Can the Risk of Non-home Discharge After Resection of Gastric Adenocarcinoma Be Predicted: a Seven-Institution Study of the US Gastric Cancer Collaborative. Journal of gastrointestinal surgery Acher, A. W., Squires, M. H., Fields, R. C., Poultsides, G. A., Schmidt, C., Votanopoulos, K. I., Pawlik, T. M., Jin, L. X., Ejaz, A., Kooby, D. A., Bloomston, M., Worhunsky, D., Levine, E. A., Saunders, N., Winslow, E., Cho, C. S., Meredith, K., Leverson, G., Maithel, S. K., Weber, S. M. 2015; 19 (2): 207-216


There are no validated methods to preoperatively identify patients with increased risk of discharge to skilled nursing facilities following resection of gastric cancer. We sought to identify preoperative predictors of non-home discharge to optimize transition of care to skilled nursing facility.Patients who underwent resection of gastric cancer from 2000 to 2012 from seven participating institutions of the US Gastric Cancer Collaborative were analyzed. Fisher's exact tests, Student t tests, and logistic regression analyses identified preoperative variables associated with non-home discharge. A prediction tool was created and validated through c-indices. Survival analysis was conducted according to the methods of Kaplan and Meier.Out of the 918 patients identified, 93 (10 %) were discharged to nonhome location. Univariate analysis identified advancing age, American Society of Anesthesiology (ASA) score, hypertension, decreasing preoperative albumin, and lack of neoadjuvant chemotherapy as risk factors for non-home discharge (NHD). Multivariable analysis identified advanced age (odds ratio (OR)?=?1.07, 95 % confidence interval (CI)?=?1.04-1.10, p?

View details for DOI 10.1007/s11605-014-2690-2

View details for PubMedID 25373704