Outcomes in head and neck oncologic surgery at academic medical centers in the united states

Jalisi, Scharukh; Bearelly, Shethal; Abdillahi, Abdirahman; Truong, Minh Tam

doi:10.1002/lary.23835

Cited by 50 publications

(82 citation statements)

References 30 publications

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“…It expands upon single‐institution retrospective studies examining 30‐day otolaryngology readmissions. The 30‐day readmission rate in this study was 8.1%, similar to other studies for otolaryngology …”

Section: Discussionsupporting

confidence: 91%

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30‐day hospital readmission following otolaryngology surgery: Analysis of a state inpatient database

et al. 2016

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Objectives For patients undergoing inpatient otolaryngologic surgery, determine patient and hospital-level risk factors associated with 30-day readmission. Study Design Retrospective cohort study Methods We analyzed the State Inpatient Database (SID) from California for patients who underwent otolaryngologic surgery between 2008 and 2010. Readmission rates, readmission diagnoses, and patient- and hospital-level risk factors for 30-day readmission were determined. Hierarchical logistic regression modeling was performed to identify procedure-, patient-, and hospital-level risk factors for 30-day readmission. Results The 30-day readmission rate following an inpatient otolaryngology procedure was 8.1%. The most common readmission diagnoses were nutrition, metabolic or electrolyte problems (44% of readmissions) and surgical complications (10% of readmissions). New complications after discharge were the major drivers of readmission. Variables associated with 30-day readmission in hierarchical logistic regression modeling were: type of otolaryngologic procedure, Medicare or Medicaid health insurance, chronic anemia, chronic lung disease, chronic renal failure, index admission via the emergency department, in-hospital complication during the index admission, and discharge destination other than home. Conclusions Approximately one out of twelve patients undergoing otolaryngologic surgery had a 30-day readmission. Readmissions occur across a variety of types of procedures and hospitals. Most of the variability was driven by patient-specific factors, not structural hospital characteristics.

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Section: Discussionsupporting

confidence: 91%

“…There have been few publications on readmission following inpatient otolaryngologic surgery . The existing otolaryngology readmissions research has suffered limitations relating to the lack of generalizability (e.g.…”

Section: Introductionmentioning

confidence: 99%

30‐day hospital readmission following otolaryngology surgery: Analysis of a state inpatient database

et al. 2016

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“…There were no disagreements between the 2 independent reviewers at this stage. This left 17 studies included in the systematic review (Figure ) …”

Section: Resultsmentioning

confidence: 99%

“…The 17 studies were published between 2008 and 2013. Friese et al studied 9 different cancers including head and neck but did not analyze this group separately, whereas Jalisi et al and Cheung et al assessed all head and neck cancer subsites including oral cavity, salivary gland, pharynx, and larynx. Similarly, Sharma et al assessed all major head and neck cancer subsites except for the salivary gland.…”

Section: Resultsmentioning

confidence: 99%

Volume–outcome associations in head and neck cancer treatment: A systematic review and meta‐analysis

et al. 2014

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“…Demographic data are also gathered, including age, race, sex, and comorbidities. Further description of the CDB/RM and definitions of terminology are described in a prior publication …”

Section: Methodsmentioning

confidence: 99%

Outcomes of head and neck cancer surgery in the geriatric population based on case volume at academic centers

Jalisi

Rubin

et al. 2017

The Laryngoscope

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Outcomes in head and neck oncologic surgery at academic medical centers in the united states

Abstract: After controlling for other factors, academic medical centers with a higher cumulative case volume have lower rates of complications.

Cited by 50 publications

References 30 publications

30‐day hospital readmission following otolaryngology surgery: Analysis of a state inpatient database

30‐day hospital readmission following otolaryngology surgery: Analysis of a state inpatient database

Volume–outcome associations in head and neck cancer treatment: A systematic review and meta‐analysis

Outcomes of head and neck cancer surgery in the geriatric population based on case volume at academic centers

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