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Meta-Analysis
. 2022 Jan-Dec:21:15330338221144512.
doi: 10.1177/15330338221144512.

Predictors of Readmission After Pulmonary Resection in Patients With Lung Cancer: A Systematic Review and Meta-analysis

Jie Liu  1   2 , Xuli Yang  2 , Xing Liu  3 , Yan Xu  3 , Helang Huang  4
Affiliations
Meta-Analysis

Predictors of Readmission After Pulmonary Resection in Patients With Lung Cancer: A Systematic Review and Meta-analysis

Jie Liu et al. Technol Cancer Res Treat. 2022 Jan-Dec.

Abstract

Objective: Postoperative readmissions are considered an indicator of healthcare quality. The purpose of this study was to assess the factors associated with readmission following pulmonary resection for lung cancer. Methods: A comprehensive search was performed in PubMed, Web of science, the Cochrane Library, and databases of CNKI and Wanfang. We collected the factors associated with readmission following pulmonary resection from the included studies, and data analysis was conducted with STATA SE12.0 software. Results: A total of 11 studies (386 012 participants) were included. The meta-analysis results showed that age (standardized mean difference [SMD] = 0.093), male sex (odds ratio [OR] = 1.260), Charlson score (SMD = 1.408), forced expiratory volume in 1 second predicted (SMD = -0.203), congestive heart failure (OR = 1.708), peripheral vascular disease (OR = 1.436), and histology (OR = 0.804) were associated with readmission (P < .05), while hypertension was not. Patients with postoperative empyema, pneumonia, air leak, and arrhythmia (all P < .05) had higher odds of hospital readmission. Conclusion: The predictive factors for readmission can help in establishing individualized discharge and follow-up plans and programs for reducing hospital readmissions after pulmonary resection in patients with lung cancer.

Keywords: lung cancer; meta-analysis; pulmonary resection; readmission; risk factor.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flowchart for identification of studies in the meta-analysis.
Figure 2.
Figure 2.
Forest of association between age and readmission after pulmonary resection in patients with lung cancer.
Figure 3.
Figure 3.
Forest of association between sex and readmission after pulmonary resection in patients with lung cancer.
See this image and copyright information in PMC

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