Feasibility of a geriatric comanagement (GERICO) pilot program for patients 75 and older undergoing radical cystectomy

Letica-Kriegel, Allison S.; Tin, Amy; Nash, Garrett M.; Benfante, Nicole; McNeil, N I; Bochner, Bernard H.; Donat, S. Machele; Goh, Alvin C.; Dalbagni, Guido; Donahue, Timothy F.; Eugene, K.; Pietzak, Eugene J.; Herr, Harry W.; Korc‐Grodzicki, Beatriz; Shahrokni, Armin

doi:10.1016/j.ejso.2022.02.023

Cited by 9 publications

(1 citation statement)

References 26 publications

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“…This study reported significant reductions in complication rates, lengths of hospital stay, and total direct patient costs. Recently, Letica-Kriegel, et al 21 conducted a pilot study of a geriatric co-management program involving 59 patients aged 75 years and older undergoing radical cystectomy. All patients eligible for the program were referred to the geriatric clinic for preoperative geriatric consultation and were treated throughout their inpatient days.…”

Section: Discussionmentioning

confidence: 99%

Effect of Active Surgical Co-Management by Medical Hospitalists in Urology Inpatient Care: A Retrospective Cohort Study

Kim,

Ohn,

Lim

et al. 2023

Yonsei Med J

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Purpose This study aimed to evaluate the use of active surgical co-management (SCM) by medical hospitalists for urology inpatient care. Materials and Methods Since March 2019, a hospitalist-SCM program was implemented at a tertiary-care medical center, and a retrospective cohort study was conducted among co-managed urology inpatients. We assessed the clinical outcomes of urology inpatients who received SCM and compared passive SCM (co-management of patients by hospitalists only on request; March 2019 to June 2020) with active SCM (co-management of patients based on active screening by hospitalists; July 2020 to October 2021). We also evaluated the perceptions of patients who received SCM toward inpatient care quality, safety, and subjective satisfaction with inpatient care at discharge or when transferred to other wards. Results We assessed 525 patients. Compared with the passive SCM group (n=205), patients in the active SCM group (n=320) required co-management for a significantly shorter duration ( p =0.012) and tended to have a shorter length of stay at the urology ward ( p =0.062) and less frequent unplanned readmissions within 30 days of discharge ( p =0.095) while triggering significantly fewer events of rapid response team activation ( p =0.002). No differences were found in the proportion of patients transferred to the intensive care unit, in-hospital mortality rates, or inpatient care questionnaire scores. Conclusion Active surveillance and co-management of urology inpatients by medical hospitalists can improve the quality and efficacy of inpatient care without compromising subjective inpatient satisfaction.

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Section: Discussionmentioning

confidence: 99%