Pd2-05 Predictors of 30-day Readmission Following Partial and Radical Nephrectomy for Kidney Cancer
Year: 2014
Type: article
Study design: Observational Study
Abstract: consolidated for review quarterly.A sampling of PN and RN cases was abstracted.Hospital-specific feedback reports were blinded to the hospital identities; data were analyzed as aggregate rates and hospitalspecific rates using descriptive statistics.Presented results were not risk-adjusted.RESULTS: We identified 75 patients undergoing RN or PN at 9 area hospitals from 2011-2013.Staging evaluations were uncommon (preoperative chest x-ray and chest CT in 41% and 20%, respectively).Thirteen percent of patients had a preoperative renal mass biopsy.For renal tumors 4 cm, 16/32 (50%) underwent PN.Hospital-specific utilization of PN for small renal masses exhibited variation: in 2 hospitals, 100% of tumors 4 cm were treated with PN, while 1 hospital performed RN in all cases, and the remaining hospitals ranged from 33%-67% utilization of PN.PN was less common for tumors 4-7 cm in size (4/26 cases [15%]).Venous thromboembolic events occurred in 4% of kidney cancer surgeries.CONCLUSIONS: We identified substantial variation in selection of surgical technique and postoperative outcomes following PN and RN for kidney cancer.Patients with small renal masses appear to have variable access to PN, which could impact their long-term health outcomes.Better understanding of provider knowledge and attitudes toward management of small renal masses could inform quality improvement initiatives to address the variations in care identified.
Source: The Journal of Urology
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funder: National Cancer Institute
OpenAlex ID: W2010193622