ArticleJournal of the American Geriatrics Society2020
Time Spent Away from Home in the Year Following High-Risk Cancer Surgery in Older Adults.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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.
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.
Who cites it
7 citing papers in PubMed.
- Days at home after surgery as a perioperative outcome: scoping review and recommendations for use in health services research.The British journal of surgery · 2024Article
- Characterization of time toxicity in older patients with metastatic breast cancer.Breast cancer research and treatment · 2024Article
- Factors Associated With Provision of Nonbeneficial Surgery: A National Survey of Surgeons.Annals of surgery · 2023Article
- Integrating Functional Assessment Into Clinical Decision-Making for Older Adults Across the Cancer Care Continuum.JCO oncology practice · 2022Article
- Perspectives on Home Time and Its Association With Quality of Life After Inpatient Surgery Among US Veterans.JAMA network open · 2022Article
- Incorporating Outcomes that Matter to Older Adults into Surgical Research.Journal of the American Geriatrics Society · 2021Article
- Improving quality in colon and rectal surgery through palliative care.Seminars in colon & rectal surgery · 2020Article
Corrections and comments
- Commented on byGeriatrics.2021
Authors and funding
5 authors.
Funding
Abstract
objectivesTo understand where older adults spend time (at home, in the hospital, or in a nursing home) in the year following high-risk cancer surgery.
designRetrospective cohort study.
settingMedicare beneficiaries using data from Medicare Inpatient claims to ascertain hospital days and the Minimum Data Set to ascertain nursing home days.
participantsBeneficiaries who underwent high-risk cancer surgery (cystectomy, pancreaticoduodenectomy, gastrectomy, or esophagectomy) were identified to determine cumulative time spent away from home in the year following surgery. MEASUREMENTS: Adjusted percentages of time spent away from home (ie, days in a hospital or nursing home) were modeled for the year following surgery.
resultsA total of 37 748 beneficiaries underwent high-risk cancer surgery during the study period, and 28.3% died within 1 year. Overall, beneficiaries spent 13.9 ± 26.2 days in the hospital (over 1.5 ± 2.0 hospital readmissions) and 37.2 ± 50.6 days in the nursing home (over 1.5 ± 1.0 admissions) in the year following surgery. Among beneficiaries who were alive and dead at 1 year, 18.5% and 30.1% of time was spent away from home, respectively. Beneficiaries who were initially discharged to a facility following surgery and died within 1 year spent 44.4% of their final year away from home.
conclusionTime spent away from home in the hospital and/or nursing home in the year following high-risk cancer surgery is substantial among Medicare beneficiaries. This information is crucial in counseling patients on postoperative expectations and may additionally influence preoperative decision making. J Am Geriatr Soc 68:505-510, 2020.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.