Evidence map›Paper›PMID 28341894›Full record

ArticleJournal of general internal medicine2017

Using a Self-Reported Global Health Measure to Identify Patients at High Risk for Future Healthcare Utilization.

Karen J Blumenthal, Yuchiao Chang, Timothy G Ferris, Jenna C Spirt, Christine Vogeli, Neil Wagle, Joshua P Metlay

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of general internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Can patient-reported data improve predictions about who will be a high-need, high-cost patient in British Columbia?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  14. Testing the added value of self-reported health and well-being in understanding healthcare utilization and costs.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  15. Evidence of Stability in Patient-Reported Global Health During the COVID-19 Pandemic.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2021
    Observational
  16. Article
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  18. Cross-specialty PROMIS-global health differential item functioning.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Karen J BlumenthalDivision of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. kblumenthal@partners.org.
Yuchiao ChangDivision of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Timothy G FerrisDivision of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Jenna C SpirtMongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA.
Christine VogeliPopulation Health Management, Partners HealthCare, Boston, MA, USA.
Neil WaglePopulation Health Management, Partners HealthCare, Boston, MA, USA.
Joshua P MetlayDivision of General Internal Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Harvard University · USMass General Brigham · USMassachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch studies have shown that patient-reported outcome measures (PROMs) that assess global health are helpful for predicting health care utilization, but less evidence exists that collection of PROMs in routine care can identify patients with high health care needs.

objectiveTo investigate the association between the PROMIS Global Health (PGH) scores and subsequent health care utilization among patients in a large accountable care organization (ACO).

designRetrospective cohort study of individuals in the Partners HealthCare ACO who completed at least one PGH during a primary care visit.

participantsA total of 2639 individuals who completed at least one PGH and who also had 12 months of ACO membership and/or claims data prior to the PROM completion and at least one month of claims data post-PGH completion. MAIN MEASURES: The main outcomes were the rates of emergency department (ED) visits and hospitalizations by quartile of PGH physical and mental health scores. We also compared the predictive accuracy of administrative data models with and without the PGH scores to identify the highest utilizers. KEY

resultsThe group with the worst (lowest) physical and mental health scores had significantly higher rates of hospitalization (RR 5.14, 95% CI 2.37, 11.15; and 2.27, 95% CI 1.06, 4.85, respectively) than those with higher scores. After adjustment for demographic and clinical factors, only the group with lower physical health scores had higher rates of hospitalization (RR 3.15, 95% CI 1.30, 7.90). The addition of the physical health subscore to administrative data increased the sensitivity to detect the top 5% of hospital utilizers compared with administrative data alone (44.0% vs. 36.0% respectively).

conclusionsWorse self-reported physical health, measured during routine primary care, is associated with significantly higher rates of hospitalization. It is not associated with increased rates of ED visits. Self-reported physical health modestly increases the sensitivity to detect the highest hospital utilizers.

Indexed as

Health StatusSelf ReportAccountable Care OrganizationsAdolescentAdultAgedFemaleHospitalizationHumansMaleMiddle AgedPatient Acceptance of Health CareReproducibility of ResultsRetrospective StudiesRisk AssessmentYoung Adulthealth statuspatient-centered outcomes researchphysical healthPROMIS Global HealthPROMs (patient-reported outcome measures)risk assessmentutilization

Identifiers

PMID28341894
PMCPMC5515787
OpenAlexW2598151547

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.