title: PRISMA Analysis of 30 Day Readmissions to a Tertiary Cancer Hospital.
abstract: BACKGROUND
  Hospital readmissions are increasingly used as a quality indicator. Patients with cancer have an increased risk of readmission. The purpose of this study was to develop an in depth understanding of the causes of readmissions in patients undergoing cancer treatment using PRISMA methodology and was subsequently used to identify any potentially preventable causes of readmission in this cohort.
  
  
  METHODS
  50 consecutive 30 day readmissions from the 1st November 2014 to the medical admissions unit (MAU) at a specialist tertiary cancer hospital in the Northwest of England were analysed retrospectively.
  
  
  RESULTS
  Q25(50%) of the patients were male with a median age of 59 years (range 19-81). PRISMA analysis showed that active (human) factors contributed to the readmission of 4 (8%) of the readmissions, which may have been potentially preventable. All of the readmissions were driven by a medical condition related to the patient's underlying cancer and ongoing cancer treatment.
  
  
  CONCLUSIONS
  The majority of readmissions of patients undergoing cancer treatment appear to be related to the underlying condition and, as such, are predictable but not preventable. This suggests that hospital readmission is not a good quality indicator in this cohort of patients.
authors: Department of Acute and Critical Care Medicine, The Christie, Manchester, UK.
authors: Tim
authors: T
authors: Cooksley
authors: VU University Medical Center.
authors: Hanneke
authors: H
authors: Merten
authors: Nenagh Hospital.
authors: John
authors: J
authors: Kellett
authors: University of Southern Denmark.
authors: Mikkel
authors: M
authors: Brabrand
authors: St. James' Hospital.
authors: Rachel
authors: R
authors: Kidney
authors: University Hospital Basel.
authors: Christian H
authors: CH
authors: Nickel
authors: VU University Medical Center, Amsterdam.
authors: Prabath W B
authors: PW
authors: Nanayakkara
authors: University of Bangor and Ysbyty Gwynedd Hospital.
authors: Chris P
authors: CP
authors: Subbe
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004632:Emergency Medical Services / Q000592:standards*; D004739:England; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors; D062606:Tertiary Care Centers; D013997:Time Factors; D055815:Young Adult