ArticlePloS one2025
Association between continuity of primary care and preventable hospitalization in adults with asthma: A cohort study.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- A new era beckons in asthma: enhanced models of care, disease remission, artificial intelligence and consumer participation.Internal medicine journal · 2026Review
- Beyond single encounters: a mixed methods study of access to continuous asthma care using Levesque's framework.BMC pulmonary medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveHospitalization often indicates deteriorating health, longer treatment times, and higher healthcare costs. This study aimed to investigate associations between continuity of care (COC) and asthma-related hospitalizations using a rigorous methodology.
methodsThis retrospective cohort study was conducted using national health insurance claims data. The study included adults with a diagnosis of asthma between 2015 and 2016 in a primary care setting. The exposure was measured using continuity of care indices (COCIs) during the first two years after inclusion. Cohorts were categorized into two groups based on COCI levels. The primary outcome was the incidence of asthma-related hospitalizations, and the secondary outcomes were emergency department (ED) utilization, systemic corticosteroid use, and asthma-related medical costs.
resultsA total of 24,173 patients were eligible for analysis, 13,212 of whom were continuously cared for by primary doctors (the continuity group), and 10,961 non-continuously (the non-continuity group). During a 2 year-follow-up period, 230 patients (1.74%) were hospitalized in the continuity group and 404 (3.69%) in the non-continuity group. After adjusting for confounding covariates, patients in the non-continuity group were found to be at significantly higher risk of hospital admission (adjusted hazard ratio (aHR)=2.04 [95% confidence interval = 1.73 ~ 2.41]). In addition, the risk of ED visits, systemic corticosteroid use, and costs were higher for patients in the non-continuity group (aHR = 2.26 [1.32 ~ 3.87], adjusted OR=1.58 [1.35 ~ 1.82], and expβ = 1.41 [1.37 ~ 1.45], respectively).
conclusionsIn adult asthma patients at the early stages of illness, increased continuity of primary care was found to be associated with fewer hospitalizations, fewer ED visits, and lower healthcare expenditures.
Indexed as
Identifiers
What OpenQuestion holds
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.