{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T14:40:56Z","timestamp":1792680056703,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Shanghai Changning \u2018Quality-Balance\u2019 Research Talent Development Fund","award":["CNJH03"],"award-info":[{"award-number":["CNJH03"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82002495"],"award-info":[{"award-number":["82002495"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82070634"],"award-info":[{"award-number":["82070634"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite advances in laparoscopic techniques and widespread adoption of Enhanced Recovery After Surgery (ERAS) protocols, post-discharge readmission rates remain high following colorectal cancer surgery, driven especially by stoma-related complications. This study aimed to define the temporal distribution of unplanned hospital revisits and evaluate whether early, structured post-discharge surveillance can reduce these risks within a mature ERAS system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively enrolled 440 patients undergoing laparoscopic colorectal resection between 2019 and 2022. A Peri-discharge Quality Improvement (PQI) protocol was implemented, including standardized pre-discharge education and intensive follow-up: telephone assessment within 24\u00a0hours, specialist outpatient review on post-discharge day 3, and community follow-up on days 7 and 30. Patients managed under the PQI program were compared against national benchmark reference data derived from the National Surgical Quality Improvement Program (NSQIP) database, instead of a contemporaneous institutional control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall 30-day readmission rate was 7.7%, showing a non-significant downward trend compared with historical benchmarks. Notably, 83.0% of all unplanned hospital revisits occurred within the first 10 days after discharge. Targeted early surveillance was associated with lower stoma-related readmission rates relative to historical NSQIP benchmark controls (8.8% vs 19.0%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.028).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The first 10 days after discharge represent a critical high-risk window for unplanned hospital visits after colorectal cancer surgery. Implementation of the structured peri-discharge PQI program was associated with favorable stoma-related outcomes in elective colorectal surgery patients. Causal effects of the PQI and its superiority over usual care remain unproven.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261501341","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T13:44:28Z","timestamp":1792417468000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The First 10 Days After Discharge: Timing and Causes of Unplanned Hospital Revisits Following Colorectal Cancer Surgery"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8513-8786","authenticated-orcid":false,"given":"Yunpeng","family":"Zhang","sequence":"first","affiliation":[{"name":"Tongren Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Tian","sequence":"additional","affiliation":[{"name":"Tongren Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quanjun","family":"Lin","sequence":"additional","affiliation":[{"name":"Tongren Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jue","family":"Wang","sequence":"additional","affiliation":[{"name":"Tongren Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Sun","sequence":"additional","affiliation":[{"name":"Tongren Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daqing","family":"Cheng","sequence":"additional","affiliation":[{"name":"Tongren Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Xu","sequence":"additional","affiliation":[{"name":"Tongren Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.15537\/1658-3175.8333"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16467"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-11958-0"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005527"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2025.109569"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.70251"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2025.08.021"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-019-04407-6"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003134820982847"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001067"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-017-3573-0"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-017-3555-2"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000003629"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11454-x"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261501341","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261501341","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261501341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:55:23Z","timestamp":1792677323000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261501341"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,19]]},"references-count":14,"alternative-id":["10.1177\/00031348261501341"],"URL":"https:\/\/doi.org\/10.1177\/00031348261501341","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,19]]},"article-number":"00031348261501341"}}