Trends in readmission rate by route of hysterectomy – a single‐center experience

Trends in readmission rate by route of hysterectomy – a single‐center experience AbbreviationsAHabdominal hysterectomyBMIbody mass indexCIconfidence intervalLHlaparoscopic hysterectomyORodds ratioRHrobotic hysterectomyVHvaginal hysterectomyKey MessageThe 60‐day readmission rates were assessed after hysterectomy. Laparoscopic hysterectomy was associated with fewer readmissions compared with the abdominal route; vaginal robotic and abdominal approaches had similar readmissions.IntroductionHysterectomy is one of the most commonly performed gynecological procedures in the USA and may be accomplished using an abdominal, laparoscopic, vaginal or robot‐assisted approach. In addition to traditional concerns such as perioperative complications or recovery, another pertinent factor when contemplating the route of hysterectomy is the difference in postoperative readmission rate. Hospital readmissions are associated with increased healthcare costs and may reflect patient morbidity. As such, readmission rates have been used as a metric for healthcare quality . It has been estimated that the cost of hospital readmissions in the USA totals more than 12–17 billion US dollars annually, with approximately 12% of these readmissions being preventable .The overall risk of readmission for benign gynecological surgery seems low; the incidence of readmission after hysterectomy as described in prior studies varies from 1.1 to 6.7% . It is important to understand the causes of readmission after surgery in order to design effective interventions, particularly for high‐risk patients . Patient characteristics, teaching hospital status and surgical volume http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Obstetricia Et Gynecologica Scandinavica Wiley

Trends in readmission rate by route of hysterectomy – a single‐center experience

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 Acta Obstetricia et Gynecologica Scandinavica
ISSN
0001-6349
eISSN
1600-0412
D.O.I.
10.1111/aogs.13270
Publisher site
See Article on Publisher Site

Abstract

AbbreviationsAHabdominal hysterectomyBMIbody mass indexCIconfidence intervalLHlaparoscopic hysterectomyORodds ratioRHrobotic hysterectomyVHvaginal hysterectomyKey MessageThe 60‐day readmission rates were assessed after hysterectomy. Laparoscopic hysterectomy was associated with fewer readmissions compared with the abdominal route; vaginal robotic and abdominal approaches had similar readmissions.IntroductionHysterectomy is one of the most commonly performed gynecological procedures in the USA and may be accomplished using an abdominal, laparoscopic, vaginal or robot‐assisted approach. In addition to traditional concerns such as perioperative complications or recovery, another pertinent factor when contemplating the route of hysterectomy is the difference in postoperative readmission rate. Hospital readmissions are associated with increased healthcare costs and may reflect patient morbidity. As such, readmission rates have been used as a metric for healthcare quality . It has been estimated that the cost of hospital readmissions in the USA totals more than 12–17 billion US dollars annually, with approximately 12% of these readmissions being preventable .The overall risk of readmission for benign gynecological surgery seems low; the incidence of readmission after hysterectomy as described in prior studies varies from 1.1 to 6.7% . It is important to understand the causes of readmission after surgery in order to design effective interventions, particularly for high‐risk patients . Patient characteristics, teaching hospital status and surgical volume

Journal

Acta Obstetricia Et Gynecologica ScandinavicaWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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