Evidence map›Paper›PMID 38401618›Full record

ArticleThe Journal of arthroplasty2024

Do Quality Measures or Hospital Characteristics Predict Readmission Penalties for Hip and Knee Arthroplasty?

Macllain R Edington, Benjamin M Stronach, C Lowry Barnes, Simon C Mears, Eric R Siegel, Jeffrey B Stambough

Abstract read
In one paragraph

Article in The Journal of arthroplasty, 2024. 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. Article
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.

Macllain R EdingtonDepartment of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Benjamin M StronachDepartment of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
C Lowry BarnesDepartment of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Simon C MearsDepartment of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Eric R SiegelDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Jeffrey B StamboughDepartment of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Funding

Understanding the Negative Prognostic Impact of Intraosseous Focal Lesions in Multiple MyelomaP20GM125503 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI CHARLES A O'BRIEN · 2018 to 2026
$23.0M
NIGMS NIH HHS P20 GM125503
6 · The paper itself

Abstract

backgroundQuality rating systems exist to grade the value of care provided by hospitals, but the extent to which these rating systems correlate with patient outcomes is unclear. The association of quality rating systems and hospital characteristics with excess readmission penalties for total hip arthroplasty (THA) and total knee arthroplasty (TKA) was studied.

methodsThe fiscal year 2022 Inpatient Prospective Payment System final rule was used to identify 2,286 hospitals subject to the Hospital Readmissions Reduction Program. Overall, 6 hospital quality rating systems and 5 hospital characteristics were obtained. These factors were analyzed to determine the effect on hospital penalties for THA and TKA excess readmissions.

resultsHospitals that achieved a higher Medicare Overall Hospital Quality Star Rating demonstrated a significantly lower likelihood of receiving THA and TKA readmission penalties (Cramer's V = 0.236 and R

conclusionsA higher Overall Hospital Quality Star Rating and recognition among the US News & World Report's top 50 orthopaedic hospitals were associated with a reduced likelihood of THA and TKA readmission penalties. The other 4 widely accepted quality rating systems did not correlate with readmission penalties. Teaching and safety net hospitals may be biased toward higher readmission rates.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeHospitalsPatient ReadmissionHumansMedicareProspective Payment SystemQuality Indicators, Health CareUnited Stateshospital characteristicshospital quality measuresmedicare star ratingreadmission penaltiestotal hip arthroplastytotal knee arthroplasty

Identifiers

PMID38401618
PMCPMC11283986

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Registered trials

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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.