Evidence map›Paper›PMID 32618288›Full record

ArticleRevista espanola de salud publica2020

[Validity of predictive power of the Adjusted Morbidity Groups (AMG) with respect to others population stratification tools.]

Carmen Arias-López, Mª Pilar Rodrigo Val, Laura Casaña Fernández, Lydia Salvador Sánchez, Ana Dorado Díaz, Marcos Estupiñán Ramírez

Open access · greenAbstract read
In one paragraph

Article in Revista espanola de salud publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

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  15. Severe loss of mechanical efficiency in COVID-19 patients.Journal of cachexia, sarcopenia and muscle · 2021
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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

6 authors at 4 institutions in 1 country.

Carmen Arias-LópezSubdirección General de Calidad e Innovación. Ministerio de Sanidad. Madrid. España.
Mª Pilar Rodrigo ValServicio de Evaluación y Acreditación. Dirección General de Asistencia Sanitaria. Departamento de Sanidad. Gobierno de Aragón. Zaragoza. España.
Laura Casaña FernándezServicio de Evaluación y Acreditación. Dirección General de Asistencia Sanitaria. Departamento de Sanidad. Gobierno de Aragón. Zaragoza. España.
Lydia Salvador SánchezServicio de Coordinación Asistencial, Sociosanitaria y Salud Mental. Dirección General de Asistencia Sanitaria. Gerencia Regional de Salud de Castilla y León. Valladolid. España.
Ana Dorado DíazServicio de Estudios, Documentación y Estadística. Secretaría General. Consejería de Sanidad de Castilla y León. Valladolid. España.
Marcos Estupiñán RamírezSección de Evaluación y Sistemas de Información. Servicio de Atención Primaria. Dirección General de Programas Asistenciales. Servicio Canario de la Salud. Las Palmas de Gran Canaria. España.
Gobierno de Aragón · ESJunta de Castilla y León · ESDirectorate General of Traffic · ESServicio Canario de la Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis work was performed in order to get objective elements of judgment that support the improvement of a national population morbidity grouper based in the Adjusted Morbidity Groups (AMG). The study compared the performance in terms of predictive power on certain health and resource outcomes, in between the AMG and several existing morbidity groupers (ACG®, Adjusted Clinical Groups and CRG®, Clinical Risk Group) used in some Autonomous Regions in Spain (Aragón, Canarias y Castilla y León).

methodsCross-sectional analytical study in entitled/insured population with respect to rights of healthcare. Predictive capacity of the complexity weight obtained with the different stratification tools in the first year of the study period was evaluated using a simple classification method that compares the areas under the curves ROC for the following outcomes that occurred in the second year of the study period: Probability of death; probability of having at least one urgent hospital admission; total number of visits to hospital emergencies; total number of visits to primary care; total number of visits to hospital care and spending in pharmacy.

resultsThe results showed that AMG complexity weight were good predictors for almost all the analyzed outcomes (AUC ROC>0.7; p<0.05), for the different Autonomous Regions and compared to ACG® or CRG®. Only for the outcome of visits to hospital emergencies in Aragon and Canarias; and visits to specialized care in Aragon, the predictive power was weak for all the compared stratification tools.

conclusionsGMA® is a population stratification tool adequate and as useful as others existing morbidity groupers.

Indexed as

HospitalizationMorbiditySeverity of Illness IndexCross-Sectional StudiesDelivery of Health CareEmergenciesHealth ResourcesHealth ServicesHumansPatient AdmissionPredictive Value of TestsPrimary Health CareProbabilityRisk FactorsROC CurveSoftwareChronic diseaseEmergenciesHealth outcomesHealth resourcesMorbidityMortalityPrimary health careRisk groupsSeverity of illnessSoftwareSpain

Identifiers

PMID32618288
PMCPMC11582759
OpenAlexW3040572583

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.