Evidence map›Paper›PMID 29148301›Full record

ArticleMedical care research and review : MCRR2019

Provider Connectedness to Other Providers Reduces Risk of Readmission After Hospitalization for Heart Failure.

Alon Geva, Karen L Olson, Chunfu Liu, Kenneth D Mandl

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

4 authors.

Alon Geva1 Boston Children's Hospital, Boston, MA, USA.
Karen L Olson1 Boston Children's Hospital, Boston, MA, USA.
Chunfu Liu3 HealthCore, Inc., Alexandria, VA, USA.
Kenneth D Mandl1 Boston Children's Hospital, Boston, MA, USA.

Funding

RESEARCH TRAINING IN PEDIATRIC EMERGENCY MEDICINET32HD040128 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI Kenneth D. Mandl · 2001 to 2026
$5.0M
Epidemiology of Care Teams: Network Analysis of Providers and Shared PatientsR21GM107645 · NIGMS · BOSTON CHILDREN'S HOSPITAL · PI MANDL, KENNETH D. · 2013 to 2014
$496k
NICHD NIH HHS T32 HD040128NIGMS NIH HHS R21 GM107645
6 · The paper itself

Abstract

Provider interactions other than explicit care coordination, which is challenging to measure, may influence practice and outcomes. We performed a network analysis using claims data from a commercial payor. Networks were identified based on provider pairs billing outpatient care for the same patient. We compared network variables among patients who had and did not have a 30-day readmission after hospitalization for heart failure. After adjusting for comorbidities, high median provider connectedness-normalized degree, which for each provider is the number of connections to other providers normalized to the number of providers in the region-was the network variable associated with reduced odds of readmission after heart failure hospitalization (odds ratio = 0.55; 95% confidence interval [0.35, 0.86]). We conclude that heart failure patients with high provider connectedness are less likely to require readmission. The structure and importance of provider relationships using claims data merits further study.

Indexed as

HospitalizationPatient ReadmissionAgedAmbulatory CareFemaleHeart FailureHumansMaleMiddle Agedheart failurepatient care constellationpatient readmissionphysicianspractice patterns

Identifiers

PMID29148301
PMCPMC5748352

What OpenQuestion holds

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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.