Evidence map›Paper›PMID 22816447›Full record

ArticleHealth services research2013

Outcomes for whites and blacks at hospitals that disproportionately care for black Medicare beneficiaries.

Lenny López, Ashish K Jha

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
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  12. Temporal Trends in Critical Care Outcomes in U.S. Minority-Serving Hospitals.American journal of respiratory and critical care medicine · 2020
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  14. Observational
  15. Article
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  18. Health Care Segregation, Physician Recommendation, and Racial Disparities in BRCA1/2 Testing Among Women With Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
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  19. Black-white differences in severe maternal morbidity and site of care.American journal of obstetrics and gynecology · 2016
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  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

2 authors at 2 institutions in 1 country.

Lenny LópezMongan Institute for Health Policy, Massachusetts General Hospital, 50 Staniford St., Ninth Floor, Boston, MA 02114, USA. llopez1@partners.org
Ashish K Jha
Harvard University · USMassachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHospital care for blacks is concentrated among a small number of hospitals and whether they have worse outcomes across common medical conditions is unknown. DATA SOURCE: We used the 2007 100% Medicare file to calculate 30- and 90-day mortality rates for white and black patients admitted for acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia. STUDY

designWe ranked all hospitals in the country by their proportion of discharged black patients and identified the top 10 percent of these hospitals as black serving. We examined race-specific adjusted mortality rates and adjusted for differences in hospital characteristics. PRINCIPAL

findingsAt 30 days, black-serving hospitals had, compared with nonblack-serving hospitals, similar mortality for AMI, lower mortality for CHF, and higher mortality for pneumonia. At 90 days, mortality was higher at black-serving hospitals for both AMI and pneumonia and comparable for CHF compared with nonblack-serving hospitals. White patients had worse outcomes at black-serving hospitals for two conditions at 30 days and all three conditions at 90 days. Blacks also had worse outcomes at black-serving hospitals.

conclusionsHospitals with a high proportion of black patients had worse outcomes than other hospitals for both their white and black elderly patients.

Indexed as

Black or African AmericanHealthcare DisparitiesHeart FailureHospital AdministrationHumansMedicareMyocardial InfarctionOutcome Assessment, Health CarePneumoniaUnited StatesWhite People

Identifiers

PMID22816447
PMCPMC3589958
OpenAlexW2028179755

What OpenQuestion holds

Textmetadata
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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.