Mo1017 TOTAL AND PARTIAL ESOPHAGECTOMY FOR ESOPHAGEAL CANCER: AN ANALYSIS OF READMISSIONS Khuzema Mohsin, Oumar Thiero, Christopher DuCoin Introduction Esophageal cancer is one of the most common forms of cancer worldwide and has high mortality rates. After careful staging patients, surgery may be curative for cases of localized disease, with or without radiation and chemotherapy. For surgical candidates, it remains unclear weather total esophagectomy or partial esophagectomy is the superior modality for management. Methods We queried the National Readmission Database (NRD) for adult patients undergoing esophageal resection for esophageal cancer diagnoses from 2010 to 2014. The NRD, by the Healthcare Cost and Utilization Project, follows patients across time over one-year intervals to allow for analyses of national readmission rates for all payers and the uninsured. Primary outcome was set as 30-day non-elective readmission. Results A total of 9,974 weighted cases of esophagectomy for esophageal cancer were included. 30.9% had total resection. Mortality rate was 4.0% for partial resection patients and 5.2% for total resection patients ( p=0.2). 16.2% of patients were readmitted within 30 days of surgery. Mean and median time to readmission was 10.7(SEM: 0.4) and 8.2(SEM: 0.48) days, respectively. 21.2% of patients were readmitted to a hospital other than where the surgery was performed. On multivariate analysis assessing for which cases received total resection compared to partial, patients were less likely to have total resection if they had higher Charlson Comorbidity Index(CCI) (OR: 0.96, p
