Evidence map›Paper›PMID 29778455›Full record

ArticleAmerican journal of surgery2018

Planning post-discharge destination for gastrointestinal surgery patients: Room for improvement?

Courtney J Balentine, Kelly Kenzik, Daniel I Chu, Melanie S Morris, Sara J Knight, Cynthia J Brown, Smita Bhatia

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Ventral hernia repair outcomes predicted by a 5-item modified frailty index using NSQIP variables.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Article
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

7 authors.

Courtney J BalentineDepartment of Surgery, University of Alabama at Birmingham, United States; Institute for Cancer Outcomes & Survivorship, University of Alabama at Birmingham, United States; Birmingham/Tuscaloosa VA Health Services Research & Development, United States. Electronic address: c.balentine@icloud.com.
Kelly KenzikInstitute for Cancer Outcomes & Survivorship, University of Alabama at Birmingham, United States. Electronic address: kkenzik@peds.uab.edu.
Daniel I ChuDepartment of Surgery, University of Alabama at Birmingham, United States. Electronic address: dchu@uabmc.edu.
Melanie S MorrisDepartment of Surgery, University of Alabama at Birmingham, United States. Electronic address: msmorris@uabmc.edu.
Sara J KnightBirmingham/Tuscaloosa VA Health Services Research & Development, United States; Division of Preventive Medicine, University of Alabama at Birmingham, United States. Electronic address: sjknight@uab.edu.
Cynthia J BrownBirmingham/Atlanta VA GRECC, Birmingham, Alabama, United States; Department of Medicine, Division of Gerontology, Geriatrics & Palliative Care, University of Alabama at Birmingham, United States. Electronic address: cynthiabrown@uabmc.edu.
Smita BhatiaInstitute for Cancer Outcomes & Survivorship, University of Alabama at Birmingham, United States. Electronic address: sbhatia@peds.uab.edu.

Funding

UAB K12 in Patient Centered Outcomes ResearchK12HS023009 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2014 to 2018
$4.0M
AHRQ HHS K12 HS023009
6 · The paper itself

Abstract

backgroundWe compared short-term recovery for patients discharged to inpatient rehabilitation versus skilled nursing facilities after gastrointestinal surgery. MATERIALS &

methodsWe conducted a propensity-matched cohort study of 12,939 adults discharged to inpatient rehabilitation or skilled nursing facilities after colectomy, pancreatectomy or hepatectomy at hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program from 2011 to 2014. Primary outcomes were readmission and mortality rates 30 days after surgery.

results9259 (72%) patients were discharged to skilled nursing facilities and 3680 (28%) to inpatient rehabilitation. Median age in both groups was 76 years and 82% of patients were white. There was no difference in 30-day readmission rates (16% for skilled nursing vs 16.8% for inpatient rehabilitation) but post-discharge mortality was higher for patients discharged to skilled nursing facilities (4.4%) compared to inpatient rehabilitation (1.6%, p < 0.001).

conclusionsIncreased utilization of inpatient rehabilitation services after gastrointestinal surgery may improve postoperative outcomes.

Indexed as

InpatientsQuality ImprovementAgedAged, 80 and overDigestive System Surgical ProceduresFemaleFollow-Up StudiesHome Care ServicesHumansMaleMiddle AgedPatient DischargePostoperative CarePropensity ScoreSkilled Nursing FacilitiesUnited StatesCare coordinationInpatient rehabilitationPost-acute carePostoperative recoverySkilled nursing facilitiesTransitions of care

Identifiers

PMID29778455
PMCPMC6469390

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.