{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T09:58:24Z","timestamp":1788429504246,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Gastric cancer (GC) remains a major global health concern, with gastrectomy serving as the primary curative intervention. Early hospital readmission after gastrectomy is an important quality\u2010of\u2010care metric; however, data on its predictors and clinical implications remain limited. This study aimed to evaluate the incidence, timing, causes, and predictors of early readmission (within 30\u2009days) after gastrectomy for GC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective single\u2010center cohort study of patients who underwent gastrectomy for GC between January 2012 and January 2023. Patients with non\u2010adenocarcinoma histology or cytoreductive\/bariatric indications were excluded. The primary outcome was 30\u2010day readmission, defined as inpatient hospitalization within 30\u2009days of discharge. Univariable and multivariable logistic regression models were used to identify predictors of readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 416 patients included, 103 (24.8%) presented to the emergency department (ED) within 30\u2009days of discharge, and 72 (17.3%) were readmitted. The most common causes of readmission were intra\u2010abdominal infections (26.4%), gastrointestinal symptoms (20.8%), and bleeding (12.5%). Readmitted patients had a significantly higher Charlson comorbidity index (median: 6 vs. 5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), more postoperative complications (54.2% vs. 38.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018), and higher 90\u2010day mortality (8.3% vs. 1.2%,\n                      <jats:italic>p\u2009=<\/jats:italic>\n                      \u20090.003). In multivariable analysis, a higher comorbidity burden and postoperative complications showed trends toward association with readmission but did not reach statistical significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Thirty\u2010day readmission after gastrectomy was associated with comorbidity burden and postoperative complications. Although these factors did not remain statistically significant in adjusted analyses, they may inform targeted discharge planning and early follow\u2010up. Improved perioperative care and risk\u2010based post\u2010discharge interventions may reduce readmissions and improve outcomes in high\u2010risk patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70302","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T12:34:47Z","timestamp":1755693287000},"page":"1205-1211","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Why Are Patients Readmitted After Surgery for Gastric Cancer? Predictors of 30\u2010Day Readmission Following Gastrectomy: A Single\u2010Center Retrospective Cohort Study"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4666-5657","authenticated-orcid":false,"given":"Tamir","family":"Lotan","sequence":"first","affiliation":[{"name":"Division of Upper GI Surgery, Department of General Surgery, Sheba Medical Center  Ramat Gan Israel"},{"name":"Gray Faculty of Medical and Health Sciences Tel Aviv University"},{"name":"Arrow Program for Medical Research Education, Sheba Medical Center  Ramat\u2010Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jossy","family":"Braun","sequence":"additional","affiliation":[{"name":"Division of Upper GI Surgery, Department of General Surgery, Sheba Medical Center  Ramat Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harel","family":"Jacoby","sequence":"additional","affiliation":[{"name":"Division of Upper GI Surgery, Department of General Surgery, Sheba Medical Center  Ramat Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4746-4091","authenticated-orcid":false,"given":"Yehonatan","family":"Nevo","sequence":"additional","affiliation":[{"name":"Division of Upper GI Surgery, Department of General Surgery, Sheba Medical Center  Ramat Gan Israel"},{"name":"Arrow Program for Medical Research Education, Sheba Medical Center  Ramat\u2010Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Goldes","sequence":"additional","affiliation":[{"name":"Division of Upper GI Surgery, Department of General Surgery, Sheba Medical Center  Ramat Gan 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