Improving discharge practices for gynecologic oncology surgical patients with acute or chronic renal disease

Abstract

Objective: Acute kidney injury (AKI) occurs in up to 18% of patients undergoing gynecologic cancer surgery. These patients, as well as those with chronic kidney disease (CKD), are at high risk for worsening renal function if discharged with nephrotoxic medications. We assessed standard discharge practices for patients with AKI/CKD and created and tested an intervention to decrease the incidence of patients discharged with high-risk medications.