Influence of Patient, Physician, and Hospital Factors on 30-Day Readmission Following Pancreatoduodenectomy in the United States
Hyder O, Dodson R, Nathan H, Schneider E, Weiss M, Cameron J, Choti M, Makary M, Hirose K, Wolfgang C, Herman J, Pawlik T. Influence of Patient, Physician, and Hospital Factors on 30-Day Readmission Following Pancreatoduodenectomy in the United States. JAMA Surgery 2013, 148: 1095-1102. PMID: 24108580, PMCID: PMC3983984, DOI: 10.1001/jamasurg.2013.2509.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAttitude of Health PersonnelCohort StudiesComorbidityCross InfectionFemaleHealth Care SurveysHospital MortalityHumansLength of StayMaleMedicareOutcome Assessment, Health CarePancreatic NeoplasmsPancreaticoduodenectomyPatient ReadmissionPostoperative ComplicationsPractice Patterns, Physicians'Retrospective StudiesRisk FactorsSEER ProgramSurvival RateTime FactorsUnited StatesWorkloadConceptsPancreatoduodenectomy proceduresMedical comorbiditiesHospital factorsSurgeon volumeMedicare dataPopulation-based cancer registry dataPreoperative medical comorbiditiesRetrospective cohort studyDays of dischargeHospital-level factorsLow-volume hospitalsPatient-related factorsChance of readmissionLength of stayInfluence of patientCancer registry dataPancreatoduodenectomy patientsHospital morbidityCohort studyHospital volumeHospital readmissionMedian agePhysician factorsDistinct hospitalsPatient levelProvider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy
Schneider E, Hyder O, Wolfgang C, Dodson R, Haider A, Herman J, Pawlik T. Provider versus patient factors impacting hospital length of stay after pancreaticoduodenectomy. Surgery 2013, 154: 152-161. PMID: 23889945, DOI: 10.1016/j.surg.2013.03.013.Peer-Reviewed Original ResearchConceptsDuration of stayHigh-volume hospitalsHigh-volume surgeonsHospital volumeMedian durationPD volumeMedian annual surgeon volumeAnnual hospital volumeAnnual surgeon volumePatient-level factorsNationwide Inpatient SampleCost-saving implicationsLow surgeonComorbid illnessesHospital lengthPerioperative outcomesVolume hospitalsHospital durationOlder patientsPatient ageMedian ageNonclinical factorsPatient factorsSurgeon volumePD patients