Assessing the Complexity of Inpatient Care Managed by Endocrinologists in a Tertiary Care Teaching Hospital

Endocr PractPublished Retrospective cohort study

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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