Evidence map›Paper›PMID 25439223›Full record

SynthesisThe Journal of surgical research2015

Structure, process, and outcomes in skilled nursing facilities: understanding what happens to surgical patients when they cannot go home. A systematic review.

Timo W Hakkarainen, Patricia Ayoung-Chee, Rafael Alfonso, Saman Arbabi, David R Flum

Abstract readSystematic Review
In one paragraph

Synthesis in The Journal of surgical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Challenges to Admitting Residents: Perspectives from Rural Nursing Home Administrators and Staff.Inquiry : a journal of medical care organization, provision and financing
    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

5 authors.

Timo W HakkarainenSurgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington. Electronic address: timoh@uw.edu.
Patricia Ayoung-CheeSurgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington.
Rafael AlfonsoSurgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington.
Saman ArbabiSurgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington.
David R FlumSurgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington.

Funding

Surgical Care and Outcomes Assessment Program Comparative Effectiveness ResearchR01HS020025 · AHRQ · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2010
$10.8M
Renewal: Gastrointestinal Surgery Outcomes Research FellowshipT32DK070555 · NIDDK · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2024
$3.6M
AHRQ HHS 1 R01 HS 20025-01AHRQ HHS R01 HS020025NIDDK NIH HHS 1T32DK070555-01A1NIDDK NIH HHS T32 DK070555
6 · The paper itself

Abstract

backgroundThe surgical population is aging, and greater numbers of surgical patients are being discharged to skilled nursing facilities. Post-acute care is a poorly understood but very important aspect of our healthcare system.

methodsThis systematic review examines the current body of literature surrounding the structural, process of care, and outcomes measurements for patients in skilled nursing facilities. English language articles published between 1998 and 2011 that purposed to examine nursing facility structure, process of care, and/or outcomes were included. RESULTS &

conclusionsAbstracts (2129) were screened and 102 articles were reviewed in full. Twenty-nine articles were included in the qualitative synthesis. The role of the care setting and care delivery in contributing to outcomes has not been well studied, and no strong conclusions can be made. This area of care currently represents a "black box" to practicing surgeons. An understanding of these factors maybe instrumental to determining future directions for research to maximize positive outcomes for these patients.

Indexed as

Skilled Nursing FacilitiesHumansOutcome and Process Assessment, Health CareSurgical Procedures, Operative

Identifiers

PMID25439223
PMCPMC4270469

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.