Skilled nursing facility (SNF) utilization and impact of SNF star-quality ratings on outcomes following hepatectomy among Medicare beneficiaries

Paredes, Anghela Z.; Hyer, J. Madison; Tsilimigras, Diamantis I.; Merath, Katiuscha; Mehta, Rittal; Sahara, Kota; Farooq, Salman; Wu, Lu; White, Susan; Pawlik, Timothy M.

doi:10.1016/j.hpb.2019.05.012

Cited by 7 publications

(2 citation statements)

References 28 publications

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“…For example, the mortality within six months was 56% among patients with colorectal, pancreatic, bladder, or lung cancer discharged to facility compared with 36% discharged home [ 31 ]. Readmission within 30 days from facility among Medicare beneficiaries is also higher [ 32 , 55 ]. The outcomes of patients discharged to facility need further investigation since there is a paucity of data related to this.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and Outcomes of Hospitalizations Due to Hepatocellular Carcinoma

Mullangi¹,

Keesari²,

Zaher³

et al. 2021

Cureus

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BackgroundHepatocellular Carcinoma (HCC) is a severe complication of cirrhosis and the incidence of HCC has been increasing in the United States (US). We aim to describe the trends, characteristics, and outcomes of hospitalizations due to HCC across the last decade. MethodsWe derived a study cohort from the Nationwide Inpatient Sample (NIS) for the years 2008-2017. Adult hospitalizations due to HCC were identified using the International Classification of Diseases (9th/10th Editions) Clinical Modification diagnosis codes (ICD-9-CM/ICD-10-CM). Comorbidities were also identified by ICD-9/10-CM codes and Elixhauser Comorbidity Software (Agency for Healthcare Research and Quality, Rockville, Maryland, US). Our primary outcomes were in-hospital mortality and discharge to the facility. We then utilized the Cochran-Armitage trend test and multivariable survey logistic regression models to analyze the trends, outcomes, and predictors.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and Outcomes of Hospitalizations Due to Hepatocellular Carcinoma

Mullangi¹,

Keesari²,

Zaher³

et al. 2021

Cureus

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“…14 While several studies have evaluated postoperative outcomes among patients undergoing hepatic resection, trends in discharge disposition among patients following hepatectomy have not been investigated. [2][3][4]15 Such data may be helpful in planning discharge disposition and designing an effective postoperative treatment strategy. Therefore, the current study's objective was to characterize discharge disposition trends over the last decade among patients who underwent hepatic resection for hepatocellular carcinoma (HCC).…”

Section: Introductionmentioning

confidence: 99%

Trends in Discharge Disposition Following Hepatectomy for Hepatocellular Carcinoma Among Medicare Beneficiaries

Dalmacy

Hyer

Díaz

et al. 2021

Journal of Gastrointestinal Surgery

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Background Post-acute care (PAC) services can include home healthcare, long-term care hospitals, and skilled nursing facilities. We sought to define factors associated with PAC discharge disposition among Medicare beneficiaries who underwent hepatectomy for hepatocellular carcinoma (HCC). Methods Data for Medicare beneficiaries with a diagnosis of HCC and who underwent a hepatectomy between 2004 and 2015 were retrieved from the SEER-Medicare database. Discharge disposition was defined as routine (HSC: discharged to home) or non-routine (SNF/ICF, discharged to skilled nursing/intermediate care facilities, or HHA, discharge to home with home health agency). The Cochran-Mantel-Haenszel test and multivariable logistic regression were used to assess trends in discharge disposition. Results Among 1305 patients, the median patient age at diagnosis was 72 years (IQR: 68-76). Approximately 4 in 5 patients were discharged to HSC (77.4%; n = 1010). The odds of a non-routine discharge decreased by 7.0% annually from 2004 to 2015 (OR trend , 0.93; 95%CI, 0.89-0.97; p trend = 0.001). Several factors were associated with non-routine discharge, including patient age (OR 1.06, 95%CI 1.04-1.09) and longer LOS (OR 1.07, 95%CI 1.05-1.10). In contrast, patients who had a minor hepatectomy (OR 0.69, 95%CI 0.52-0.93) at a teaching hospital (OR 0.63, 95%CI 0.45-0.89) had lower odds of a non-routine discharge (all P < 0.05).

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