Evidence map›Paper›PMID 28988350›Full record

ArticleJournal of neuro-oncology2018

Predictors of 30- and 90-day readmission following craniotomy for malignant brain tumors: analysis of nationwide data.

Daniel A Donoho, Timothy Wen, Robin M Babadjouni, William Schwartzman, Ian A Buchanan, Steven Y Cen, Gabriel Zada, William J Mack, Frank J Attenello

Open access · greenAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

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  14. Postpartum length of stay and risk for readmission among women with preeclampsia.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Daniel A DonohoDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, GH 3300, 1200 N State St, Los Angeles, CA, 90033, USA.
Timothy WenDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, GH 3300, 1200 N State St, Los Angeles, CA, 90033, USA.
Robin M BabadjouniDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, GH 3300, 1200 N State St, Los Angeles, CA, 90033, USA. rbabadjo@usc.edu.ORCID http://orcid.org/0000-0002-5048-9233
William SchwartzmanDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, GH 3300, 1200 N State St, Los Angeles, CA, 90033, USA.
Ian A BuchananDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, GH 3300, 1200 N State St, Los Angeles, CA, 90033, USA.
Steven Y CenDepartment of Preventative Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA.
Gabriel ZadaDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, GH 3300, 1200 N State St, Los Angeles, CA, 90033, USA.
William J MackDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, GH 3300, 1200 N State St, Los Angeles, CA, 90033, USA.
Frank J AttenelloDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, GH 3300, 1200 N State St, Los Angeles, CA, 90033, USA.
University of Southern California · US

Funding

Mentored Career DevelopmentKL2TR001854 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Elizabeth Rhea Erwin Burner, Amy Elizabeth West · 2016 to 2026
$9.0M
NCATS NIH HHS KL2 TR001854
6 · The paper itself

Abstract

Hospital readmissions are a major contributor to increased health care costs and are associated with worse patient outcomes after neurosurgery. We used the newly released Nationwide Readmissions Database (NRD) to describe the association between patient, hospital and payer factors with 30- and 90-day readmission following craniotomy for malignant brain tumor. All adult inpatients undergoing craniotomy for primary and secondary malignant brain tumors in the NRD from 2013 to 2014 were included. We identified all cause readmissions within 30- and 90-days following craniotomy for tumor, excluding scheduled chemotherapeutic procedures. We used univariate and multivariate models to identify patient, hospital and administrative factors associated with readmission. We identified 27,717 admissions for brain tumor craniotomy in 2013-2014, with 3343 (13.2%) 30-day and 5271 (25.7%) 90-day readmissions. In multivariate analysis, patients with Medicaid and Medicare were more likely to be readmitted at 30- and 90-days compared to privately insured patients. Patients with two or more comorbidities were more likely to be readmitted at 30- and 90-days, and patients discharged to skilled nursing facilities or home health care were associated with increased 90-day readmission rates. Finally, hospital procedural volume above the 75th percentile was associated with decreased 90-day readmission rates. Patients treated at high volume hospitals are less likely to be readmitted at 90-days. Insurance type, non-routine discharge and patient comorbidities are predictors of postoperative non-scheduled readmission. Further studies may elucidate potentially modifiable risk factors when attempting to improve outcomes and reduce cost associated with brain tumor surgery.

Indexed as

AgedBrain NeoplasmsCraniotomyDatabases, FactualEconomics, HospitalHumansMedicaidMedicareMiddle AgedPatient DischargePatient ReadmissionPostoperative ComplicationsUnited States30-day readmission90-day readmissionHealthcare cost and utilization projectMalignant brain tumorNational readmission database

Identifiers

PMID28988350
PMCPMC7441072
OpenAlexW2762124364

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.