Evidence map›Paper›PMID 28145726›Full record

ArticleAmerican journal of respiratory and critical care medicine2017

Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality.

Seppo T Rinne, Jose Castaneda, Peter K Lindenauer, Paul D Cleary, Harold L Paz, Jose L Gomez

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% of its field
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Risk factors for all-cause hospital readmission following exacerbation of COPD: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2020
    Pooled it
  3. Article
  4. Integrating Clinical and Air Quality Data to Improve Prediction of COPD Exacerbations.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023
    Article
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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

6 authors at 6 institutions in 1 country.

Seppo T Rinne1 Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Department of Veterans Affairs, Bedford, Massachusetts.
Jose Castaneda3 Department of Medicine, Division of Pulmonary Diseases and Critical Care Medicine, University of Texas Health Science Center, San Antonio, Texas.
Peter K Lindenauer4 Center for Quality of Care Research, Division of Hospital Medicine, Baystate Medical Center, Springfield, Massachusetts.
Paul D Cleary6 Yale School of Public Health, New Haven, Connecticut.
Harold L Paz7 Aetna, Inc., Hartford, Connecticut; and.
Jose L Gomez8 Department of Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale University, New Haven, Connecticut.
Aetna (United States) · USBoston University · USThe University of Texas Health Science Center at San Antonio · USTufts University · USYale New Haven Health System · USYale University · US

Funding

Consumer Assessment of Healthcare Providers and Systems CAHPS VU18HS016978 · AHRQ · YALE UNIVERSITY · PI CLEARY, PAUL D · 2007 to 2021
$20.3M
Functional role of hsa-miR-504 in airway inflammation and remodeling in asthmaK01HL125474 · NHLBI · YALE UNIVERSITY · PI GOMEZ-VILLALOBOS, JOSE LUIS · 2015 to 2019
$835k
Research and Mentoring in Comparative Effectiveness and Implementation ScienceK24HL132008 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI LINDENAUER, PETER KYLE · 2016 to 2020
$574k
AHRQ HHS U18 HS016978NHLBI NIH HHS K01 HL125474NHLBI NIH HHS K24 HL132008
6 · The paper itself

Abstract

rationaleThe Centers for Medicare and Medicaid Services recently implemented financial penalties to reduce hospital readmissions for select conditions, including chronic obstructive pulmonary disease (COPD). Despite growing pressure to reduce COPD readmissions, it is unclear how COPD readmission rates are related to other measures of quality, which could inform efforts on common organizational factors that affect high-quality care.

objectivesTo examine the association between COPD readmissions and other quality measures.

methodsWe analyzed data from the 2015 Centers for Medicare and Medicaid Services annual files, downloaded from the Hospital Compare website. We included 3,705 hospitals nationwide that had publically reported data on COPD readmissions. We compared COPD readmission rates to other risk-adjusted measures of quality, including readmission and mortality rates for other conditions, and patient reports about care experiences. MEASUREMENTS AND MAIN

resultsThere were modest correlations between COPD readmission rates and readmission rates for other medical conditions, including heart failure (r = 0.39; P < 0.01), acute myocardial infarction (r = 0.30; P < 0.01), pneumonia (r = 0.38; P < 0.01), and stroke (r = 0.29; P < 0.01). In contrast, we found low correlations between COPD readmission rates and readmission rates for surgical conditions, as well as mortality rates for all measured conditions. There were significant correlations between COPD readmission rates and all patient experience measures.

conclusionsThese findings suggest there may be common organizational factors that influence multiple disease-specific outcomes. As pay-for-performance programs focus attention on individual disease outcomes, hospitals may benefit from in-depth assessments of organizational factors that affect multiple aspects of hospital quality.

Indexed as

Centers for Medicare and Medicaid Services, U.S.HospitalsHumansPatient ReadmissionPulmonary Disease, Chronic ObstructiveQuality of Health CareUnited Stateschronic obstructive pulmonary diseasehealth carepatient readmissionquality indicators

Identifiers

PMID28145726
PMCPMC5519962
OpenAlexW2594755499

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.