Evidence map›Paper›PMID 18355259›Full record

ArticleHealth services research2008

Short- and long-term mortality after an acute illness for elderly whites and blacks.

Daniel Polsky, Ashish K Jha, Judith Lave, Mark V Pauly, Liyi Cen, Heather Klusaritz, Zhen Chen, Kevin G Volpp

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Hospital Allocation and Racial Disparities in Health Care.The review of economics and statistics · 2024
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  16. Long-term prognosis in community-acquired pneumonia.Current opinion in infectious diseases · 2013
    Review
  17. Article
  18. Article
  19. Myocardial infarction after hip fracture repair: a population-based study.Journal of the American Geriatrics Society · 2012
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Daniel PolskyVA Center for Health Equity Research and Promotion, Department of General Internal Medicine, University of Pennsylvania School of Medicine, Wharton School, University of Pennsylvania, Philadelphia, PA 19104, USA. polsky@mail.med.upenn.edu
Ashish K Jha
Judith Lave
Mark V Pauly
Liyi Cen
Heather Klusaritz
Zhen Chen
Kevin G Volpp
University of Pennsylvania · USUniversity of Pittsburgh · USVA Boston Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate racial differences in mortality at 30 days and up to 2 years following a hospital admission for the elderly with common medical conditions. DATA SOURCES: The Medicare Provider Analysis and Review File and the VA Patient Treatment File from 1998 to 2002 were used to extract patients 65 or older admitted with a principal diagnosis of acute myocardial infarction, stroke, hip fracture, gastrointestinal bleeding, congestive heart failure, or pneumonia. STUDY

designA retrospective analysis of risk-adjusted mortality after hospital admission for blacks and whites by medical condition and in different hospital settings. PRINCIPAL

findingsBlack Medicare patients had consistently lower adjusted 30-day mortality than white Medicare patients, but the initial survival advantage observed among blacks dissipated beyond 30 days and reversed by 2 years. For VA hospitalizations similar patterns were observed, but the initial survival advantage for blacks dissipated at a slower rate.

conclusionsRacial disparities in health are more likely to be generated in the posthospital phase of the process of care delivery rather than during the hospital stay. The slower rate of increase in relative mortality among black VA patients suggests an integrated health care delivery system like the VA may attenuate racial disparities in health.

Indexed as

AgedAged, 80 and overBlack or African AmericanFemaleGastrointestinal HemorrhageHeart FailureHip FracturesHospital MortalityHumansMaleMedicareMyocardial InfarctionPneumoniaRetrospective StudiesStrokeSurvival Analysis

Identifiers

PMID18355259
PMCPMC2517279
OpenAlexW2139633066

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.