Bruce L. Jacobs, MD, of the University of Michigan in Ann Arbor, and colleagues analyzed Surveillance, Epidemiology, and End Results-Medicare data (1992-2005) to identify 46,781 prostatectomy and 9,035 cystectomy cases. The main outcome was adjusted likelihood of hospital readmission within 30 days.
The researchers found that hospital stay decreased approximately three days for both surgeries (relative decrease of more than 50% for prostatectomy and 21% for cystectomy) when comparing patients from 1992-1993 to 2004-2005, according to a report in The Journal of Urology (2013;189:59-65). For prostatectomy and cystectomy, respectively, hospital readmission rates were 4.5% and 25.2%, and remained stable with time. The use of skilled nursing/intermediate care was stable for patients who underwent prostatectomy (about 1%), but increased from 8.% to 18.9% for those undergoing cystectomy. Home care utilization increased from 8.1% to 11.1% for prostatectomy and from 34.2% to 47.5% for cystectomy cases.
“Reductions in hospital stay were more dramatic for patients who underwent prostatectomy and were associated with stable short-term outcomes,” the researchers wrote.