Evidence map›Paper›PMID 30167778›Full record

ArticleInternational journal of colorectal disease2018

Readmissions after colorectal surgery: not all are equal.

Laura Z Hyde, Ahmed M Al-Mazrou, Ben A Kuritzkes, Kunal Suradkar, Neda Valizadeh, Ravi P Kiran

Abstract read
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In one paragraph

Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Association of Cumulative Colorectal Surgery Hospital Costs, Readmissions, and Emergency Department/Observation Stays with Insurance Type.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Article
  5. Association of Insurance Type With Colorectal Surgery Outcomes and Costs at a Safety-Net Hospital: A Retrospective Observational Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
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

6 authors.

Laura Z HydeDivision of Colorectal Surgery, Columbia University Medical Center/New York Presbyterian Hospital, New York, NY, USA.ORCID http://orcid.org/0000-0002-7400-8801
Ahmed M Al-MazrouDivision of Colorectal Surgery, Columbia University Medical Center/New York Presbyterian Hospital, New York, NY, USA.
Ben A KuritzkesDivision of Colorectal Surgery, Columbia University Medical Center/New York Presbyterian Hospital, New York, NY, USA.
Kunal SuradkarDivision of Colorectal Surgery, Columbia University Medical Center/New York Presbyterian Hospital, New York, NY, USA.
Neda ValizadehDivision of Colorectal Surgery, Columbia University Medical Center/New York Presbyterian Hospital, New York, NY, USA.
Ravi P KiranDivision of Colorectal Surgery, Columbia University Medical Center/New York Presbyterian Hospital, New York, NY, USA. rpk2118@cumc.columbia.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to assess factors associated with preventable readmissions after colorectal resection.

methodsAll readmissions following colorectal resection from May 2013 to May 2016 at an academic medical center were reviewed. Readmissions that could be prevented were identified. Factors associated with preventable readmission were assessed using logistic regression.

resultsOf 686 patients discharged during the study period, there were 75 patients (11%) with unplanned readmission. Twenty-nine readmissions (39%) were preventable-these readmissions were due to dehydration or acute kidney injury, pain, ostomy complications, and gastrointestinal bleeding. On regression analysis, the strongest preoperative risk factors associated with preventable readmission were urgent or emergent operation (OR 4.0, 95% CI 1.6-9.9), recent myocardial infarction (OR 2.9, 95% CI 1.0-9.0), total or subtotal colectomy (OR 2.8, 95% CI 1.1-7.3), and American Society of Anesthesiologist score ≥ 3 (OR 2.2, 95% CI 1.0-4.7). Intraoperative risk factors associated with preventable readmission included intraoperative stapler complication (OR 24.2, 95% CI 1.5-397). Postoperative risk factors associated with preventable readmission included postoperative arrhythmia (OR 5.6, 95% CI 2.0-16.1), and postoperative anemia (OR 2.6, 95% CI 1.2-5.7). On multivariable analysis while controlling for procedure type, urgent or emergent operation (OR 2.9, 95% CI 1.1-8.2), intraoperative stapler complication (OR 37.5, 95% CI 2.3-627.8), and postoperative arrhythmia (OR 4, 95% CI 1.3-12.8) remained statistically significant.

conclusionApproximately 40% of readmissions following colorectal surgery are potentially preventable. Since specific patients and factors that are associated with preventable readmission can be identified, resources should be targeted to factors associated with preventable readmissions.

Indexed as

Colorectal SurgeryPatient ReadmissionAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedTreatment OutcomeColorectal surgeryOutcomes researchPatient outcome assessmentPatient readmissionRisk Factors

Identifiers

PMID30167778

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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.