Does hospital readmission following colorectal cancer resection and enhanced recovery after surgery affect long term survival?

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Does hospital readmission following colorectal cancer resection and enhanced recovery after surgery affect long term survival?

Curtis et al. Does hospital readmission following colorectal cancer resection and enhanced recovery after surgery affect long term survival? Colorectal Dis. 2017 Aug;19(8):723-730. doi: 10.1111/codi.13603.

What is already known:

We know that perioperative complications (especially major) can negatively impact long term survival rates. We also know that ERAS protocols can improve long term survival rates. However do readmissions (which represent potential complications) have an effect on long term survival??

What this paper adds:

In this large retrospective analysis of a prospectively kept database, 16% of over 1000 patients were readmitted. Gut dysfunction and wound complications were the most common cause of readmission. In this study readmission alone did not have a significant impact on 5-year overall survival. However the majority of readmissions only had minor complications on the Clavien-Dindo classification, which may have explained the lack of impact.

Chris Jones, Guildford. @chrisnjones

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