ArticlePloS one2016
Reducing Length of Hospital Stay Does Not Increase Readmission Rates in Early-Stage Gastric, Colon, and Lung Cancer Surgical Cases in Japanese Acute Care Hospitals.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Policy frameworks for promoting public hospital development in major economies: implications for China.Frontiers in public health · 2026Review
- Advanced or metastatic biliary tract cancer in Japan: a study using the Japan Medical Data Center payer claims database.Journal of comparative effectiveness research · 2023Article
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- Cost of postoperative complications of lower anterior resection for rectal cancer: a nationwide registry study of 15,187 patients.Surgery today · 2022Article
- Cost reduction associated with transradial access in percutaneous coronary intervention: A report from a Japanese nationwide registry.The Lancet regional health. Western Pacific · 2022Article
- Financial Estimation of the Uncertainty in Medicine Using Present Value of Medical Fees and a Mortality Risk Prediction Model: a Retrospective Cohort Study.Journal of medical systems · 2021Article
- Impact of rehabilitation start time on functional outcomes after stroke.Journal of rehabilitation medicine · 2021Article
- Preoperative rehabilitation for patients undergoing colorectal cancer surgery: a retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Developing and validating a multivariable prediction model for in-hospital mortality of pneumonia with advanced chronic kidney disease patients: a retrospective analysis using a nationwide database in Japan.Clinical and experimental nephrology · 2020Article
- Association between clinic physician workforce and avoidable readmission: a retrospective database research.BMC health services research · 2020Article
- Hospitalizations and length of stay of cancer patients: A cohort study in the Brazilian Public Health System.PloS one · 2020Article
- Analysis of concordance with antiemetic guidelines in pediatric, adolescent, and young adult patients with cancer using a large-scale administrative database.Cancer medicine · 2019Article
- Article
- Effects of night-time and weekend admissions on in-hospital mortality in acute myocardial infarction patients in Japan.PloS one · 2018Article
- Impact of Elderly Acute Care Discharge Services on Prevention of Rehospitalisation: A Retrospective Cohort Study Using National Health Data from Kita Ward, Tokyo.International journal of integrated careArticle
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Japanese government has worked to reduce the length of hospital stay by introducing a per-diem hospital payment system that financially incentivizes the timely discharge of patients. However, there are concerns that excessively reducing length of stay may reduce healthcare quality, such as increasing readmission rates. The objective of this study was to investigate the temporal changes in length of stay and readmission rates as quality indicators in Japanese acute care hospitals.
methodsWe used an administrative claims database under the Diagnosis Procedure Combination Per-Diem Payment System for Japanese hospitals. Using this database, we selected hospitals that provided data continuously from July 2010 to March 2014 to enable analyses of temporal changes in length of stay and readmission rates. We selected stage I (T1N0M0) gastric, colon, and lung cancer surgical patients who had been discharged alive from the index hospitalization. The outcome measures were length of stay during the index hospitalization and unplanned emergency readmissions within 30 days after discharge.
resultsFrom among 804 hospitals, we analyzed 42,585, 15,467, and 40,156 surgical patients for gastric, colon, and lung cancer, respectively. Length of stay was reduced by approximately 0.5 days per year. In contrast, readmission rates were generally stable at approximately 2% or had decreased slightly over the 4-year period.
conclusionsIn early-stage gastric, colon, and lung cancer surgical patients in Japan, reductions in length of stay did not result in increased readmission rates.
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