{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:36:21Z","timestamp":1762508181258,"version":"3.37.3"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,7,22]],"date-time":"2020-07-22T00:00:00Z","timestamp":1595376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Postoperative readmissions are often used to assess quality of surgical care. This study compared 30\u2010day vs 31\u2010 to 90\u2010day readmission following surgery for ovarian, fallopian tube, or primary peritoneal cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study of the 2010\u20102015 Nationwide Readmissions Database characterized 90\u2010day readmissions following cytoreductive surgery for these cancers. Each patient's first postoperative hospitalization was included. Univariate analysis compared patient demographics and reasons for readmission. Multivariable regression identified independent predictors of readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of an estimated 76\u2009652 patients, 10\u2009264 (13.4%) were readmitted within 30 days, and 6942 (9.1%) between 31 and 90 days. The 30\u2010day readmissions were more frequently associated with postoperative infection, while 31\u2010 to 90\u2010day readmissions were more frequently associated with renal or hematologic diagnoses. Predictors of any 90\u2010day readmission included index hospitalization longer than 7 days (adjusted odds ratio (AOR) 1.61 [1.48\u20101.75], <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), extended surgical procedure (AOR 1.41 [1.30\u20101.53], <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), pulmonary circulation disorder (AOR\u2009=\u20091.34 [1.13\u20101.60], <jats:italic>P<\/jats:italic>\u2009=\u2009.001), and diabetes mellitus (AOR\u2009=\u20091.12 [1.02\u20101.24], <jats:italic>P<\/jats:italic>\u2009=\u2009.020).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Readmission rates remain high during the 31\u2010 to 90\u2010day postoperative period in ovarian cancer patients, although these readmissions are less frequently related to postoperative complications. Prospective study is merited to optimize surveillance beyond the initial 30 days after ovarian cancer surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26137","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T05:30:28Z","timestamp":1595482228000},"page":"1199-1206","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Readmissions after ovarian cancer cytoreduction surgery: The first 30 days and beyond"],"prefix":"10.1002","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7450-0049","authenticated-orcid":false,"given":"Alexandra L.","family":"Mardock","sequence":"first","affiliation":[{"name":"Cardiovascular Outcomes Research Laboratories (CORELAB), David Geffen School of Medicine, Division of Cardiac Surgery University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Rudasill","sequence":"additional","affiliation":[{"name":"Cardiovascular Outcomes Research Laboratories (CORELAB), David Geffen School of Medicine, Division of Cardiac Surgery University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany S.","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecologic Oncology University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yas","family":"Sanaiha","sequence":"additional","affiliation":[{"name":"Cardiovascular Outcomes Research Laboratories (CORELAB), David Geffen School of Medicine, Division of Cardiac Surgery University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deanna H.","family":"Wong","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrahman K.","family":"Sinno","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecologic Oncology University of Miami  Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peyman","family":"Benharash","sequence":"additional","affiliation":[{"name":"Cardiovascular Outcomes Research Laboratories (CORELAB), David Geffen School of Medicine, Division of Cardiac Surgery University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua G.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecologic Oncology University of California  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NNR.0000289503.22414.79"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21456"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001196"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00049-4"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_2_9_7_1","unstructured":"Hospital Readmissions Reduction Program (HRRP) 2019.https:\/\/www.cms.gov\/medicare\/medicare-fee-for-service-payment\/acuteinpatientpps\/readmissions-reduction-program.html. 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