynecology · 2023Pooled it
- Frailty and an Inflammation-Nutrition Composite for Predicting Postoperative Outcomes in Older Patients Undergoing Endometrial Cancer Surgery.Clinical interventions in aging · 2026Article
- Addressing Social Determinants of Health in Primary Care Patients May Reduce Hospital Readmissions: A Quasi-Experimental Study.Journal of general internal medicine · 2024Article
- Racial/Ethnic Differences in the Risk of Surgical Complications and Posthysterectomy Hospitalization among Women Undergoing Hysterectomy for Benign Conditions.Journal of minimally invasive gynecology · 2021Article
- Surgical approach and unplanned readmission following pelvic organ prolapse surgery: a retrospective cohort study using data from the National Surgical Quality Improvement Program Database (NSQIP).International urogynecology journal · 2021Article
- Factors Influencing Postoperative Recovery and Time Off Work of Patients with Benign Indications for Surgery - Results of a Prospective Study.Geburtshilfe und Frauenheilkunde · 2020Article
- Society of gynecologic oncology future of physician payment reform task force: Lessons learned in developing and implementing surgical alternative payment models.Gynecologic oncology · 2020Review
- Patterns of Specialty-Based Referral and Perioperative Outcomes for Women With Endometrial Cancer Undergoing Hysterectomy.Obstetrics and gynecology · 2017Article
- Patient, surgeon, and hospital disparities associated with benign hysterectomy approach and perioperative complications.American journal of obstetrics and gynecology · 2017Article
- A retrospective cohort study of hemostatic agent use during hysterectomy and risk of post-operative complications.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2017Observational
- Evaluation of the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator in Gynecologic Oncology Patients Undergoing Minimally Invasive Surgery.Journal of minimally invasive gynecology · 2017Article
- Risk stratification and outcomes of women undergoing surgery for ovarian cancer.Gynecologic oncology · 2015Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo analyze factors associated with 30-day readmission among women who underwent hysterectomy for uterine cancer and benign indications.
methodsWe used the National Surgical Quality Improvement Project database to perform a cohort study of women who underwent hysterectomy from 2011 to 2012. Patients were stratified by surgical indication (uterine cancer or benign indications). Multivariable logistic regression models were constructed to determine factors associated with 30-day readmission. Model fit statistics were used to evaluate the importance of demographic factors, preoperative comorbidities, and postoperative complications on readmission.
resultsThe rate of 30-day readmission was 6.1% among 4,725 women with uterine cancer and 3.4% after hysterectomy for benign gynecologic disease in 36,471 patients. In a series of multivariable models, postoperative complications including wound complications, infections, and pulmonary emboli and myocardial infarctions were the factors most strongly associated with readmission. Compared with women without a complication, complications increased the readmission rate from 2.5 to 20.3% for women with uterine cancer and from 1.5 to 15.1% for those without cancer. Among women with uterine cancer, postoperative complications explained 34.3% of the variance in readmission compared with 5.9% for demographic factors and 2.2% for preoperative comorbidities. For patients with benign diseases, complications accounted for 32.1%, preoperative conditions 1.2%, and demographic factors 2.5% of the variance in readmission.
conclusionEfforts to reduce readmission should be directed at initiatives to reduce complications and improve the care of women who experience a complication.
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