Hospital readmissions after robotic hepatectomy for neoplastic disease: Analysis of risk factors, survival, and economical impact. A logistical regression and propensity score matched study - 02/07/24
Abstract |
Background |
As the first comprehensive investigation into hospital readmissions following robotic hepatectomy for neoplastic disease, this study aims to fill a critical knowledge gap by evaluating risk factors associated with readmission and their impact on survival and the financial burden.
Methods |
The study analyzed a database of robotic hepatectomy patients, comparing readmitted and non-readmitted individuals post-operatively using 1:1 propensity score matching. Statistical methods included Chi-square, Mann-Whitney U, T-test, binomial logistic regression, and Kaplan-Meier analysis.
Results |
Among 244 patients, 44 were readmitted within 90 days. Risk factors included hypertension (p = 0.01), increased Child-Pugh score (p < 0.01), and R1 margin status (p = 0.05). Neoadjuvant chemotherapy correlated with lower readmission risk (p = 0.045). Readmissions didn't significantly impact five-year survival (p = 0.42) but increased fixed indirect hospital costs (p < 0.01).
Conclusions |
Readmission post-robotic hepatectomy correlates with hypertension, higher Child-Pugh scores, and R1 margins. The use of neoadjuvant chemotherapy was associated with a lower admission rate due to less diffuse liver disease in these patients. While not affecting survival, readmissions elevate healthcare costs.
Le texte complet de cet article est disponible en PDF.Highlights |
• | First study using propensity score analysis for robotic hepatectomy readmissions. |
• | Study links pre-op hypertension, high Child-Pugh scores, R1 margins to readmissions. |
• | Readmissions increase costs and don't affect overall survival rates after hepatectomy. |
• | Major hepatectomies are more common in readmitted patients, showing higher procedure risks. |
Keywords : Hospital readmission, Robotic liver resection, Survival, Hospital cost, Propensity score match
Plan
Vol 234
P. 92-98 - août 2024 Retour au numéro
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