Key result
A multifactorial care approach is linked to ~50% fewer 30-day readmissions after pancreatectomy.
Why the study?
Pancreatectomy has a high rate of readmissions driven by complications, and strategies to reduce these readmissions have not been well defined.
Does a multifactorial approach including care coordination reduce 30-day readmissions in patients undergoing pancreatectomy?
Population
1,163 patients undergoing proximal, distal, or total pancreatectomy from 2007 to 2012
Comparison
Multifactorial approach including complication reduction and coordinated care vs historical control over time
Design
Observational cohort study with sequential implementation of interventions
Follow-up
30 days
Authors
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Multifactorial readmission reduction efforts after pancreatectomy support targeted quality initiatives; leaves open causal efficacy and broader applicability.
Observational (n=1,163)
Does a multifactorial approach including care coordination reduce 30-day readmissions in patients undergoing pancreatectomy?
Absolute Event Rate: 11.5% vs 23%
p-value: p=0.001
A multifactorial approach focusing on complication reduction and care coordination significantly reduced 30-day readmissions after pancreatectomy without increasing length of stay.
Ceppa et al. (2015) conducted an observational in Pancreatectomy (n=1,163). Multifactorial approach to reduce readmissions vs. Historical baseline was evaluated on 30-day all-cause readmissions (p=0.001). A multifactorial approach including complication reduction and care coordination decreased 30-day all-cause readmissions after pancreatectomy from 23.0% to 11.5% (p=0.001).
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