Abstract

Reducing the Length of Stay in Oncological Surgical Patients: Impact of Early Hospitalist Co-Management

Highlights

  • Hospital Medicine is a specialty (Hospitalist) dedicated to the care of acutely ill patients and experienced remarkable growth in high-income countries during the recent decades [1,2,3]

  • There are evidences of the impact of a co-management by a hospitalist on the Length of Stay (LOS) of surgical patients, the knowledge is limited about this clinical care in oncological surgical patients

  • Our data showed a progressive reduction of the LOS through the years since the beginning of co-management by the hospitalist team

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Summary

Introduction

Hospital Medicine is a specialty (Hospitalist) dedicated to the care of acutely ill patients and experienced remarkable growth in high-income countries during the recent decades [1,2,3]. It is still incipient in most middle-income countries just like Brazil. The Hospitalist care for surgical patients has been associated with decreased Length of Stay (LOS) [4,5,6], readmission rate [5] and hospital mortality [7]. The aim of this study was to analyze the impact of an early hospitalist evaluation at the LOS of oncological surgical patients from a tertiary oncological center in a middle-income country There are hospitalists at cancer centers all over the world, there is a lack of data about the effect of the co-management of oncological surgical patients by hospitalists [8].

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