The revolving door: Hospital readmissions of gynecologic oncology patients

Unplanned oncology admissions within 14 days of non-surgical discharge: a retrospective study

“…There has been increasing global scrutiny on health care spending with a push to identify strategies to safely reduce unnecessary use of health care resources, including targeting the costly area of preventable readmissions [5]. Rates of unscheduled readmissions are becoming accessible to both health care consumers and organisations, with high rates viewed as an indicator of poor quality care [6]. Strategies that aid identification of those most at risk of costly, preventable readmission are under review by health care organisations globally [6].…”

“…Rates of unscheduled readmissions are becoming accessible to both health care consumers and organisations, with high rates viewed as an indicator of poor quality care [6]. Strategies that aid identification of those most at risk of costly, preventable readmission are under review by health care organisations globally [6].…”

The Frequency of Unplanned Rehospitalization and Associated Factors in Gyneoncology Patients: A Retrospective Study

“…In the study of Fauci et al, 16 it was identified that the most common reasons for rehospitalization were small bowel obstruction/ileus (55.9%), wound complications (11.7%), thromboembolic events (11.7%), and bowel perforation (8.8%). In the study conducted by Henretta et al, 15 it was concluded that the causes of rehospitalization was, respectively, as gastrointestinal (40.7%), chemotherapy (12.6%), infection (15.5%), pain (8.7%), and pulmonary (5.8%). In a case study conducted by Alhilli et al, 17 the most common indicators for rehospitalization were surgical site infection (21.2%), pleural effusion/ascites management (14.4%), and thromboembolic events (12.5%).…”

“…9,12Y14 In this study, the rate of rehospitalization was identified to be 48.0% within 90 days of discharge. In a study conducted on patients with gynecological cancer by Henretta et al, 15 the population of the study was 324 women with gynecological cancer, and the rate of rehospitalization was 13.2%; in the study of Fauci et al, 16 the population for the study was 207 women with ovarian cancer who underwent surgery, and the rate of rehospitalization was 16.0%. In the study conducted by Alhilli et al, 17 where the patient population was 324 women who have epithelial ovarian cancer, the rate of rehospitalization was 19.3%.…”

“…23 In addition to the morbidity experienced during the hospitalization, complications that develop during hospitalization for medical and surgical treatment can also result in rehospitalization for the patient. 15,24 In this context, the patients with comorbidity should be carefully examined preoperatively, so as to identify any potential intervention that may decrease their risk for postoperative complications during rehospitalization. In addition, the patient should be cautiously observed during the postoperative hospitalization to ensure that they are fully ready for discharge before their release from the hospital.…”