Evidence map›Paper›PMID 34377162›Full record

ArticleTherapeutic advances in musculoskeletal disease2021

There and back again: analyzing the effect of outpatient readmission on the quality of life of patients attending a rheumatology clinic.

Alfredo Madrid-García, Isabel Montuenga-Fernández, Judit Font-Urgelles, Leticia León-Mateos, Esperanza Pato, Juan A Jover, Benjamín Fernández-Gutiérrez, Lydia Abasolo, Luis Rodríguez-Rodríguez

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Article in Therapeutic advances in musculoskeletal disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Alfredo Madrid-GarcíaRheumatology Department and Health Research Institute (IdISSC), Hospital Clínico San Carlos, Madrid, Spain.
Isabel Montuenga-FernándezSchool of Medicine, Complutense University of Madrid, Madrid, Comunidad de Madrid, Spain.
Judit Font-UrgellesRheumatology Department and Health Research Institute (IdISSC), Hospital Clínico San Carlos, Madrid, Spain.
Leticia León-MateosRheumatology Department and Health Research Institute (IdISSC), Hospital Clínico San Carlos, Madrid, Spain.
Esperanza PatoRheumatology Department and Health Research Institute (IdISSC), Hospital Clínico San Carlos, Madrid, Spain.
Juan A JoverRheumatology Department and Health Research Institute (IdISSC), Hospital Clínico San Carlos, Madrid, Spain.
Benjamín Fernández-GutiérrezRheumatology Department and Health Research Institute (IdISSC), Hospital Clínico San Carlos, Madrid, Spain.ORCID https://orcid.org/0000-0002-6126-8786
Lydia AbasoloRheumatology Department and Health Research Institute (IdISSC), Hospital Clínico San Carlos, Madrid, Spain.
Luis Rodríguez-RodríguezRheumatology Department and Health Research Institute (IdISSC), Hospital Clínico San Carlos, c\ Prof. Martin Lagos s/n, Madrid 28040, Spain.ORCID https://orcid.org/0000-0002-2869-7861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of this study was to assess the effect of "outpatient readmissions" on the health-related quality of life (HR-QoL) of outpatients from a rheumatology clinic, meaning the effect of the patient's return to the outpatient clinic after having received care and been discharged.

methodsWe conducted an observational longitudinal retrospective study, with patients selected from the Hospital Clínico San Carlos Musculoskeletal cohort, based on having received at least one discharge from the outpatient clinic and having returned (readmission) at least once after the discharge. The main outcomes were the patients' baseline HR-QoL (measured on the first visit of each episode) and the ΔHR-QoL (difference between the HR-QoL in the last and the first visit of each episode). Successive episodes of admission and readmission were chronologically ordered, paired and analyzed using nested linear mixed models, nested by patients and by admission-readmission tandem. We carried out bivariable and multivariable analyses to assess the effect of demographic, clinical, treatment and comorbidity-related variables in both main outcomes.

resultsFor the first main outcome, 5887 patients (13,772 episodes) were analyzed. Based on the multivariable level, readmission showed no significant marginal effect on the baseline HR-QoL (

conclusionIn the outpatient setting, readmission exerts a deleterious effect in patients undergoing this process. Identification of outpatients more likely to be readmitted could increase the value of the care provided.

Indexed as

axial neuropathychronic polyarthritisquality of lifereadmissionRosser classification system

Identifiers

PMID34377162
PMCPMC8326638

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