“Never events”, 10 hospital-acquired conditions deemed by the Centers for Medicare and Medicaid Services as being reasonably preventable, are rare in patients with bladder cancer who have undergone radical cystectomy, according to a study published in Urology (2013;81:527-532).
A team led by James M. McKiernan, MD, of Columbia University in New York, determined the rate of never events, where hospitals would no longer be reimbursed for the additional care if a patient developed any of these conditions, in 61,142 patients with bladder cancer who had undergone radical cystectomy from 2002 to 2009.
The researchers found that 2.42% of patients developed any never event condition, with vascular-catheter infections being the most common at 1.25%. The risk of a never event was higher for blacks and for those with comorbidities. A never event increased the average hospital stay by 15 days, increased total costs by $37,000, and increased in-hospital mortality to 8% from 2.2%.
“Centers for Medicare and Medicaid Services never events after radical cystectomy are rare events,” the investigators concluded.