Evidence map›Paper›PMID 23908501›Full record

ArticleClinical medicine (London, England)2013

The impact of consultant-delivered multidisciplinary inpatient medical care on patient outcomes.

R Fielding, J Kause, V Arnell-Cullen, D Sandeman

Abstract readComparative Study
In one paragraph

Article in Clinical medicine (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

R FieldingDepartment of Medicine, University Hospital Southampton, UK. Richard.Fielding@nuth.nhs.uk
J Kause
V Arnell-Cullen
D Sandeman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Consultant-delivered care has been shown to improve outcomes for acute medical patients. However, the ideal composition of a medical team to support consultant-delivered care is not clear and little is known about the effect of continuing consultant-delivered care until the patient is discharged. Between December 2011 and April 2012, 260 general medical patients requiring inpatient care were managed by a consultant-delivered multidisciplinary team (CD-MDT) and 150 patients by a standard consultant-led team of trainee doctors. The length of hospital stay was significantly lower for patients managed by a CD-MDT than for those managed by a standard team (4-5 days vs 7 days, p<0.001). No difference between the groups was seen for readmission rates, patient safety or mortality. In conclusion, a CD-MDT is a safe and effective model of inpatient medical care and is associated with a shorter length of hospital stay.

Indexed as

InpatientsOutcome Assessment, Health CareReferral and ConsultationAcute DiseaseAgedAged, 80 and overContinuity of Patient CareDelivery of Health CareFemaleFollow-Up StudiesHospital MortalityHumansLength of StayMaleMiddle AgedPatient Care TeamConsultant-delivered caregeneral internal medicinemultidisciplinary team

Identifiers

PMID23908501
PMCPMC4954298

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.