Evidence map›Paper›PMID 31110108›Full record

ArticleBMJ open2019

What publicly available quality metrics do hip and knee arthroplasty patients care about most when selecting a hospital in Maryland: a discrete choice experiment.

Lyndsay M O'Hara, Ilaria Caturegli, Nathan N O'Hara, Robert V O'Toole, David F Dalury, Anthony D Harris, Theodore T Manson

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 2 institutions in 1 country.

Lyndsay M O'Hara *Epidemiology and Public Health, University of Maryland Baltimore, Baltimore, Maryland, USA.
Ilaria Caturegli *Orthopaedics, University of Maryland Baltimore, Baltimore, Maryland, USA.
Nathan N O'HaraOrthopaedics, University of Maryland Baltimore, Baltimore, Maryland, USA.ORCID 0000-0003-0537-3474
Robert V O'TooleOrthopaedics, University of Maryland Baltimore, Baltimore, Maryland, USA.
David F DaluryTowson Orthopaedics, Towson, Maryland, USA.
Anthony D HarrisEpidemiology and Public Health, University of Maryland Baltimore, Baltimore, Maryland, USA.
Theodore T MansonOrthopaedics, University of Maryland Baltimore, Baltimore, Maryland, USA.
University of Maryland, Baltimore · USTowson University · US

Funding

K24 Clinical Research in Antimicrobial Resistance and Hospital EpidemiologyK24AI079040 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI HARRIS, ANTHONY D · 2009 to 2018
$1.8M
NIAID NIH HHS K24 AI079040
6 · The paper itself

Abstract

objectiveTo quantify which publicly reported hospital quality metrics have the greatest impact on a patient's simulated hospital selection for hip or knee arthroplasty.

designDiscrete choice experiment.

settingTwo university-affiliated orthopaedic clinics in the greater Baltimore area, Maryland, USA.

participantsOne hundred and twenty-eight patients who were candidates for total hip or knee arthroplasty. PRIMARY AND SECONDARY OUTCOME MEASURES: The effect and magnitude of acceptable trade-offs between publicly reported hospital quality parameters on patients' decision-making strategies using a Hierarchical Bayes model.

resultsPublicly reported information on patient perceptions of attention to alleviation of postoperative pain had the most influence on simulated hospital choice (20.7%), followed by methicillin-resistant

conclusionsPublicly available information regarding hospital performance is of interest to hip and knee arthroplasty patients. Patients are willing to accept suboptimal understanding of discharge instructions, lower hospital ratings and suboptimal cleanliness in exchange for better postoperative pain management, lower MRSA rates, and lower complication rates.

Indexed as

AgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeBayes TheoremDecision MakingFemaleFocus GroupsHumansMaleMarylandMiddle AgedPatient PreferenceQuality Assurance, Health CareQuality Indicators, Health Carediscrete choice experimenthospital quality metricspatient preferencestotal hip and knee arthroplasty

Identifiers

PMID31110108
PMCPMC6530433
OpenAlexW2945160038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.