ArticleThe American journal of managed care2013
Spending and mortality in US acute care hospitals.
Article in The American journal of managed care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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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
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of the Association Between Hospital Cost/price and the Quality of Care.Applied health economics and health policy · 2020Pooled it
- Systematic review of the association between climate and hip fractures.International journal of biometeorology · 2015Pooled it
- Rising Deaths due to Malnutrition and Growing Disparities in the U.S.: A 24-Year Trend Analysis From 1999 and 2023.Food science & nutrition · 2025Article
- A specific role of village doctors in reducing disparities: a quantile regression analysis of end-of-life medical care.BMC palliative care · 2025Article
- Associations between Hospital Quality Outcomes and Medicare Spending per Beneficiary in the USA.Healthcare (Basel, Switzerland) · 2021Article
- Association of in-hospital resource utilization with post-acute spending in Medicare beneficiaries hospitalized for acute myocardial infarction: a cross-sectional study.BMC health services research · 2019Article
- Productivity growth of skilled nursing facilities in the treatment of post-acute-care-intensive conditions.PloS one · 2019Article
- Superior Performance of Teaching and Transplant Hospitals in the Management of Hepatic Encephalopathy from 2007 to 2014.Journal of clinical and translational hepatology · 2018Article
- 30-Day Episode Payments and Heart Failure Outcomes Among Medicare Beneficiaries.JACC. Heart failure · 2018Observational
- Association Between 30-Day Episode Payments and Acute Myocardial Infarction Outcomes Among Medicare Beneficiaries.Circulation. Cardiovascular quality and outcomes · 2018Observational
- Predictors of regional Medicare expenditures for otolaryngology physician services.The Laryngoscope · 2017Article
- Costs and Consequences of Early Hospital Discharge After Major Inpatient Surgery in Older Adults.JAMA surgery · 2017Article
- Physician spending and subsequent risk of malpractice claims: observational study.BMJ (Clinical research ed.) · 2015Observational
- Financial Implications of Hospital Readmission After Hip Fracture.Geriatric orthopaedic surgery & rehabilitation · 2015Article
- Long-term impact of medicare payment reductions on patient outcomes.Health services research · 2014Article
- A population health approach to reducing observational intensity bias in health risk adjustment: cross sectional analysis of insurance claims.BMJ (Clinical research ed.) · 2014Article
- Hospital costs and inpatient mortality among children undergoing surgery for congenital heart disease.Health services research · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundDespite evidence that greater US Medicare spending is not associated with better quality of care at a regional level, recent studies suggest that greater hospital spending is associated with lower risk-adjusted mortality. Studies have been limited to older data, specific US states and conditions, and the Medicare population.
objectivesTo analyze the association between hospital spending and risk-adjusted inpatient mortality for 6 major medical conditions in US acute care hospitals. STUDY
designRetrospective cohort study of risk adjusted inpatient mortality, with hospital spending taken from the Dartmouth Atlas of Health Care. The study population included 2,635,510 patients admitted to 1201 US hospitals between 2003 and 2007.
methodsPatient-level logistic regression models were used to estimate the effect of hospital spending on inpatient mortality, controlling for mortality risk, comorbidities, community characteristics (eg, median household income in a patient's zip code), hospital volume and ownership, and admission year.
resultsPatients treated at hospitals in the highest spending quintile (relative to the lowest) had lower risk-adjusted inpatient mortality for acute myocardial infarction (odds ratio [OR] 0.751, 95% confidence interval [CI] 0.656-0.859), congestive heart failure (OR 0.652, 95% CI 0.560-0.759), stroke (OR 0.852, 95% CI, 0.739-0.983), and hip fracture (OR 0.691, 95% CI 0.545-0.876). Greater spending was associated with lower mortality primarily in nonteaching hospitals, hospitals with fewer than the median number of beds, and nonprofit/public hospitals.
conclusionsGreater hospital spending is associated with lower risk-adjusted inpatient mortality for major medical conditions in the United States.
Indexed as
Identifiers
23448114PMC3989348What 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.