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Updated: Apr 20, 2026

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
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Risk scoring can predict readmission after endocrine surgery.

James C Iannuzzi1, Fergal J Fleming1, Kristin N Kelly1

  • 1Surgical Health Outcomes & Research Enterprise (SHORE), Department of Surgery, University of Rochester, Medical Center, Rochester, NY.

Surgery
|December 3, 2014
PubMed
Summary

A new risk score can predict readmissions after endocrine surgery. This tool helps target care to reduce hospital readmissions and improve patient outcomes.

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Area of Science:

  • Endocrine Surgery
  • Health Services Research
  • Surgical Outcomes

Background:

  • Hospitals face pressure to reduce readmissions and length of stay.
  • Predictive models for readmissions after endocrine surgery are needed.

Purpose of the Study:

  • To develop and validate a novel risk score for predicting 30-day unplanned readmissions after cervical endocrine operations.

Main Methods:

  • Utilized the National Surgical Quality Improvement Program database for cervical endocrine operations (2011-2012).
  • Employed multivariable logistic regression to create and validate a predictive scoring system for unplanned readmissions.

Main Results:

  • A total of 34,046 cases were analyzed, with a 2.8% readmission rate.

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  • Key predictors identified include thyroid malignancy, hypoalbuminemia, renal insufficiency, American Society of Anesthesiologists class, and prolonged duration of stay.
  • The risk score demonstrated good predictive ability (c = 0.646), with readmission rates increasing with the number of risk factors.

    • Conclusions:

    • Readmissions following cervical endocrine surgery are predictable.
    • The developed risk score can guide targeted preoperative, inpatient, and outpatient care to mitigate readmissions.