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Abstract

Hospital Medicine care dedicated to cancer patients has grown in recent years. The presence of hospitalists in the co-management of surgical patients has been associated with decreasing Length of Stay (LOS). This study aims to evaluate the impact of hospitalist team co-management on length of stay in an oncological surgical population. This is a retrospective analyze of the patients assisted by the Hospitalist Team from 2013 through 2016. The primary outcome was the Average Length of Stay (ALOS). The time from admission to the first hospitalist evaluation was significantly smaller in the group with a LOS less than 16 days (p<0.0001) and the inverse relationship was also true: the LOS was higher in the group evaluated by the hospitalist for the first time only after 3 days from admission (Late co-management) (p<0.0001). Early Hospital Medicine team co-management of cancer surgical patients is associated with lower LOS.