Survivor Treatment Selection Bias in Evaluations of Virtual Transition of Care - Takeaways - MDSpire
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Bias in Treatment Selection Among Survivors in Assessments of Virtual Care Transition

  • By

  • Hongmei Yang

  • Christopher D Russell

  • Amy Arnder Greene

  • Angela D Humphrey

  • September 10, 2026

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  • 1

    Patients receiving virtual transition of care (VToC) follow-up had a significantly lower 30-day readmission rate compared to those without follow-up.

  • 2

    Survivor treatment selection bias may affect the observed association between VToC follow-up and reduced readmissions.

  • 3

    Early readmissions were disproportionately categorized in the non-VToC group, leading to an overestimation of readmissions in that group.

  • 4

    Conventional risk adjustment methods cannot fully correct for bias caused by outcome-dependent exposure assignment.

  • 5

    Temporal concordance is essential when assessing exposure and outcome in studies of virtual or postdischarge interventions.

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