Evidence map›Paper›PMID 27167208›Full record

ReviewChest2016

COPD Readmissions: Addressing COPD in the Era of Value-based Health Care.

Tina Shah, Valerie G Press, Megan Huisingh-Scheetz, Steven R White

Abstract readReview
In one paragraph

Review in Chest, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 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

81 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. A Proposed Checklist for Optimizing COPD Patient Discharge Processes in Italian Internal Medicine Wards.International journal of chronic obstructive pulmonary disease · 2026
    Review
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21 more citing papers are in PubMed but not listed here.

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.

Tina ShahSection of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, IL.
Valerie G PressSection of Hospital Medicine, University of Chicago, Chicago, IL.
Megan Huisingh-ScheetzSection of Geriatrics and Palliative Medicine, Department of Medicine, University of Chicago, Chicago, IL.
Steven R WhiteSection of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, IL. Electronic address: swhite@medicine.bsd.uchicago.edu.

Funding

Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
RESEARCH TRAINING IN RESPIRATORY BIOLOGYT32HL007605 · NHLBI · UNIVERSITY OF CHICAGO · PI Yun Fang, Gokhan M. Mutlu · 1985 to 2026
$18.1M
Regulation and expression of HLA-G in asthmatic airwaysU19AI095230 · NIAID · UNIVERSITY OF CHICAGO · PI WHITE, STEVEN R · 2011 to 2016
$10.5M
Chicagoland Metropolitan AsthmaNet Consortium (CMAC)U10HL098096 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KRISHNAN, JERRY A., PONGRACIC, JACQUELINE · 2009 to 2015
$4.6M
Video vs. TTG Respiratory inhaler technique Assessment and InstructioN (V-TRAIN)K23HL118151 · NHLBI · UNIVERSITY OF CHICAGO · PI PRESS, VALERIE G · 2013 to 2016
$658k
NCATS NIH HHS UL1 TR000430NHLBI NIH HHS K23 HL118151NHLBI NIH HHS T32 HL007605NHLBI NIH HHS U10 HL098096NIAID NIH HHS U19 AI095230Patient-Centered Outcomes Research Institute IH-12-11-4259
6 · The paper itself

Abstract

Of those patients hospitalized for an exacerbation of COPD, one in five will require rehospitalization within 30 days. Many developed countries are now implementing policies to increase care quality while controlling costs for COPD, known as value-based health care. In the United States, COPD is part of Medicare's Hospital Readmissions Reduction Program (HRRP), which penalizes hospitals for excess 30-day, all-cause readmissions after a hospitalization for an acute exacerbation of COPD, despite minimal evidence to guide hospitals on how to reduce readmissions. This review outlines challenges for improving overall COPD care quality and specifically for the HRRP. These challenges include heterogeneity in the literature for how COPD and readmissions are defined, difficulty finding the target population during hospitalizations, and a lack of literature to guide evidence-based programs for COPD readmissions as defined by the HRRP in the hospital setting. It then identifies risk factors for early readmissions after acute exacerbation of COPD and discusses tested and emerging strategies to reduce these readmissions. Finally, we evaluate the current HRRP and future policy changes and their effect on the goal to deliver value-based COPD care. COPD remains a chronic disease with a high prevalence that has finally garnered the attention of health systems and policy makers, but we still have a long way to go to truly deliver value-based care to patients.

Indexed as

Quality of Health CareReimbursement MechanismsCenters for Medicare and Medicaid Services, U.S.Health PolicyHospitalizationHumansPatient ReadmissionPulmonary Disease, Chronic ObstructiveQuality Indicators, Health CareRisk AssessmentUnited Statesacute exacerbation of COPDCOPDemphysemaMedicare Hospital Readmissions Reduction Program (HRRP)readmissions

Identifiers

PMID27167208
PMCPMC5812767

What OpenQuestion holds

Textmetadata
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.