Evidence map›Paper›PMID 11991913›Full record

Trial reportBMJ (Clinical research ed.)2002

Effects of community based nurses specialising in Parkinson's disease on health outcome and costs: randomised controlled trial.

Brian Jarman, Brian Hurwitz, Adrian Cook, Madhavi Bajekal, Alison Lee

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03830190 (Cost-Effectiveness of Specialized Nursing Interventions for Patients With Parkinson's Disease), which is not on this map. Cited by 37 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 7 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

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.

2 · The registry

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.

NCT03830190 nacompletednot on this mapstarted 2019, after this paper: background citation

Cost-Effectiveness of Specialized Nursing Interventions for Patients With Parkinson's Disease

TypeinterventionalSponsorRadboud University Medical CenterRan2019 to 2023Enrolled242ConditionsParkinson DiseaseArmsParkinson's disease nurse specialist care
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 7 syntheses or guidelines pooled it, 117 citations in OpenAlex.

  1. Health-related quality of life in Parkinson's disease: systematic review and meta-analysis of EuroQol (EQ-5D) utility scores.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Pooled it
  2. Pooled it
  3. Nurses as substitutes for doctors in primary care.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Assessment of the construct validity and responsiveness of preference-based quality of life measures in people with Parkinson's: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Parkinson's disease.BMJ clinical evidence · 2007
    Pooled it
  8. Trial
  9. Article
  10. Article
  11. Review
  12. Breaking barriers in Parkinson's care: the multidisciplinary team approach.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  13. Article
  14. Article
  15. Review
  16. Observational
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Brian JarmanDepartment of Primary Health Care and General Practice, Centre for Primary Care and Social Medicine, Imperial College of Science, Technology, and Medicine, London W6 8RP.
Brian Hurwitz
Adrian Cook
Madhavi Bajekal
Alison Lee
Primary Health Care · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the effects of community based nurses specialising in Parkinson's disease on health outcomes and healthcare costs.

designTwo year randomised controlled trial.

setting438 general practices in nine randomly selected health authority areas of England.

participants1859 patients with Parkinson's disease identified by the participating general practices.

main outcome measuresSurvival, stand-up test, dot in square test, bone fracture, global health question, PDQ-39, Euroqol, and healthcare costs.

resultsAfter two years 315 (17.3%) patients had died, although mortality did not differ between those who were attended by nurse specialists and those receiving standard care from their general practitioner (hazard ratio for nurse group v control group 0.91, 95% confidence interval 0.73 to 1.13). No significant differences were found between the two groups for the stand-up test (odds ratio 1.15, 0.93 to 1.42) and dot in square score (difference -0.7, -3.25 to 1.84). Scores on the global health question were significantly better in patients attended by nurse specialists than in controls (difference -0.23, -0.4 to -0.06), but no difference was observed in the results of the PDQ-39 or Euroqol questionnaires. Direct costs for patient health care increased by an average of 2658 pounds sterling during the study, although not differentially between groups: the average increase was 266 pounds sterling lower among patients attended by a nurse specialist (-981 pounds sterling to 449 pounds sterling ).

conclusionsNurse specialists in Parkinson's disease had little effect on the clinical condition of patients, but they did improve their patients' sense of wellbeing, with no increase in patients' healthcare costs.

Indexed as

Health Care CostsTreatment OutcomeAdultAgedCommunity Health NursingEnglandFamily PracticeFemaleFollow-Up StudiesHealth Status IndicatorsHumansMaleMiddle AgedNurse's RoleOdds RatioParkinson Disease

Identifiers

PMID11991913
PMCPMC104336
OpenAlexW2098787815

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.