Three Common Methodological Issues in Studies of Surgical Readmission Rates

Research paper by Zogg CK, Pawlik TM, Haider AH.

Indexed on: 23 Dec '18Published on: 01 Dec '18Published in: JAMA surgery


Reducing the rate of unplanned readmissions within 30 days of an index hospitalization (a phenomenon referred to as failed discharges) has been proposed as an indicator of cost containment and value maximization in health care. The need to reduce unplanned readmissions is widely acknowledged; this rate is thought to be reflective of patient outcomes, health system performance, and care coordination. Readmission has been incorporated in multiple surgical quality improvement initiatives, including the Centers for Medicare and Medicaid Services’ Hospital Readmissions Reduction Program and the American College of Surgeons’ National Surgical Quality Improvement Program (NSQIP).