Evidence map›Paper›PMID 36825348›Full record

ArticleYonsei medical journal2023

How Does Medical Policy on the Use of Prophylactic Antibiotics Affect Medical Costs, Length of Hospital Stay, and Antibiotic Use in Orthopedics?

Seung Hoon Kim, Suk-Yong Jang, Yonghan Cha, Bo-Yeon Kim, Hyo-Jung Lee, Gui-Ok Kim

Open access · goldAbstract read
In one paragraph

Article in Yonsei medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  4. 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

6 authors at 3 institutions in 1 country.

Seung Hoon KimDepartment of Preventive Medicine, Eulji University School of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-7704-6213
Suk-Yong JangDepartment of Healthcare Management, Graduate School of Public Health, Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0003-0558-1505
Yonghan ChaDepartment of Orthopaedic Surgery, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea. naababo@hanmail.net.ORCID https://orcid.org/0000-0002-7616-6694
Bo-Yeon KimHealthcare Review and Assessment Committee, Health Insurance Review & Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0003-0921-2352
Hyo-Jung LeeQuality Assessment Department, Health Insurance Review & Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0002-0131-5771
Gui-Ok KimQuality Assessment Department, Health Insurance Review & Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0002-5509-4943
Health Insurance Review and Assessment Service · KREulji University · KRYonsei University Health System · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to compare patients who had undergone spine surgery (SS) and hip arthroplasty surgery (HAS) and to analyze how medical policies drawn from "The Evaluation of the Appropriate Use of Prophylactic Antibiotics" have affected length of hospital stay (LOS), direct medical costs (DMC), and the duration of antibiotics use in Korea. MATERIALS AND

methodsThis retrospective nationwide study identified subjects from the Korean National Health Insurance Review and Assessment Service database from January, 2011 to December, 2018. Evaluation of HAS (control group) was implemented in 2007, and that for SS (case group) was conducted for the first time in 2014 (intervention time). In our comparative interrupted time series analysis, we compared DMC, LOS, and use of antibiotics between both groups.

results177468 patients who underwent SS and 89372 patients who underwent HAS were included in the study. In 2016, DMC increased for HAS, compared to SS, by 1.03 times (

conclusionThis medical policy was effective in terms of reducing usage and duration of antibiotics use, especially in the first 2 years after the implementation of the policy.

Indexed as

Anti-Bacterial AgentsPolicyHumansLength of StayRetrospective StudiesAnti-Bacterial AgentsAntibiotic prophylaxismedical policyorthopedic surgery

Identifiers

PMID36825348
PMCPMC9971434
OpenAlexW4321609302

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.