Inpatient Seniors Have Lower Mortality With Younger Physicians
Older patients' hospital survival is slightly higher when their physician is younger, researchers say.
HealthDay News -- According to a study published in The BMJ, hospitalized patients 65 and older may face a slightly risk of dying within a month of their admittance when treated by an older versus younger physician.
The study included 736,537 hospital inpatients who were receiving Medicare, and had been treated between 2011 and 2014.
There were 18,854 hospitalist physicians involved in the patients' care.
Doctors were assigned patients based on work schedules and case specifics, with assignment protocols deemed comparable across all physician ages.
The researchers found that the 30-day mortality rate was 10.8% for older people treated by doctors under 40 years of age. When a doctor was between 40 and 49 years old, the patient mortality rate was 11.1%.
For physicians from 50 to 59 years old, the patients' 30-day mortality rate was 11.3%. Seniors cared for by doctors aged 60 and up faced the highest 30-day mortality rate at 12.1%.
"Among physicians with a high volume of patients, however, there was no association between physician age and patient mortality," the authors write.
"Readmissions did not vary with physician age, while costs of care were slightly higher among older physicians. Similar patterns were observed among general internists and in several sensitivity analyses."
Tsugawa Y, et al. "Physician Age And Outcomes In Elderly Patients In Hospital In The US: Observational Study." BMJ. 2017. doi: 10.1136/bmj.j1797 [Epub ahead of print]
Aiken LH and Dahlerbruch JH. "Physician Age And Patient Outcomes." BMJ. 2017. doi: 10.1136/bmj.j2286 [Epub ahead of print]