Evidence map›Paper›PMID 41649247›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2026

Clinical and Socioeconomic Predictors of 60-Day Rehospitalization After Oncologic Head and Neck Surgery.

Nana-Hawwa Abdul-Rahman, Shaum Sridharan, Matthew E Spector, Carl H Snyderman

Abstract read
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Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Nana-Hawwa Abdul-RahmanUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Shaum SridharanDepartment of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-6049-1508
Matthew E SpectorDepartment of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-7646-6075
Carl H SnydermanDepartment of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-8920-4522

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvaluate the association between clinical characteristics and neighborhood socioeconomic disadvantage and 60-day re-presentation after oncologic head and neck surgery. STUDY

designThis retrospective cohort study involved 1,088 patients who underwent oncologic head and neck surgery from August 2012 to November 2024.

settingTertiary academic center.

methodsThe main outcome measure was 60-day Emergency Department (ED) visit or readmission after primary hospital discharge following surgery. Patient demographics, clinical characteristics, and neighborhood socioeconomic disadvantage, as measured by state-level area deprivation index (ADI).

resultsPredictors of re-presentation within 60 days of discharge on univariate analysis include tumor stage 4 (OR: 1.52, 95% Cl: 1.01-2.31, P = .044), longer primary length of stay (OR: 1.03, 95% Cl: 1.01-1.05, P < .001), and residency in the 4th quartile state ADI (OR: 1.54, 95% Cl: 1.03-2.31, P = .037). Multivariable logistic regression identified laryngeal cancer (OR: 1.60, 95% Cl: 1.16-2.21, 0.004) and discharge with home health or other care facilities (2.22, 95% Cl: 1.67-2.96, P < .001) as predictive factors. Patients from low ADI neighborhoods (Q1-3) were more likely to be discharged home, whereas those from high ADI neighborhoods (Q4) where almost twice as likely to be discharged with home health or to care facilities than home alone (18.70% vs 10.29%, P = < .001).

conclusionOur study demonstrates that clinical and systemic factors contribute to re-presentation to the hospital after major oncologic head and neck surgery. Addressing these factors through targeted policies and institutional initiatives may help mitigate the morbidity and cost associated with representation.

Indexed as

Head and Neck NeoplasmsPatient ReadmissionAgedEmergency Room VisitsFemaleHumansLength of StayLow Socioeconomic StatusMaleMiddle AgedRetrospective StudiesSocioeconomic Disparities in HealthSocioeconomic FactorsTime Factorsarea deprivation index (ADI)emergency department visithead and neck cancerhospital utilizationneighborhood socioeconomic disadvantagereadmission

Identifiers

PMID41649247
PMCPMC13126435

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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.