Evidence map›Paper›PMID 29357679›Full record

ArticleAmerican journal of medical quality : the official journal of the American College of Medical Quality

Area Deprivation Index Predicts Readmission Risk at an Urban Teaching Hospital.

Jianhui Hu, Amy J H Kind, David Nerenz

Abstract read
In one paragraph

Article in American journal of medical quality : the official journal of the American College of Medical Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 207 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
207citing papers in PubMed, 2 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

207 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Risk Factors for Early Hospital Readmission in Geriatric Patients: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
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  13. Clinical and Socioeconomic Predictors of 60-Day Rehospitalization After Oncologic Head and Neck Surgery.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
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147 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

3 authors.

Jianhui Hu1 Henry Ford Health System, Detroit, MI.
Amy J H Kind2 University of Wisconsin School of Medicine and Public Health, Madison, WI.
David Nerenz1 Henry Ford Health System, Detroit, MI.

Funding

Neighborhood Socioeconomic Disadvantage and Medicare's 30-Day Rehospitalization Policy: Eliminating Rehospitalization Disparities by Informing Policy Design and ImplementationR01MD010243 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI KIND, AMY J. · 2015 to 2019
$2.8M
NIMHD NIH HHS R01 MD010243
6 · The paper itself

Abstract

A growing body of evidence has shown that neighborhood characteristics have significant effects on quality metrics that evaluate health plans or health care providers. Using a data set of an urban teaching hospital patient discharges, this study aimed to determine whether a significant effect of neighborhood characteristics, measured by the Area Deprivation Index, could be observed on patients' readmission risk, independent of patient-level clinical and demographic factors. This study found that patients residing in more disadvantaged neighborhoods had significantly higher 30-day readmission risks compared to those living in less disadvantaged neighborhoods, even after accounting for individual-level factors. Those who lived in the most extremely socioeconomically challenged neighborhoods were 70% more likely to be readmitted than their counterparts who lived in less disadvantaged neighborhoods. These findings suggest that neighborhood-level factors should be considered along with individual-level factors in future work on adjustment of quality metrics for social risk factors.

Indexed as

Hospitals, TeachingPatient ReadmissionPoverty AreasAgedDatabases, FactualFemaleHospitals, UrbanHumansMaleQuality of Health CareResidence CharacteristicsRisk FactorsSocial ClassArea Deprivation Indexhospital readmissionneighborhood characteristicsquality of caresocioeconomic status

Identifiers

PMID29357679
PMCPMC6027592

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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.