Trial reportJournal of general internal medicine2011
The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.
Trial report in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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.
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.
Who cites it
16 citing papers in PubMed.
- Association of the 2017 ACGME US Resident Duty Hour Policy Change With Hospital Quality and Patient Experience.Journal of graduate medical education · 2025Observational
- Article
- Physicians' working time restriction and its impact on patient safety: an integrative review.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT · 2018Article
- Article
- Organization of Hospital Nursing and 30-Day Readmissions in Medicare Patients Undergoing Surgery.Medical care · 2015Article
- Observational
- Assessing the effects of the 2003 resident duty hours reform on internal medicine board scores.Academic medicine : journal of the Association of American Medical Colleges · 2014Article
- Teaching hospital five-year mortality trends in the wake of duty hour reforms.Journal of general internal medicine · 2013Observational
- Does admission to a teaching hospital affect acute myocardial infarction survival?Academic medicine : journal of the Association of American Medical Colleges · 2013Article
- Teaching and Assessing Colorectal Surgery Residents in the Age of ACGME Competencies: Pieces of the Whole.Clinics in colon and rectal surgery · 2012Article
- Duty hours, quality of care, and patient safety: general surgery resident perceptions.Journal of the American College of Surgeons · 2012Article
- Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.Academic medicine : journal of the Association of American Medical Colleges · 2012Article
- Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.Journal of general internal medicine · 2011Review
- "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals.Journal of hospital medicineArticle
- Effect of the Nurse Work Environment on Older Hispanic Surgical Patient Readmissions.Nursing researchArticle
- Diagnostic Testing During Pediatric Hospitalizations: The Role of Attending In-House Coverage and Daytime Exposure.Academic pediatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA key goal of resident duty hour reform by the Accreditation Council for Graduate Medical Education (ACGME) in 2003 was to improve patient outcomes.
objectiveTo assess whether the reform led to a change in readmission rates.
designObservational study using multiple time series analysis with hospital discharge data from July 1, 2000 to June 30, 2005. Fixed effects logistic regression was used to examine the change in the odds of readmission in more versus less teaching-intensive hospitals before and after duty hour reform.
participantsAll unique Medicare patients (n = 8,282,802) admitted to acute-care nonfederal hospitals with principal diagnoses of acute myocardial infarction, congestive heart failure, gastrointestinal bleeding, or stroke (combined medical group), or a DRG classification of general, orthopedic, or vascular surgery (combined surgical group). MAIN MEASURES: Primary outcome was 30-day all-cause readmission. Secondary outcomes were (1) readmission or death within 30 days of discharge, and (2) readmission, death during the index admission, or death within 30 days of discharge. KEY
resultsFor the combined medical group, there was no evidence of a change in readmission rates in more versus less teaching-intensive hospitals [OR = 0.99 (95% CI 0.94, 1.03) in post-reform year 1 and OR = 0.99 (95% CI 0.95, 1.04) in post-reform year 2]. There was also no evidence of relative changes in readmission rates for the combined surgical group: OR = 1.03 (95% CI 0.98, 1.08) for post-reform year 1 and OR = 1.02 (95% CI 0.98, 1.07) for post-reform year 2. Findings for the secondary outcomes combining readmission and death were similar.
conclusionsAmong Medicare beneficiaries, there were no changes in hospital readmission rates associated with resident duty hour reform.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.