Evidence map›Paper›PMID 20123669›Full record

ArticleCirculation. Cardiovascular quality and outcomes2010

Costs of inpatient care among Medicare beneficiaries with heart failure, 2001 to 2004.

David J Whellan, Melissa A Greiner, Kevin A Schulman, Lesley H Curtis

Abstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  16. Economic Modeling of Heart Failure Telehealth Programs: When Do They Become Cost Saving?International journal of telemedicine and applications · 2016
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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

4 authors.

David J WhellanCenter for Clinical and Genetic Economics, Duke University School of Medicine, Durham, NC, USA. david.whellan@jefferson.edu
Melissa A Greiner
Kevin A Schulman
Lesley H Curtis

Funding

ACTION EQOL STUDYU01HL066461 · NHLBI · DUKE UNIVERSITY · PI SCHULMAN, KEVIN ALAN · 2002 to 2008
$2.7M
Heart Failure: Epidemiology & Outcomes in the ElderlyR01AG026038 · NIA · DUKE UNIVERSITY · PI CURTIS, LESLEY H · 2006 to 2008
$975k
NHLBI NIH HHS U01 HL066461NHLBI NIH HHS U01HL066461NIA NIH HHS R01 AG026038NIA NIH HHS R01AG026038
6 · The paper itself

Abstract

backgroundInpatient care is the primary driver of costs for patients with heart failure. It is unclear whether recent advances in heart failure care have reduced the costs to Medicare for the care of inpatients with heart failure. METHODS AND

resultsIn a retrospective cohort study of 1 363 977 elderly Medicare beneficiaries hospitalized with heart failure between January 1, 2001, and December 31, 2004, we examined costs to Medicare for all inpatient care, inpatient cardiovascular care, and inpatient heart failure care and the adjusted relationships between patient characteristics and costs. Among 1 363 977 Medicare beneficiaries with an index heart failure hospitalization, 901 885 (66%) had a subsequent inpatient claim during the following year. Noncardiovascular costs accounted for 57% of total inpatient costs, and costs associated with heart failure hospitalizations accounted for 15% of total inpatient costs. No significant changes occurred in total, cardiovascular, and heart failure inpatient costs over time.

conclusionsThe costs of inpatient care for patients with heart failure are high, but most subsequent inpatient costs are attributable to noncardiovascular and non-heart failure admissions. Further research is needed to identify predictors of costs, so that patients can be stratified according to risk, and to evaluate strategies that target primary cost drivers for patients with heart failure.

Indexed as

Hospital CostsInpatientsAgedAged, 80 and overComorbidityCost SavingsFemaleHeart FailureHumansInsurance Claim ReportingLength of StayMaleMedicareMultivariate AnalysisRetrospective StudiesTime Factors

Identifiers

PMID20123669
PMCPMC2818545

What OpenQuestion holds

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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.