Evidence map›Paper›PMID 26792276›Full record

ArticleAmerican journal of surgery2016

The number of inpatient consultations is negatively correlated with patient satisfaction in patients with prolonged hospital stays.

Ryan K Schmocker, Sara E Holden, Xia Vang, Stephanie T Lumpkin, Linda M Cherney Stafford, Glen E Leverson, Emily R Winslow

Abstract read
In one paragraph

Article in American journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

7 authors.

Ryan K SchmockerDepartment of Surgery, University of Wisconsin Clinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA.
Sara E HoldenDepartment of Surgery, University of Wisconsin Clinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA.
Xia VangDepartment of Surgery, University of Wisconsin Clinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA.
Stephanie T LumpkinDepartment of General Surgery, University of North Carolina, Chapel Hill, NC, USA.
Linda M Cherney StaffordDepartment of Surgery, University of Wisconsin Clinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA.
Glen E LeversonDepartment of Surgery, University of Wisconsin Clinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA.
Emily R WinslowDepartment of Surgery, University of Wisconsin Clinical Science Center, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA. Electronic address: winslow@surgery.wisc.edu.

Funding

UW Surgical Oncology Research Training Program (UW-SORT)T32CA090217 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Muhammed Murtaza, Heather B Neuman · 2001 to 2026
$8.3M
NCI NIH HHS T32 CA090217
6 · The paper itself

Abstract

backgroundPatient satisfaction is often measured using the Hospital Consumer Assessment of Healthcare Providers and Systems survey. Our aim was to examine the structural and clinical determinants of satisfaction among inpatients with prolonged lengths of stays (LOS).

methodsAdult patients who were admitted between 2009 and 2012, had a LOS of 21 days or more, and completed the Hospital Consumer Assessment of Healthcare Providers and Systems survey, were included. Univariate analyses assessed the relationship between satisfaction and patient/system variables. Recursive partitioning was used to examine the relative importance of the identified variables.

resultsOne hundred one patients met inclusion criteria. The average LOS was 35 days and 58% were admitted to a surgical service. Satisfaction with physician communication was significantly associated with fewer consultations (P < .01), nonoperative admission (P < .001), no intensive care unit stay (P < .01), nonsurgical service (P < .01), and non-emergency room admissions (P = .03). Among these, having fewer consultations had the highest relative importance.

conclusionsIn long stay patients, having fewer inpatient consultations was the strongest predictor of patient satisfaction with physician communication. This suggests that examination of patient-level data in clinically relevant subgroups may be a useful way to identify targets for quality improvement.

Indexed as

Length of StayPatient SatisfactionPhysician-Patient RelationsAdultAgedCommunicationFemaleHealth Care SurveysHumansInpatientsMaleMiddle AgedPatient Outcome AssessmentReferral and ConsultationRetrospective StudiesHCAHPSPatient satisfactionPhysician communicationSurgery service

Identifiers

PMID26792276
PMCPMC4905812

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Registered trials

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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.