Evidence map›Paper›PMID 26236353›Full record

ArticleThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale

Improving health care efficiency through the integration of a physician assistant into an infectious diseases consult service at a large urban community hospital.

Melissa Decloe, Janine McCready, James Downey, Jeff Powis

Abstract read
In one paragraph

Article in The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Quantitative and qualitative impact of physician assistants in a Canadian urology setting.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  7. Ontario physician assistants: Decision time.Canadian family physician Medecin de famille canadien · 2019
    Article
  8. Canadian family physician Medecin de famille canadien · 2019
    Article
  9. The emergence of the physician assistant role in a Canadian acute care surgery setting.Canadian journal of surgery. Journal canadien de chirurgie
    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

4 authors.

Melissa DecloeDivision of Infectious Diseases, Department of Medicine, Toronto East General Hospital, Toronto; ; Physician Assistant Education Program, McMaster University, Hamilton, Ontario;
Janine McCreadyDivision of Infectious Diseases, Department of Medicine, Toronto East General Hospital, Toronto; ; Department of Medicine, University of Toronto, Toronto, Ontario.
James DowneyDivision of Infectious Diseases, Department of Medicine, Toronto East General Hospital, Toronto; ; Department of Medicine, University of Toronto, Toronto, Ontario.
Jeff PowisDivision of Infectious Diseases, Department of Medicine, Toronto East General Hospital, Toronto; ; Department of Medicine, University of Toronto, Toronto, Ontario.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysician assistants (PAs) have recently been introduced into the Canadian health care system in some provinces; however, there are little data demonstrating their impact.

methodsA retrospective case-control study was conducted between January 2010 and December 2013. Length of stay (LOS) and mortality were examined in the infectious diseases consult service (IDCS) compared with hospital-wide controls. The two-year period before the introduction of the PA to the IDCS of a large urban community hospital in Canada (2010 to 2011) was compared with the two-year period following the introduction of the PA (2012 to 2013).

resultsFollowing the introduction of a PA to the IDCS, there was a decrease in time to consultation from 21.4 h to 14.3 h (P<0.0001). LOS was significantly decreased among IDCS patients by 3.6 days more than that seen in matched hospital-wide controls (P=0.0001). Mortality did not significantly change after PA introduction in either cases or controls. DISCUSSION/

conclusionPAs can improve health efficiencies in the Canadian health care setting, leading to reduction in LOS.

Indexed as

Length of stayMortalityPhysician assistant

Identifiers

PMID26236353
PMCPMC4507837

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.