Evidence map›Paper›PMID 30868922›Full record

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

Stroke Center Certification Is Associated With Improved Guideline Concordance.

Adam S Jasne, Heidi Sucharew, Kathleen Alwell, Charles J Moomaw, Matthew L Flaherty, Opeolu Adeoye, Daniel Woo, Jason Mackey, Simona Ferioli, Sharyl Martini and 3 more

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 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.

  1. Racial and ethnic disparities in access to acute stroke capabilities in California: Association with rurality and telestroke access.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026
    Article
  2. Review
  3. The role of stroke care infrastructure on the effectiveness of a hub-and-spoke telestroke model in South Carolina.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    Article
  4. Article
  5. Article
  6. 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

13 authors.

Adam S JasneYale University, New Haven, CT.
Heidi SucharewCincinnati Children's Hospital Medical Center, Cincinnati, OH.
Kathleen AlwellUniversity of Cincinnati, Cincinnati, OH.
Charles J MoomawUniversity of Cincinnati, Cincinnati, OH.
Matthew L FlahertyUniversity of Cincinnati, Cincinnati, OH.
Opeolu AdeoyeUniversity of Cincinnati, Cincinnati, OH.
Daniel WooUniversity of Cincinnati, Cincinnati, OH.
Jason MackeyIndiana University, Indianapolis, IN.
Simona FerioliUniversity of Cincinnati, Cincinnati, OH.
Sharyl MartiniMichael E. DeBakey VA Medical Center, Houston, TX.
Felipe de Los Rios la RosaUniversity of Cincinnati, Cincinnati, OH.
Brett M KisselaUniversity of Cincinnati, Cincinnati, OH.
Dawn KleindorferUniversity of Cincinnati, Cincinnati, OH.

Funding

STROKE INCIDENCE AND OUTCOME AMONG BLACKS AND WHITESR01NS030678 · NINDS · UNIVERSITY OF CINCINNATI · PI KISSELA, BRETT M, KLEINDORFER, DAWN O · 1993 to 2024
$26.7M
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
INDIANA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (UL1): BPCAUL1RR025761 · NCRR · INDIANA UNIVERSITY INDIANAPOLIS · PI SHEKHAR, ANANTHA · 2008 to 2011
$21.0M
Cerebrovascular Fellowship Training ProgramT32NS047996 · NINDS · UNIVERSITY OF CINCINNATI · PI Joseph Paul Broderick, Stacie Demel · 2006 to 2026
$3.7M
NCATS NIH HHS UL1 TR001108NCRR NIH HHS UL1 RR025761NINDS NIH HHS R01 NS030678NINDS NIH HHS T32 NS047996
6 · The paper itself

Abstract

Measurement of quality of stroke care has become increasingly important, but data come mostly from programs in hospitals that choose to participate in certification programs, which may not be representative of the care provided in nonparticipating hospitals. The authors sought to determine differences in quality of care metric concordance for acute ischemic stroke among hospitals designated as a primary stroke center, comprehensive stroke center, and non-stroke center in a population-based epidemiologic study. Significant differences were found in both patient demographics and in concordance with guideline-based quality metrics. These differences may help inform quality improvement efforts across hospitals involved in certification as well as those that are not.

Indexed as

CertificationGuideline AdherenceStroke RehabilitationAgedAged, 80 and overFemaleHumansMaleMiddle AgedQuality of Health CareRetrospective StudiesStrokecertificationguideline concordanceguidelinesischemic strokestroke

Identifiers

PMID30868922
PMCPMC7476218

What OpenQuestion holds

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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.