A Model to Optimize Followup Care and Reduce Hospital Readmissions after Radical Cystectomy.

作者: Naveen Krishnan , Xiang Liu , Mariel S. Lavieri , Michael Hu , Alexander Helfand

DOI: 10.1016/J.JURO.2015.11.063

关键词:

摘要: Purpose: Radical cystectomy has one of the highest readmission rates across all surgical procedures at approximately 25%. We developed a mathematical model to optimize outpatient followup regimens for radical cystectomy.Materials and Methods: used delay-time analysis, systems engineering approach, maximize probability detecting patients susceptible through office visits telephone calls. Our data source includes readmitted after from Healthcare Cost Utilization Project State Inpatient Databases in 2009 2010 as well our institutional bladder cancer database 2007 2011. measured interval hospital discharge point when patient first exhibits concerning symptoms. primary end is 30-day readmission. optimized timing sequence care cystectomy.Results: The calls more important ris...

参考文章(25)
Kenneth A. Mitchell, Aaron Spitz, Use of Advanced Practice Providers as Part of the Urologic Healthcare Team. Current Urology Reports. ,vol. 16, pp. 62- ,(2015) , 10.1007/S11934-015-0535-5
Merle H. Mishel, Michael Belyea, Barbara B. Germino, Janet L. Stewart, Donald E. Bailey, Cary Robertson, James Mohler, Helping patients with localized prostate carcinoma manage uncertainty and treatment side effects: nurse-delivered psychoeducational intervention over the telephone. Cancer. ,vol. 94, pp. 1854- 1866 ,(2002) , 10.1002/CNCR.10390
Michael Hu, Bruce L. Jacobs, Jeffrey S. Montgomery, Chang He, Jun Ye, Yun Zhang, Julien Brathwaite, Todd M. Morgan, Khaled S. Hafez, Alon Z. Weizer, Scott M. Gilbert, Cheryl T. Lee, Mariel S. Lavieri, Jonathan E. Helm, Brent K. Hollenbeck, Ted A. Skolarus, Sharpening the focus on causes and timing of readmission after radical cystectomy for bladder cancer. Cancer. ,vol. 120, pp. 1409- 1416 ,(2014) , 10.1002/CNCR.28586
Niklas Kohl, Stefan E. Karisch, Airline Crew Rostering: Problem Types, Modeling, and Optimization Annals of Operations Research. ,vol. 127, pp. 223- 257 ,(2004) , 10.1023/B:ANOR.0000019091.54417.CA
Bruce L. Jacobs, Yun Zhang, Hung-Jui Tan, Zaojun Ye, Ted A. Skolarus, Brent K. Hollenbeck, Hospitalization Trends After Prostate and Bladder Surgery: Implications of Potential Payment Reforms Journal of Urology. ,vol. 189, pp. 59- 65 ,(2013) , 10.1016/J.JURO.2012.08.182
Karen Cox, Eleanor Wilson, Follow‐up for people with cancer: nurse‐led services and telephone interventions Journal of Advanced Nursing. ,vol. 43, pp. 51- 61 ,(2003) , 10.1046/J.1365-2648.2003.02672.X
Elise H Lawson, Bruce Lee Hall, Rachel Louie, Susan L Ettner, David S Zingmond, Lein Han, Michael Rapp, Clifford Y Ko, None, Association between occurrence of a postoperative complication and readmission: implications for quality improvement and cost savings. Annals of Surgery. ,vol. 258, pp. 10- 18 ,(2013) , 10.1097/SLA.0B013E31828E3AC3
Philip P. Goodney, Therese A. Stukel, F. Lee Lucas, Emily V.A. Finlayson, John D. Birkmeyer, Hospital Volume, Length of Stay, and Readmission Rates in High-Risk Surgery Annals of Surgery. ,vol. 238, pp. 161- 167 ,(2003) , 10.1097/01.SLA.0000081094.66659.C3
BRENT K. HOLLENBECK, DAVID A. TAUB, DAVID C. MILLER, RODNEY L. DUNN, JAMES E. MONTIE, JOHN T. WEI, THE REGIONALIZATION OF RADICAL CYSTECTOMY TO SPECIFIC MEDICAL CENTERS The Journal of Urology. ,vol. 174, pp. 1385- 1389 ,(2005) , 10.1097/01.JU.0000173632.58991.A7
Michael Shwartz, A Mathematical Model Used to Analyze Breast Cancer Screening Strategies Operations Research. ,vol. 26, pp. 937- 955 ,(1978) , 10.1287/OPRE.26.6.937