{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:19:42Z","timestamp":1762917582160},"reference-count":12,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,8,8]],"date-time":"2015-08-08T00:00:00Z","timestamp":1438992000000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">NHS<\/jats:styled-content> England deems 90\u2010day readmission rates as a marker of quality of care. The causes of readmission have not been previously reported in the UK. The aim of this study was to examine the factors associated with 90\u2010day readmission following colorectal cancer surgery at a hospital trust with a catchment population 1.2 million.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective review was performed of all patients undergoing resection for colorectal cancer between January 2012 and December 2013. Unplanned readmission was defined as an emergency admission to the trust for any cause within 90\u00a0days of surgery. Readmission analyses were restricted to patients discharged from hospital within 28\u00a0days of resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 570 patients underwent surgery, of whom 522 were discharged within 28\u00a0days and are included for readmission analysis. The readmission rate was 24.3% (127 patients with a total of 163 episodes of hospital readmissions) within 90\u00a0days following surgery. The most frequent cause for readmission was complications related to adjuvant chemotherapy (18.4%) followed by wound\u2010related complications (14.1%). Most patients presenting with wound\u2010related complications were admitted within 60\u00a0days and patients with chemotherapy\u2010related complications after 61\u00a0days; 13\/127 (10.2%) patients who were readmitted underwent emergency surgery, and one patient died following readmission. Multivariate analysis demonstrated that comorbidity was the only independent risk factor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Ninety\u2010day readmissions include a high number of readmissions secondary to chemotherapy\u2010related complications, whereas most surgical\u2010related readmission present within 60\u00a0days.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12945","type":"journal-article","created":{"date-parts":[[2015,3,12]],"date-time":"2015-03-12T06:41:31Z","timestamp":1426142491000},"page":"779-786","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["The most frequent cause of 90\u2010day unplanned hospital readmission following colorectal cancer resection is chemotherapy complications"],"prefix":"10.1111","volume":"17","author":[{"given":"C. W.","family":"Ang","sequence":"first","affiliation":[{"name":"Department of General and Colorectal Surgery Good Hope Hospital Heart of England NHS Foundation Trust Sutton Coldfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Seretis","sequence":"additional","affiliation":[{"name":"Department of General and Colorectal Surgery Good Hope Hospital Heart of England NHS Foundation Trust Sutton Coldfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Wanigasooriya","sequence":"additional","affiliation":[{"name":"Department of General and Colorectal Surgery Good Hope Hospital Heart of England NHS Foundation Trust Sutton Coldfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Mahadik","sequence":"additional","affiliation":[{"name":"Department of General and Colorectal Surgery Good Hope Hospital Heart of England NHS Foundation Trust Sutton Coldfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of General and Colorectal Surgery Good Hope Hospital Heart of England NHS Foundation Trust Sutton Coldfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. A. S.","family":"Chapman","sequence":"additional","affiliation":[{"name":"Department of General and Colorectal Surgery Good Hope Hospital Heart of England NHS Foundation Trust Sutton Coldfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-007-0310-x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000212"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31829aa758"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31822ff8f0"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181d3d27c"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9345-3"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.01.036"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2010.02277.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2006.01198.x"},{"key":"e_1_2_9_11_1","unstructured":"Healthcare Quality Improvement Partnership (HQIP).National Bowel Cancer Audit Annual Report [Online]http:\/\/www.hqip.org.uk\/national.bowe.caner.audit.programme.nbocap(accessed June 2014)."},{"key":"e_1_2_9_12_1","first-page":"146","article-title":"Adjuvant therapy for stage II and III colon cancer: consensus report of the International Society of Gastrointestinal Oncology","volume":"1","author":"Marshall JL","year":"2007","journal-title":"Gastrointest Cancer Res"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8656"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.12945","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.12945","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T10:34:08Z","timestamp":1695551648000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.12945"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,8]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1111\/codi.12945"],"URL":"https:\/\/doi.org\/10.1111\/codi.12945","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,8]]},"assertion":[{"value":"2014-10-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-02-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-08-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}