2018 AANS Annual Scientific Meeting-526. Predictive factors leading to readmission within 30 days in patients undergoing surgery for spinal metastases

526. Predictive factors leading to readmission within 30 days in patients undergoing surgery for spinal metastases

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Video Summary

Dr. Shanker discusses the predictive factors leading to readmission within 30 days in patients undergoing surgery for spinal metastases. He explains that spinal and skeletal metastases are common in cancer patients, with surgical treatment resulting in a high readmission rate compared to other spine interventions. Dr. Shanker highlights the advancements in medical oncology, particularly in renal cell carcinoma and melanoma, which have led to improvements in overall survival. He presents a retrospective cohort study of 166 patients and identifies that readmissions primarily occur for medical reasons related to disease progression, rather than surgery itself. Factors predictive of readmission include the number of metastatic levels and chemotherapy given within 30 days. The findings suggest that patients may be presenting with more advanced disease following treatment failures.

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Ganesh Mani Shankar, MD

Keywords

predictive factors

readmission

30 days

spinal metastases

surgery