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Time spent away from home in the year following high-risk cancer surgery in older adults

Journal of the American Geriatrics Society Jan 30, 2020

Suskind AM, et al. - Researchers conducted a retrospective cohort study of beneficiaries who underwent high-risk cancer surgery (cystectomy, pancreaticoduodenectomy, gastrectomy, or esophagectomy) in order to understand where older adults spend time (at home, in the hospital, or in a nursing home) in the year following high-risk cancer surgery. Data from Medicare Inpatient claims yielded data of 37,748 beneficiaries who underwent high-risk cancer surgery during the study period; of these beneficiaries, 28.3% died within 1 year. In the year following surgery, time spent by beneficiaries in the hospital was 13.9 ± 26.2 days (over 1.5 ± 2.0 hospital readmissions) and in the nursing home was 37.2 ± 50.6 days (over 1.5 ± 1.0 admissions). Time spent away from home was 18.5% and 30.1% of the year following high-risk cancer surgery among beneficiaries who were alive and death at 1 year, respectively. Among beneficiaries, those with initial discharge to a facility and died within 1-year had spent 44.4% of their final year away from home.
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