Incidence and Predictors of 30-Day Readmission After Robot-Assisted Radical Prostatectomy

M Moschini, G Gandaglia, Nicola Fossati, P Dell'Oglio, V Cucchiara, S Luzzago, E Zaffuto, N Suardi, Rocco Damiano, SF Shariat, F Montorsi, A Briganti

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Abstract

OBJECTIVE: To evaluate the incidence and predictors of 30-day readmission in prostate cancer (PCa) patients treated with robot-assisted radical prostatectomy (RARP). PATIENTS AND METHODS: Overall, 1402 consecutive PCa patients treated with RARP at a single center between 2006 and 2013 were identified. Uni- and multivariate logistic regression analyses assessed predictors of 30-day readmission after surgery. RESULTS: Overall, 38 patients (2.7%) experienced hospital readmission within 30 days after discharge. The most common causes of rehospitalization were fever in 12 patients (31.6%), lymphoceles in 11 (28.9%), and urine leak in 6 (15.8%). By multivariable analyses, D'Amico risk group and occurrence of postoperative complications (odds ratio [OR], 2.89) represented independent predictors of 30-day readmission (all P ≤ .02). When analyzing the type of complication associated with the risk of readmission, fever (OR, 6.19; P = .01), urine leak (OR, 10.83; P <.01) and cardiocirculatory complications (OR, 18.57; P <.001) were significantly associated with 30-day readmission. CONCLUSION: Patients undergoing RARP have a relatively low risk of 30-day readmission (2.7%). The occurrence of an early postoperative complication and a higher D'Amico risk group were independent predictors of 30-day readmission. In addition, fever, urine leak, and cardiocirculatory complications are significantly associated with a higher risk of readmission. Copyright © 2016 Elsevier Inc. All rights reserved.
Original languageEnglish
Pages (from-to)67-71
Number of pages5
JournalClinical Genitourinary Cancer
Volume15
Issue number1
DOIs
Publication statusPublished - 2017

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Prostatectomy
Odds Ratio
Incidence
Fever
Urine
Prostatic Neoplasms
Lymphocele
Patient Readmission
Logistic Models
Regression Analysis

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Incidence and Predictors of 30-Day Readmission After Robot-Assisted Radical Prostatectomy. / Moschini, M; Gandaglia, G; Fossati, Nicola; Dell'Oglio, P; Cucchiara, V; Luzzago, S; Zaffuto, E; Suardi, N; Damiano, Rocco; Shariat, SF; Montorsi, F; Briganti, A.

In: Clinical Genitourinary Cancer, Vol. 15, No. 1, 2017, p. 67-71.

Research output: Contribution to journalArticle

Moschini, M ; Gandaglia, G ; Fossati, Nicola ; Dell'Oglio, P ; Cucchiara, V ; Luzzago, S ; Zaffuto, E ; Suardi, N ; Damiano, Rocco ; Shariat, SF ; Montorsi, F ; Briganti, A. / Incidence and Predictors of 30-Day Readmission After Robot-Assisted Radical Prostatectomy. In: Clinical Genitourinary Cancer. 2017 ; Vol. 15, No. 1. pp. 67-71.
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title = "Incidence and Predictors of 30-Day Readmission After Robot-Assisted Radical Prostatectomy",
abstract = "OBJECTIVE: To evaluate the incidence and predictors of 30-day readmission in prostate cancer (PCa) patients treated with robot-assisted radical prostatectomy (RARP). PATIENTS AND METHODS: Overall, 1402 consecutive PCa patients treated with RARP at a single center between 2006 and 2013 were identified. Uni- and multivariate logistic regression analyses assessed predictors of 30-day readmission after surgery. RESULTS: Overall, 38 patients (2.7{\%}) experienced hospital readmission within 30 days after discharge. The most common causes of rehospitalization were fever in 12 patients (31.6{\%}), lymphoceles in 11 (28.9{\%}), and urine leak in 6 (15.8{\%}). By multivariable analyses, D'Amico risk group and occurrence of postoperative complications (odds ratio [OR], 2.89) represented independent predictors of 30-day readmission (all P ≤ .02). When analyzing the type of complication associated with the risk of readmission, fever (OR, 6.19; P = .01), urine leak (OR, 10.83; P <.01) and cardiocirculatory complications (OR, 18.57; P <.001) were significantly associated with 30-day readmission. CONCLUSION: Patients undergoing RARP have a relatively low risk of 30-day readmission (2.7{\%}). The occurrence of an early postoperative complication and a higher D'Amico risk group were independent predictors of 30-day readmission. In addition, fever, urine leak, and cardiocirculatory complications are significantly associated with a higher risk of readmission. Copyright {\circledC} 2016 Elsevier Inc. All rights reserved.",
author = "M Moschini and G Gandaglia and Nicola Fossati and P Dell'Oglio and V Cucchiara and S Luzzago and E Zaffuto and N Suardi and Rocco Damiano and SF Shariat and F Montorsi and A Briganti",
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T1 - Incidence and Predictors of 30-Day Readmission After Robot-Assisted Radical Prostatectomy

