Disparity on unplanned readmission in melanoma patients: A national cancer database analysis

Daniel Boczar; David J. Restrepo; Andrea Sisti; Maria T. Huayllani; Aaron C. Spaulding; Emmanuel Gabriel; Sanjay Bagaria; Alexander S. Parker; Aaron L. Leppin; Antonio J. Forte

doi:10.21873/anticanres.13906

Disparity on unplanned readmission in melanoma patients: A national cancer database analysis

Daniel Boczar, David J. Restrepo, Andrea Sisti, Maria T. Huayllani, Aaron C. Spaulding, Emmanuel Gabriel, Sanjay Bagaria, Alexander S. Parker, Aaron L. Leppin, Antonio J. Forte

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Background/Aim: This study aimed to analyze associated factors of 30-day hospital readmission after surgery for melanoma. Patients and Methods: We conducted a retrospective analysis of postoperative 30-day unplanned readmission in patients with melanoma in the National Cancer Database (NCDB). Results: Higher odds of unplanned readmission were found in non-white patients compared to white, uninsured patients compared to those with private insurance, tumors with invasive behavior compared to in situ, presence of ulceration, American Joint Committee on Cancer stages greater than II, and location in the extremities. Lower odds of unplanned readmission were found in women living in areas where the percentage of adults who did not graduate from high school was below 13.0% with an annual income of $38,000 or more, who were treated in Academic/Research Programs or Integrated Network Cancer Programs. Conclusion: Non-white patients and low-income zip-codes were associated with unplanned readmission.

Original language	English (US)
Pages (from-to)	6877-6880
Number of pages	4
Journal	Anticancer research
Volume	39
Issue number	12
DOIs	https://doi.org/10.21873/anticanres.13906
State	Published - 2019

Keywords

Disparities
Length of stay/statistics & numerical data
Melanoma
Outcome and process assessment
Patient readmission
Quality of health care
Surgical treatment

ASJC Scopus subject areas

Oncology
Cancer Research

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10.21873/anticanres.13906

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title = "Disparity on unplanned readmission in melanoma patients: A national cancer database analysis",

abstract = "Background/Aim: This study aimed to analyze associated factors of 30-day hospital readmission after surgery for melanoma. Patients and Methods: We conducted a retrospective analysis of postoperative 30-day unplanned readmission in patients with melanoma in the National Cancer Database (NCDB). Results: Higher odds of unplanned readmission were found in non-white patients compared to white, uninsured patients compared to those with private insurance, tumors with invasive behavior compared to in situ, presence of ulceration, American Joint Committee on Cancer stages greater than II, and location in the extremities. Lower odds of unplanned readmission were found in women living in areas where the percentage of adults who did not graduate from high school was below 13.0% with an annual income of $38,000 or more, who were treated in Academic/Research Programs or Integrated Network Cancer Programs. Conclusion: Non-white patients and low-income zip-codes were associated with unplanned readmission.",

keywords = "Disparities, Length of stay/statistics & numerical data, Melanoma, Outcome and process assessment, Patient readmission, Quality of health care, Surgical treatment",

author = "Daniel Boczar and Restrepo, {David J.} and Andrea Sisti and Huayllani, {Maria T.} and Spaulding, {Aaron C.} and Emmanuel Gabriel and Sanjay Bagaria and Parker, {Alexander S.} and Leppin, {Aaron L.} and Forte, {Antonio J.}",

year = "2019",

doi = "10.21873/anticanres.13906",

language = "English (US)",

volume = "39",

pages = "6877--6880",

journal = "Anticancer research",

issn = "0250-7005",

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T1 - Disparity on unplanned readmission in melanoma patients

T2 - A national cancer database analysis

AU - Boczar, Daniel

AU - Restrepo, David J.

AU - Sisti, Andrea

AU - Huayllani, Maria T.

AU - Spaulding, Aaron C.

AU - Gabriel, Emmanuel

AU - Bagaria, Sanjay

AU - Parker, Alexander S.

AU - Leppin, Aaron L.

AU - Forte, Antonio J.

PY - 2019

Y1 - 2019

N2 - Background/Aim: This study aimed to analyze associated factors of 30-day hospital readmission after surgery for melanoma. Patients and Methods: We conducted a retrospective analysis of postoperative 30-day unplanned readmission in patients with melanoma in the National Cancer Database (NCDB). Results: Higher odds of unplanned readmission were found in non-white patients compared to white, uninsured patients compared to those with private insurance, tumors with invasive behavior compared to in situ, presence of ulceration, American Joint Committee on Cancer stages greater than II, and location in the extremities. Lower odds of unplanned readmission were found in women living in areas where the percentage of adults who did not graduate from high school was below 13.0% with an annual income of $38,000 or more, who were treated in Academic/Research Programs or Integrated Network Cancer Programs. Conclusion: Non-white patients and low-income zip-codes were associated with unplanned readmission.

AB - Background/Aim: This study aimed to analyze associated factors of 30-day hospital readmission after surgery for melanoma. Patients and Methods: We conducted a retrospective analysis of postoperative 30-day unplanned readmission in patients with melanoma in the National Cancer Database (NCDB). Results: Higher odds of unplanned readmission were found in non-white patients compared to white, uninsured patients compared to those with private insurance, tumors with invasive behavior compared to in situ, presence of ulceration, American Joint Committee on Cancer stages greater than II, and location in the extremities. Lower odds of unplanned readmission were found in women living in areas where the percentage of adults who did not graduate from high school was below 13.0% with an annual income of $38,000 or more, who were treated in Academic/Research Programs or Integrated Network Cancer Programs. Conclusion: Non-white patients and low-income zip-codes were associated with unplanned readmission.

KW - Disparities

KW - Length of stay/statistics & numerical data

KW - Melanoma

KW - Outcome and process assessment

KW - Patient readmission

KW - Quality of health care

KW - Surgical treatment

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ER -

Disparity on unplanned readmission in melanoma patients: A national cancer database analysis

Abstract

Keywords

ASJC Scopus subject areas

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