ArticleJAMA surgery2025
Patient Portal Use Among Admitted Surgical Patients Following the 21st Century Cures Act.
Article in JAMA surgery, 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.
- Patient Viewing and Comprehension of Immediately Released Test Results.JAMA network open · 2026Article
- Patient Engagement With Open Notes Following the 21st Century Cures Act.JAMA health forum · 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
12 authors.
Funding
Abstract
Importance: Admitted surgical patients increasingly use patient portals for real-time result and note viewing in the wake of the 21st Century Cures Act. As patient data accessibility expands, understanding patient portal use in the inpatient setting can inform surgeon-patient communication and new strategies for patient engagement. Objective: To examine the proportion of surgical patients who logged into, viewed results in, or viewed notes in the patient portal while admitted, and secondarily to compare patient characteristics associated with portal use. Design, Setting, and Participants: Retrospective cross-sectional study of hospitalized adult patients (aged ≥18 years) who underwent a surgical operation during their admission between April 5, 2019, and April 4, 2024, at a single large academic quaternary care referral center. Data analysis was performed from November 5, 2024, to March 25, 2025. Interventions: Immediate note release, starting November 16, 2020, and immediate result release, starting April 5, 2021, to the patient portal. Main Outcomes and Measures: Weekly proportion of admitted patients who accessed the patient portal, defined by logging in, viewing results, or viewing notes. Results: During the study period, there were 58 801 surgical admissions, representing 36 416 unique patients (median [IQR] age, 62 [49-71] years; 31 965 admissions [54%] of men). For 45 000 patient admissions (77%), MyChart was activated prior to admission. Patients logged into MyChart during 28 616 admissions (49%), viewed at least 1 test result in 14 008 admissions (23%), and viewed at least 1 clinical note in 5718 admissions (10%). Immediate result and note release was associated with a 17% (95% credible interval [CrI], 14%-20%) increase in logging in (P = .001), a 35% (95% CrI, 34%-36%) increase in viewing results (P = .001), and a 13% (95% CrI, 13%-14%) increase in viewing notes (P = .001). Models revealed decreased portal use associated with increasing age, Spanish speakers, noncommercial insurance, and self-reported Black and Hispanic race and ethnicity. Conclusions and Relevance: A substantial and sustained proportion of admitted surgical patients used a patient portal for real-time result and note viewing in the wake of the 21st Century Cures Act, and sociodemographic disparities in portal access mirrored those found in the broader patient portal literature. By understanding patients' portal use, surgeons can leverage data accessibility for better communication of care; further work is needed to investigate patient perceptions around inpatient portal use and to address disparities.
Identifiers
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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.