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Predictors of Hospital Readmission Following Treatment of Renal Cell Carcinoma
Jeffrey D Sparenborg1, Chaoyi Zheng2, Saekwon Jang1, Jonathan Hwang2, John Lynch2, Kieth Kowalczyk1
1Medstar Georgetown University Hospital, Washington, DC;2Medstar Georgetown University, Washington, DC
Introduction: This retrospective analysis identifies predictors of 30 and 90 day readmission among patients treated for RCC.
Materials & Methods: 23,606 patients were culled from the SEER database (Ablation n =889; Partial Nephrectomy 2982; Radical Nephrectomy 19735) and readmission rates were analyzed among all cause and RCC related surgeries.
Results: Overall 30 day readmission rate for RCC related surgery was 5% and 7% at 90 days. Laparoscopic approach for radical nephrectomy significantly reduced the likelihood of readmission, OR 0.75, 95% CI 0.62-0.91. Higher stage, charlson score, and age
were each identified as significant predictors of 30 and 90 day readmission.
Conclusions: This study can guide the surgeon in appropriate preoperative planning to minimize readmissions for kidney surgery. This study also establishes expected surgery outcomes that may be used to set performance standards in the future.
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