AU - Moschini, M

AU - Gandaglia, G

AU - Fossati, Nicola

AU - Dell'Oglio, P

AU - Cucchiara, V

AU - Luzzago, S

AU - Zaffuto, E

AU - Suardi, N

AU - Damiano, Rocco

AU - Shariat, SF

AU - Montorsi, F

AU - Briganti, A

PY - 2017

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N2 - OBJECTIVE: To evaluate the incidence and predictors of 30-day readmission in prostate cancer (PCa) patients treated with robot-assisted radical prostatectomy (RARP). PATIENTS AND METHODS: Overall, 1402 consecutive PCa patients treated with RARP at a single center between 2006 and 2013 were identified. Uni- and multivariate logistic regression analyses assessed predictors of 30-day readmission after surgery. RESULTS: Overall, 38 patients (2.7%) experienced hospital readmission within 30 days after discharge. The most common causes of rehospitalization were fever in 12 patients (31.6%), lymphoceles in 11 (28.9%), and urine leak in 6 (15.8%). By multivariable analyses, D'Amico risk group and occurrence of postoperative complications (odds ratio [OR], 2.89) represented independent predictors of 30-day readmission (all P ≤ .02). When analyzing the type of complication associated with the risk of readmission, fever (OR, 6.19; P = .01), urine leak (OR, 10.83; P <.01) and cardiocirculatory complications (OR, 18.57; P <.001) were significantly associated with 30-day readmission. CONCLUSION: Patients undergoing RARP have a relatively low risk of 30-day readmission (2.7%). The occurrence of an early postoperative complication and a higher D'Amico risk group were independent predictors of 30-day readmission. In addition, fever, urine leak, and cardiocirculatory complications are significantly associated with a higher risk of readmission. Copyright © 2016 Elsevier Inc. All rights reserved.

AB - OBJECTIVE: To evaluate the incidence and predictors of 30-day readmission in prostate cancer (PCa) patients treated with robot-assisted radical prostatectomy (RARP). PATIENTS AND METHODS: Overall, 1402 consecutive PCa patients treated with RARP at a single center between 2006 and 2013 were identified. Uni- and multivariate logistic regression analyses assessed predictors of 30-day readmission after surgery. RESULTS: Overall, 38 patients (2.7%) experienced hospital readmission within 30 days after discharge. The most common causes of rehospitalization were fever in 12 patients (31.6%), lymphoceles in 11 (28.9%), and urine leak in 6 (15.8%). By multivariable analyses, D'Amico risk group and occurrence of postoperative complications (odds ratio [OR], 2.89) represented independent predictors of 30-day readmission (all P ≤ .02). When analyzing the type of complication associated with the risk of readmission, fever (OR, 6.19; P = .01), urine leak (OR, 10.83; P <.01) and cardiocirculatory complications (OR, 18.57; P <.001) were significantly associated with 30-day readmission. CONCLUSION: Patients undergoing RARP have a relatively low risk of 30-day readmission (2.7%). The occurrence of an early postoperative complication and a higher D'Amico risk group were independent predictors of 30-day readmission. In addition, fever, urine leak, and cardiocirculatory complications are significantly associated with a higher risk of readmission. Copyright © 2016 Elsevier Inc. All rights reserved.

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DO - 10.1016/j.clgc.2016.06.002

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