ArticleJournal of the American Society of Nephrology : JASN2014
Physician visits and 30-day hospital readmissions in patients receiving hemodialysis.
Article in Journal of the American Society of Nephrology : JASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled 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.
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
55 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.
- Associations Between Early Physician Follow-up and Post-discharge Outcomes: A Systematic Review and Meta-analysis.Journal of general internal medicine · 2025Pooled it
- Preventable Hospitalizations and Kidney Care.Clinical journal of the American Society of Nephrology : CJASN · 2026Review
- Primary Care Use and Clinical Outcomes in a Prevalent Cohort of Patients Receiving Hemodialysis.Kidney medicine · 2026Article
- Hospital readmission in children on maintenance dialysis: a multicentre, prospective cohort study.Clinical kidney journal · 2026Article
- Utilization of Telemedicine for Patients Receiving In-Center Hemodialysis in the United States.Journal of the American Society of Nephrology : JASN · 2025Article
- Patient Perspectives on Using Telemedicine During In-Center Hemodialysis: A Qualitative Study.Kidney medicine · 2024Article
- Pay-for-performance programs effectiveness in healthcare: the case of the end-stage renal disease quality incentive program.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Predictors of 30-day Unplanned Hospital Readmissions among Maintenance Dialysis Patients.Acta medica Philippina · 2024Article
- Predictors of unplanned hospital readmission after non-cardiac surgery in Singapore: a 2-year retrospective review.BMC surgery · 2023Article
- Structured handoff to improve communication from inpatient to outpatient dialysis units: A quality improvement project.Hemodialysis international. International Symposium on Home Hemodialysis · 2023Article
- A Web-Based, Provider-Driven Mobile App to Enhance Patient Care Coordination Between Dialysis Facilities and Hospitals: Development and Pilot Implementation Study.JMIR formative research · 2022Article
- Article
- Value-Based Care and Kidney Disease: Emergence and Future Opportunities.Advances in chronic kidney disease · 2022Review
- Burden and causes of hospital admissions and readmissions in patients undergoing hemodialysis and peritoneal dialysis: a nationwide study.Journal of nephrology · 2021Observational
- Association of cardiovascular disease with 30-day hospital readmission in Chinese patients receiving maintenance dialysis.Annals of translational medicine · 2021Article
- Prevalence, risk factors and impact on outcomes of 30-day unexpected rehospitalization in incident peritoneal dialysis patients.BMC nephrology · 2021Article
- [Cardiovascular pharmacotherapy and coronary revascularization in end-stage renal failure].Herz · 2019Article
- Assessing Predictors of Early and Late Hospital Readmission After Kidney Transplantation.Transplantation direct · 2019Article
- Long-term outcomes among Medicare patients readmitted in the first year of hemodialysis: a retrospective cohort study.BMC nephrology · 2019Article
- Readmissions Metrics in Hemodialysis: Do the Specifics Matter?Journal of the American Society of Nephrology : JASN · 2019Article
Corrections and comments
- Commented on by
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
A focus of health care reform has been on reducing 30-day hospital readmissions. Patients with ESRD are at high risk for hospital readmission. It is unknown whether more monitoring by outpatient providers can reduce hospital readmissions in patients receiving hemodialysis. In nationally representative cohorts of patients in the United States receiving in-center hemodialysis between 2004 and 2009, we used a quasi-experimental (instrumental variable) approach to assess the relationship between frequency of visits to patients receiving hemodialysis following hospital discharge and the probability of rehospitalization. We then used a multivariable regression model and published hospitalization data to estimate the cost savings and number of hospitalizations that could be prevented annually with additional provider visits to patients in the month following hospitalization. In the main cohort (n=26,613), one additional provider visit in the month following hospital discharge was estimated to reduce the absolute probability of 30-day hospital readmission by 3.5% (95% confidence interval, 1.6% to 5.3%). The reduction in 30-day hospital readmission ranged from 0.5% to 4.9% in an additional four cohorts tested, depending on population density around facilities, facility profit status, and patient Medicaid eligibility. At current Medicare reimbursement rates, the effort to visit patients one additional time in the month following hospital discharge could lead to 31,370 fewer hospitalizations per year, and $240 million per year saved. In conclusion, more frequent physician visits following hospital discharge are estimated to reduce rehospitalizations in patients undergoing hemodialysis. Incentives for closer outpatient monitoring following hospital discharge could lead to substantial cost savings.
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.