MONDAY, May 3, 2021 (HealthDay News) – Travel distance and timing contribute to the fragmentation of care after hepatopancreatobiliary (HPB) and gastric oncological surgery, according to a study published online April 15 in the Journal of the American College of Surgeons.
David G. Brauer, MD, of the Washington University School of Medicine in St. Louis and colleagues used the Healthcare Cost and Utilization Project database (2006-2014) to identify patients who were having HPB or gastric oncological surgery Undergo 90-day follow-up data to assess readmission to remote hospitals (OSH).
The researchers identified 7,536 patients who were readmitted to 636 hospitals within 90 days of HPB or oncological gastric surgery, 28 percent of whom were on occupational health and safety. At 90-day OSH resumption, mortality was significantly higher (8.0 versus 5.4 percent). Although unrelated to re-admission mortality, patients re-admitted to OSH lived farther away from the Index surgery hospital (median 24 miles versus 16 miles) and were later re-admitted (median 25 days after discharge versus 12). An association was found between surgical complications treated by an occupational health and safety officer and higher re-admission mortality (8.4 versus 5.7 percent).
“This centralization of surgical treatment for cancer means that many patients have to travel long distances to undergo their operations and therefore, if complications arise, they may have to go to a hospital near where they live to care for patients with such complex medical problems.” Brauer said in a press release, “Patients who experience this type of fragmentation of care are more likely to die than those who do not experience fragmentation of care.
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