Evidence map›Paper›PMID 35966283›Full record

ArticleKidney medicine2022

Effectiveness of a Web-Based Provider Communications Platform in Reducing Hospital Readmissions Among Patients Receiving Dialysis: A Pilot Pre-Post Study.

Laura C Plantinga, Anjali Khakharia, Courtney Hoge, Ann E Vandenberg, Janice P Lea, Tahsin Masud, Carol Gray, Christopher M O'Donnell, Kyle James, Rich Mutell and 1 more

Abstract read
In one paragraph

Article in Kidney medicine, 2022. 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

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

1 citing paper in PubMed.

  1. Preventable Hospitalizations and Kidney Care.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
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

11 authors.

Laura C PlantingaDepartment of Medicine, Emory University School of Medicine, Atlanta, GA.
Anjali KhakhariaDepartment of Medicine, Emory University School of Medicine, Atlanta, GA.
Courtney HogeDepartment of Medicine, Emory University School of Medicine, Atlanta, GA.
Ann E VandenbergDepartment of Medicine, Emory University School of Medicine, Atlanta, GA.
Janice P LeaDepartment of Medicine, Emory University School of Medicine, Atlanta, GA.
Tahsin MasudDepartment of Medicine, Emory University School of Medicine, Atlanta, GA.
Carol GrayEmory Healthcare, Atlanta, GA.
Christopher M O'DonnellDepartment of Medicine, Emory University School of Medicine, Atlanta, GA.
Kyle JamesDepartment of Medicine, Emory University School of Medicine, Atlanta, GA.
Rich MutellApex Health Innovations, Williamsburg, VA.
Bernard G JaarDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD.

Funding

A pragmatic evaluation of a secure web-based platform for hospital-dialysis provider communication to improve hospitalization outcomes among dialysis patientsR18DK118467 · NIDDK · EMORY UNIVERSITY · PI PLANTINGA, LAURA · 2018 to 2020
$1.0M
NIDDK NIH HHS R18 DK118467
6 · The paper itself

Abstract

Rationale & Objective: Suboptimal care coordination between dialysis facilities and hospitals is an important driver of 30-day hospital readmissions among patients receiving dialysis. We examined whether the introduction of web-based communications platform ("DialysisConnect") was associated with reduced hospital readmissions. Study Design: Pilot pre-post study. Setting & Participants: A total of 4,994 index admissions at a single hospital (representing 2,419 patients receiving dialysis) during the study period (January 1, 2019-May 31, 2021). Intervention: DialysisConnect was available to providers at the hospital and 4 affiliated dialysis facilities (=intervention facilities) during the pilot period (November 1, 2020-May 31, 2021). Outcomes: The primary outcome was 30-day readmission; secondary outcomes included 30-day emergency department visits and observation stays. Interrupted time series and linear models with generalized estimating equations were used to assess pilot versus prepilot differences in outcomes; difference-in-difference analyses were performed to compare these differences between intervention versus control facilities. Sensitivity analyses included a third, prepilot/COVID-19 period (March 1, 2020-October 31, 2020). Results: There was no statistically significant difference in the monthly trends in the 30-day readmissions pilot versus prepilot periods (-0.60 vs -0.13, Limitations: Potential loss to follow-up and pandemic effects. Conclusions: In this pilot, the introduction of DialysisConnect was not associated with reduced hospital readmissions. Tailored care coordination solutions should be further explored in future, multisite studies to improve the communications gap between dialysis facilities and hospitals.

Indexed as

Care coordinationdialysisend-stage renal diseasehospital readmissioninterventionprovider communication

Identifiers

PMID35966283
PMCPMC9372774

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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.