Readmission after pancreatic resection: causes, costs and cost-effectiveness analysis of high versus low quality hospitals using the Nationwide Readmission Database

Abstract

HQ hospitals were cost-effective at performing pancreatic resection and achieved substantial cost-savings by avoiding major complications during index operation and having lower rates of readmissions. Hospital readmission rate is a strong marker of quality of care.

High Rates of Readmission in Necrotizing Pancreatitis: Natural History or Opportunity for Improvement?

“…This retrospective analysis defines incidence, etiology, and risk factors for readmission following index admission in a large group of necrotizing pancreatitis patients treated at a highvolume pancreatic quaternary referral center. Readmission following an episode of NP is extremely common (72%); much higher than that seen in other hepatopancreatobiliary pathology (12). Importantly, this study lends insight into reasons underlying readmission, which offers opportunity to improve clinical practice.…”

Patient Social Vulnerability and Hospital Community Racial/Ethnic Integration: Do All Patients Undergoing Pancreatectomy Receive the Same Care Across Hospitals?

“…Despite advances in surgical techniques and perioperative care, morbidity and mortality after pancreatectomy still remain high. Previous research has sought to determine patient-level and hospital-level factors associated with postoperative outcomes, and identify disparities in treatment options and outcomes among patients with varied SES or race/ethnicity 4–6,18,31,32 . The current study provided a novel approach to identify disparities in postoperative outcomes after pancreatectomy by evaluating TO - a metric considered to represent the “optimal” outcome or “success” after surgery – relative to SVI on the patient level and REI on the hospital level.…”