ArticleAnnals of surgery2014
Is there a relationship between patient satisfaction and favorable outcomes?
Article in Annals of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 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.
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Who cites it
80 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Evidence on the links between patient experience and safety: a systematic review.BMJ open quality · 2026Pooled it
- Patient satisfaction with the Nigerian National Health Insurance Scheme two decades since establishment: A systematic review and recommendations for improvement.African journal of primary health care & family medicine · 2022Pooled it
- Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis.Annals of internal medicine · 2019Pooled it
- Trial
- Assessment of the performance of primary healthcare in eight African countries: based on the Composite Fuzzy Index.BMJ global health · 2026Article
- The Adaptation and Validation of the Polish Version of the International Consultation on Incontinence Questionnaire-Satisfaction Among Women After Gynecological Surgery.International urogynecology journal · 2026Article
- Development of the malay version of the patient satisfaction questionnaire for virtual consultation services (MPSQ-VC): content validity & face validity analysis.BMC health services research · 2026Article
- Patient Perception and Ethical Trade-Offs in Resource Allocation: A Qualitative Study with Conceptual Simulation in a Romanian Municipal Hospital.Healthcare (Basel, Switzerland) · 2026Article
- Patient-reported outcomes after hysterectomy due to pelvic organ prolapse versus other indications - a 10-year national follow-up study.BMC women's health · 2026Article
- Article
- Correlation between Opioid Prescribing Habits and Patient Satisfaction.The archives of bone and joint surgery · 2026Article
- An empirical study on the psychological impact of medical AI on patients undergoing dental surgery.Scientific reports · 2025Article
- Patient expectations about the oncologic benefit of pancreatectomy for pancreatic ductal adenocarcinoma.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2025Article
- Factors influencing online patient-reported ratings among shoulder surgeons.JSES international · 2025Article
- Associations between CAHPS scores of patient care experiences and breast cancer survival among senior female survivors:a SEER-CAHPS analysis.Women & health · 2025Article
- Unveiling the drivers of patient satisfaction in the United States hospitals: Assessing quality indicators across regions.PloS one · 2025Article
- Quality of nursing care: Predictors of patient satisfaction in a national sample.Nursing open · 2024Article
- Characteristics associated with perceived level of confidence managing diabetes among United States adults with diabetes: A retrospective cross-sectional study.Journal of family medicine and primary care · 2024Article
- Quality Indicators in Adult Critical Care Medicine.Global journal on quality and safety in healthcare · 2024Review
- Hospital and Patient Factors Affecting Veterans' Hospital Choice.Medical care research and review : MCRR · 2024Article
20 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectivePatient satisfaction with the health care experience has become a top priority for Centers for Medicare and Medicaid Services. With resources and efforts directed at patient satisfaction, we evaluated whether high patient satisfaction measured by HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) surveys correlates with favorable outcomes.
methodsMedical centers were identified from the University HealthSystem Consortium database from 2011 to 2012. Variables included hospital characteristics, process measure compliance, and surgical outcomes. Chi-squared analysis was used to evaluate for variables associated with high patient satisfaction (defined as hospitals that scored above the 50th percentile of top box scores).
resultsWe identified 171 hospitals with complete data. The following variables were significantly associated with high overall patient satisfaction: large hospitals, high surgical volume, and low mortality (P < 0.001). Compliance with process measures and patient safety indicators, as well as length of stay, did not correlate with overall satisfaction. The presence of complications (P = 0.491) or increased rate of readmission (P = 0.056) were not found to affect patient satisfaction. Low mortality index was consistently found to be associated with high satisfaction across 9 of 10 HCAHPS domains.
conclusionsWe found that hospital size, surgical volume, and low mortality were associated with high overall patient satisfaction. However, with the exception of low mortality, favorable surgical outcomes were not consistently associated with high HCAHPS scores. With existing satisfaction surveys, we conclude that factors outside of surgical outcomes appear to influence patients' perceptions of their care.
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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.