Evidence map›Paper›PMID 31382365›Full record

ArticleJournal of clinical medicine2019

Shared Care for Adults with Sickle Cell Disease: An Analysis of Care from Eight Health Systems.

Arch G Mainous, Benjamin Rooks, Rebecca J Tanner, Peter J Carek, Vandy Black, Thomas D Coates

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Creating demand for unmet needs: Agile Storytelling.Frontiers in health services · 2024
    Article
  5. Review
  6. The OneFlorida Data Trust: a centralized, translational research data infrastructure of statewide scope.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  7. 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

6 authors.

Arch G MainousDepartment of Health Services Research Management, and Policy, University of Florida, Gainesville, FL 32610, USA. arch.mainous@ufl.edu.
Benjamin RooksDepartment of Community Health and Family Medicine, University of Florida, Gainesville, FL 32610, USA.
Rebecca J TannerDepartment of Health Services Research Management, and Policy, University of Florida, Gainesville, FL 32610, USA.
Peter J CarekDepartment of Community Health and Family Medicine, University of Florida, Gainesville, FL 32610, USA.
Vandy BlackDivision of Hematology and Oncology, Departments of Pediatrics, University of Florida, Gainesville, FL 32610, USA.
Thomas D CoatesDepartment of Pediatrics and Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USA.

Funding

Centers for Disease Control and Prevention CDC-RFA-DD14-1406
6 · The paper itself

Abstract

Adult sickle cell disease (SCD) patients frequently transition from pediatric hematology to adult primary care. We examined healthcare utilization for adult patients with SCD with shared care between hematologists and primary care providers (PCP). We analyzed the OneFlorida Data Trust, a centralized data repository of electronic medical record (EMR) data from eight different health systems in Florida. The number of included adults with SCD was 1147. We examined frequent hospitalizations and emergency department (ED) visits by whether the patient had shared care or single specialty care alone. Most patients were seen by a PCP only (30.4%), followed by both PCP and hematologist (27.5%), neither PCP nor hematologist (23.3%), and hematologist only (18.7%). For patients with shared care versus single specialist care other than hematologist, the shared care group had a lower likelihood of frequent hospitalizations (OR 0.63; 95% CI 0.43-0.90). Similarly, when compared to care from a hematologist only, the shared care group had a lower likelihood of frequent hospitalizations (OR 0.67; 95% CI 0.47-0.95). There was no significant relationship between shared care and ED use. When patients with SCD have both a PCP and hematologist involved in their care there is a benefit in decreased hospitalizations.

Indexed as

electronic medical recordprimary caresecondary data analysisshared caresickle cell disease

Identifiers

PMID31382365
PMCPMC6723540

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.