Investigating readmission rates for patients undergoing oncologic resection and endoprosthetic reconstruction for primary sarcomas and tumors involving bone.
Journal Article (Journal Article)
BACKGROUND: Little is known about the drivers of readmission in patients undergoing Orthopaedic oncologic resection. The goal of this study was to identify factors independently associated with 90-day readmission for patients undergoing oncologic resection and subsequent prosthetic reconstruction for primary tumors involving bone. METHODS: This was a retrospective comparative cohort study of patients treated from 2008 to 2019 who underwent endoprosthetic reconstruction for a primary bone tumor or soft tissue tumor involving bone, as well as those who underwent a revision endoprosthetic reconstruction if the primary endoprosthetic reconstruction was performed for an oncologic resection. The primary outcome measure was unplanned 90-day readmission. RESULTS: A total of 149 patients were identified who underwent 191 surgeries were for a primary bone or soft tissue tumor. The 90-day readmission rate was 28.3%. Female gender, depression, higher tumor grade, vascular reconstruction, longer procedure duration, longer length of stay (LOS), multiple surgeries during an admission and disposition to a Skilled Nursing Facility were associated with readmission (p < 0.05). In a multivariate analysis, female sex, higher tumor grade and longer procedure duration were independently associated with risk of readmission (p < 0.05). CONCLUSIONS: Readmission rates are high following endoprosthetic reconstruction for Orthopaedic oncologic resections. Further work is necessary to help minimize unplanned readmissions.
Full Text
Duke Authors
Cited Authors
- Lazarides, AL; Flamant, EM; Cullen, MM; Ferlauto, HR; Cochrane, N; Gao, J; Jung, S-H; Visgauss, JD; Brigman, BE; Eward, WC
Published Date
- August 2022
Published In
Volume / Issue
- 126 / 2
Start / End Page
- 356 - 364
PubMed ID
- 35319106
Electronic International Standard Serial Number (EISSN)
- 1096-9098
Digital Object Identifier (DOI)
- 10.1002/jso.26864
Language
- eng
Conference Location
- United States