Assessing the Complexity of Inpatient Care Managed by Endocrinologists in a Tertiary Care Teaching Hospital
Authors' conclusion
In this single-site analysis, most inpatient endocrinology consultations were for diabetes. The results showed that cases involving endocrinology had significantly higher MS-DRG RWs than those in which endocrinology was not involved. This information could have practical implications for workforce allocation and the resources needed to assure safe and effective treatment of the endocrine inpatient in need of complex care.
Study context
- Population
- Inpatients seen by endocrinology, infectious diseases, cardiology, nephrology and hospital internal medicine services at a tertiary care teaching hospital, 2019–2023
- Exposure
- Inpatient cases evaluated by endocrinology vs infectious diseases, cardiology, nephrology or hospital internal medicine alone
- Endocrinologyn = 7,761
- Outcome
- Mean MS-DRG relative weight (case complexity)
Methodological detailssingle-site, tertiary care teaching hospital, multivariable linear regression adjusted for year of discharge
- Single-site
- Tertiary care teaching hospital
- Multivariable linear regression adjusted for year of discharge
Main finding
As reported in the abstract
Mean MS-DRG RW
- Mean Medicare Severity Diagnosis-Related Groups (MS-DRG) relative-weight (RWs) of endocrinology cases significantly higher than those of infectious diseases, cardiology, nephrology or hospital internal medicine alone
- Endocrinology vs Infectious diseases, cardiology, nephrology or hospital internal medicine alone: all P < .001
Observational data: associations, not effects.
Further findings
Reason for endocrinology consultation · 2019–2023
- Diabetes-related cases
- 5831 (76%)
- Other endocrine-related diagnoses
- 1830 (24%)
Original publication
Assessing the Complexity of Inpatient Care Managed by Endocrinologists in a Tertiary Care Teaching Hospital. Endocr Pract. Published 1 October 2025. doi:10. 1016/ j. eprac. 2025. 09. 200
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