Evidence map›Paper›PMID 31823048›Full record

ArticleSurgical endoscopy2020

Are we ready for bundled payments for major bowel surgery?

Udai S Sibia, Justin J Turcotte, John R Klune, Glen R Gibson

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

4 authors at 1 institution in 1 country.

Udai S SibiaDepartment of Surgery, Anne Arundel Medical Center, 2000 Medical Parkway, Annapolis, MD, 21401, USA. usibia1@aahs.org.ORCID 0000-0003-3443-124X
Justin J TurcotteDepartment of Surgery, Anne Arundel Medical Center, 2000 Medical Parkway, Annapolis, MD, 21401, USA.
John R KluneDepartment of Surgery, Anne Arundel Medical Center, 2000 Medical Parkway, Annapolis, MD, 21401, USA.
Glen R GibsonDepartment of Surgery, Anne Arundel Medical Center, 2000 Medical Parkway, Annapolis, MD, 21401, USA.
Anne Arundel Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Centers for Medicare & Medicaid Services (CMS) recently announced a new voluntary episode payment model for major bowel surgery. The purpose of this study was to examine the financial impact of bundled payments for major bowel surgery.

methodsAn institutional database was retrospectively queried for all patients who underwent major bowel surgery between July 2016 and June 2018. Procedures were categorized using MS-DRG coding: MS-DRG 329 (with MCC, major complications and comorbidity), MS-DRG 330 (with CC, complications and comorbidity), and MS-DRG 331 (without CC/MCC).

resultsA total of 745 patients underwent 798 procedures, with mean age 62.1 years and BMI 29.2 kg/m

conclusionsPatients undergoing major bowel surgery are often a heterogeneous population with varied pre-existing comorbid conditions who require a high level of complex care and utilize greater hospital resources. Further study is needed to identify areas of cost containment without compromising the overall quality of care.

Indexed as

AdultAgedCenters for Medicare and Medicaid Services, U.S.Digestive System Surgical ProceduresFee-for-Service PlansFemaleHealth Care CostsHospital CostsHumansIntestinesMaleMedicaidMedicareMiddle AgedQuality ImprovementReimbursement MechanismsBundled paymentsHospital costsMajor bowel surgeryPost-acute care facilityReadmissions

Identifiers

PMID31823048
OpenAlexW2996596136

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.