Evidence map›Paper›PMID 19252112›Full record

SynthesisMayo Clinic proceedings2009

A systematic review of outcomes and quality measures in adult patients cared for by hospitalists vs nonhospitalists.

Michael C Peterson

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Mayo Clinic proceedings, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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  20. Fifteen-year outcomes of an acute medical admission unit.Irish journal of medical science · 2018
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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

1 author.

Michael C PetersonCardiac Hospitalist Service, Central Utah Clinic, Provo, USA. michael.peterson@hsc.utah

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A systematic review of English-language literature was undertaken to answer the question, "Are there differences in cost or quality of inpatient medical care provided to adults by hospitalists vs nonhospitalists?" A computerized search was performed, using hospitalist and either quality, outcome, or cost as search terms. References from relevant articles were searched by hand. A standard data-extraction tool was used, and articles were included on the basis of quality and relevance. The reports that were included (N=33) show general agreement that hospitalist care leads to shorter length of stay and lower cost per stay. Three reports show improvement in outcomes for orthopedic surgery patients who had hospitalist consultation or comanagement, 3 reports show improvement in markers of quality of care for patients with pneumonia, and 2 reports show improvement in aspects of heart failure management. Further research should seek to determine why differences in care exist, whether these improvements might be generalized to other physicians, and whether hospitalists provide demonstrable benefit in other areas of care.

Indexed as

HospitalistsOutcome Assessment, Health CareQuality Assurance, Health CareAngiotensin-Converting Enzyme InhibitorsAngiotensin II Type 1 Receptor BlockersDocumentationHeart FailureHospital CostsHumansLength of StayOrthopedic ProceduresPneumococcal VaccinesPneumoniaStroke VolumeVenous ThromboembolismAngiotensin-Converting Enzyme InhibitorsAngiotensin II Type 1 Receptor BlockersPneumococcal Vaccines

Identifiers

PMID19252112
PMCPMC2664594
OpenAlexW2124733926

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.