Travel distance affects rates and reasons for inpatient visits after pancreatectomy.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: England NLM ID: 100900921 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1477-2574 (Electronic) Linking ISSN: 1365182X NLM ISO Abbreviation: HPB (Oxford) Subsets: MEDLINE
    • Publication Information:
      Publication: 2016- : Oxford, UK : Elsevier
      Original Publication: 1999-2001: Oxford, England : ISIS Medical Media
    • Subject Terms:
      Health Services Accessibility* ; Inpatients* ; Patient Readmission* ; Postoperative Care* ; Travel*; Pancreatectomy/*adverse effects ; Postoperative Complications/*therapy; Adult ; Aged ; Aged, 80 and over ; Centralized Hospital Services ; Databases, Factual ; Female ; Hospitals, High-Volume ; Humans ; Indiana ; Male ; Middle Aged ; Postoperative Complications/etiology ; Retrospective Studies ; Young Adult
    • Abstract:
      Background: Centralization of complex surgical care leads to increased travel distances for patients. We sought to determine if increased travel distance to the index hospital altered inpatient Visit rates following pancreatectomy.
      Methods: Pancreatectomies from 2013-2016 were reviewed retrospectively from a single high-volume institution. Travel distance for 936 patients was determined, and patients were grouped by 50-mile increments. Visits (Observations or Readmissions) and corresponding reasons were gathered.
      Results: 222 patients (23.7%) had a Visit to any hospital (AH) within 90 days postoperative; 195 (87.8%) were to the index hospital (IH). The <50 miles group had the highest Visit rate to AH (28.6% vs. 17.8% vs. 24.6%; P = 0.008) and the IH (26.9% vs. 15.2% vs. 20.6%; P = 0.002) compared to 50-100 and > 100 miles. This trend was statistically significant for Observations, but not Readmissions. Gastrointestinal (GI) complaints alone led to 20.7% patients requiring Visits to AH at 90-days, mostly in <50miles group for Visits and Observations at AH and IH.
      Conclusions: Patients closest to the IH had the highest Visit and Observation rate following pancreatectomy without affecting Readmission rate, with GI complaints as a driving factor. Inpatient education and outpatient symptom management may reduce repeat hospitalization.
      (Copyright © 2018 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.)
    • Publication Date:
      Date Created: 20190101 Date Completed: 20200414 Latest Revision: 20200414
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.hpb.2018.10.013
    • Accession Number:
      30595461