Evidence map›Paper›PMID 22938896›Full record

ArticleSurgery2012

Obesity and readmission in elderly surgical patients.

Caroline E Reinke, Rachel R Kelz, Jose R Zubizarreta, Lanyu Mi, Philip Saynisch, Fabienne A Kyle, Orit Even-Shoshan, Lee A Fleisher, Jeffrey H Silber

Abstract read
In one paragraph

Article in Surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Hospital Readmissions Among Post-acute Nursing Home Residents: Does Obesity Matter?Journal of the American Medical Directors Association · 2019
    Article
  8. Article
  9. Outpatient Total Joint Arthroplasty.Current reviews in musculoskeletal medicine · 2017
    Review
  10. Thirty-Day Hospital Readmission After Restorative Proctocolectomy and Ileal Pouch Anal Anastomosis for Chronic Ulcerative Colitis at a High-Volume Center.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
    Article
  11. Identification of process measures to reduce postoperative readmission.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014
    Article
  12. Article
  13. Article
  14. Article
  15. 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

9 authors.

Caroline E ReinkeDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Rachel R Kelz
Jose R Zubizarreta
Lanyu Mi
Philip Saynisch
Fabienne A Kyle
Orit Even-Shoshan
Lee A Fleisher
Jeffrey H Silber

Funding

Obesity and Surgical OutcomesR01DK073671 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI SILBER, JEFFREY H · 2006 to 2010
$3.1M
NIDDK NIH HHS R01 DK 073671NIDDK NIH HHS R01 DK073671NIDDK NIH HHS R01 DK 073671-0451
6 · The paper itself

Abstract

backgroundReducing readmissions has become a focus in efforts by Medicare to improve health care quality and reduce costs. This study aimed to determine whether causes for readmission differed between obese and nonobese patients, possibly allowing for targeted interventions.

methodsA matched case control study of Medicare patients admitted between 2002 and 2006 who were readmitted after hip or knee surgery, colectomy, or thoracotomy was performed. Patients were matched exactly for procedure, while also balancing on hospital, age, and sex. Conditional logistic regression was used to study the odds of readmission for very obese cases (body mass index >35 kg/m2) versus normal weight patients (body mass index of 20-30 kg/m2) after also controlling for race, transfer-in and emergency status, and comorbidities.

resultsAmong 15,914 patient admissions, we identified 1,380 readmitted patients and 2,760 controls. The risk of readmission was increased for obese compared to nonobese patients both before and after controlling for comorbidities (before: odds ratio, 1.35; P = .003; after: odds ratio, 1.25; P = .04). Reasons for readmission varied by procedure but were not different by body mass index category.

conclusionObese patients have an increased risk of readmission, yet the reasons for readmission in obese patients appear to be similar to those for nonobese patients, suggesting that improved postdischarge management for the obese cannot focus on a few specific causes of readmission but must instead provide a broad range of interventions.

Indexed as

AgedAged, 80 and overCase-Control StudiesCohort StudiesFemaleHealth Care CostsHospitalsHumansLogistic ModelsMaleMedicareObesityPatient ReadmissionRisk FactorsSurgical Procedures, OperativeUnited States

Identifiers

PMID22938896
PMCPMC3637915

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.