Evidence map›Paper›PMID 35260961›Full record

Trial reportJournal of general internal medicine2022

Pragmatic Clinical Trial to Improve Patient Experience Among Adults During Transitions from Hospital to Home: the PArTNER study.

Stephanie L LaBedz, Valentin Prieto-Centurion, Amelia Mutso, Sanjib Basu, Nina E Bracken, Elizabeth A Calhoun, Robert J DiDomenico, Min Joo, A Simon Pickard, Barry Pittendrigh and 3 more

Registry-linked trialOpen access · bronzeAbstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02114515 (PATient Navigator to rEduce Readmissions), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT02114515 nacompletednot on this map

PATient Navigator to rEduce Readmissions

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2014 to 2016Enrolled1,029ConditionsChronic Obstructive Pulmonary Disease, Heart Failure, Sickle Cell Disease, Myocardial InfarctionArmsHospital usual care, Navigator intervention, Peer-led telephone support line
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Stephanie L LaBedzBreathe Chicago Center, Division of Pulmonary, Critical Care, Sleep, and Allergy, University of Illinois at Chicago, Chicago, IL, USA. slabedz@uic.edu.ORCID 0000-0003-2001-9529
Valentin Prieto-CenturionBreathe Chicago Center, Division of Pulmonary, Critical Care, Sleep, and Allergy, University of Illinois at Chicago, Chicago, IL, USA.
Amelia MutsoDepartment of Pharmacology & Regenerative Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Sanjib BasuDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
Nina E BrackenBreathe Chicago Center, Division of Pulmonary, Critical Care, Sleep, and Allergy, University of Illinois at Chicago, Chicago, IL, USA.
Elizabeth A CalhounDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS, USA.
Robert J DiDomenicoDepartment of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, Chicago, IL, USA.
Min JooDivision of Pulmonary, Critical Care, Sleep, and Allergy, University of Illinois at Chicago, Chicago, IL, USA.
A Simon PickardDepartment of Pharmacy Systems, Outcomes and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, IL, USA.
Barry PittendrighMichigan State University, East Lansing, MI, USA.
Mark V WilliamsDivision of Hospital Medicine, Department of Internal Medicine, Washington University, St. Louis, MO, USA.
Sai IllendulaBreathe Chicago Center, Division of Pulmonary, Critical Care, Sleep, and Allergy, University of Illinois at Chicago, Chicago, IL, USA.
Jerry A KrishnanBreathe Chicago Center, Division of Pulmonary, Critical Care, Sleep, and Allergy, University of Illinois at Chicago, Chicago, IL, USA.
University of Illinois Chicago · USMichigan State University · USUniversity of Kansas Medical Center · US

Funding

Postdoctoral Training Program in Pulmonary and Critical Care Translational ResearchT32HL144909 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI DUDEK, STEVEN M, FINN, PATRICIA W · 2019 to 2023
$1.3M
NHLBI NIH HHS T32 HL144909Patient-Centered Outcomes Research Institute IH 12-11-4365
6 · The paper itself

Abstract

introductionMinority-serving hospitals (MSHs) need evidence-based strategies tailored to the populations they serve to improve patient-centered outcomes after hospitalization.

methodsWe conducted a pragmatic randomized clinical trial (RCT) from October 2014 to January 2017 at a MSH comparing the effectiveness of a stakeholder-supported Navigator intervention vs. Usual care on post-hospital patient experience, outcomes, and healthcare utilization. Community health workers and peer coaches delivered the intervention which included (1) in-hospital visits to assess barriers to health/healthcare and to develop a personalized Discharge Patient Education Tool (DPET); (2) a home visit to review the DPET; and (3) telephone-based peer coaching. The co-primary outcomes were between-group comparisons of 30-day changes in Patient-Reported Outcomes Measurement Information System (PROMIS) measures of anxiety and informational support (minimum important difference is 2 to 5 units change); a p-value <0.025 was considered significant using intention-to-treat analysis. Secondary outcomes included death, ED visits, or readmissions and measures of emotional, social, and physical health at 30 and 60 days.

resultsWe enrolled 1029 adults hospitalized with heart failure (28%), pneumonia (22%), MI (10%), COPD (11%), or sickle cell disease (29%). Over 80% were non-Hispanic Black. Overall, there were no significant between-group differences in the 30-day change in anxiety (adjusted difference: -1.6, 97.5% CI -3.3 to 0.1, p=0.03), informational support (adjusted difference: -0.01, 97.5% CI -2.0 to 1.9, p=0.99), or any secondary outcomes. Exploratory analyses suggested the Navigator intervention improved anxiety among participants with COPD, a primary care provider, a hospitalization in the past 12 months, or higher baseline anxiety; among participants without health insurance, the intervention improved informational support (all p-values <0.05).

conclusionsIn this pragmatic RCT at a MSH, the Navigator intervention did not improve post-hospital anxiety, informational support, or other outcomes compared to Usual care. Benefits observed in participant subgroups should be confirmed in future studies.

trial registrationClinicaltrials.gov identifier: NCT02114515.

Indexed as

Hospital to Home TransitionAdultHospitalsHumansPatient DischargePatient Outcome Assessment

Identifiers

PMID35260961
PMCPMC9708982
OpenAlexW4220704157

What OpenQuestion holds

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Registered trials

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.