SynthesisOntario health technology assessment series2012
Specialized community-based care: an evidence-based analysis.
Synthesis in Ontario health technology assessment series, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 6 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- The effectiveness of integrated care interventions in improving patient quality of life (QoL) for patients with chronic conditions. An overview of the systematic review evidence.Health and quality of life outcomes · 2017Pooled it
- Does integrated care reduce hospital activity for patients with chronic diseases? An umbrella review of systematic reviews.BMJ open · 2016Pooled it
- Optimizing chronic disease management in the community (outpatient) setting (OCDM): an evidentiary framework.Ontario health technology assessment series · 2013Guideline
- Experiences of patient-centredness with specialized community-based care: a systematic review and qualitative meta-synthesis.Ontario health technology assessment series · 2013Pooled it
- How diet modification challenges are magnified in vulnerable or marginalized people with diabetes and heart disease: a systematic review and qualitative meta-synthesis.Ontario health technology assessment series · 2013Pooled it
- Effectiveness of integrated care interventions for patients with long-term conditions: a review of systematic reviews.Integrated healthcare journal · 2022Review
- Process and Results of Implementing Disease Management Program in Patients with First-time Ischemic Stroke.Iranian journal of public health · 2018Article
- Behavior change interventions and policies influencing primary healthcare professionals' practice-an overview of reviews.Implementation science : IS · 2017Review
- A qualitative study of the current state of heart failure community care in Canada: what can we learn for the future?BMC health services research · 2015Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpecialized community-based care (SCBC) refers to services that manage chronic illness through formalized links between primary and specialized care.
objectivesThe objectives of this evidence-based analysis (EBA) were as follows: to summarize the literature on SCBC, also known as intermediate care to synthesize the evidence from previous Medical Advisory Secretariat (now Health Quality Ontario) EBAs on SCBC for heart failure, diabetes, chronic obstructive pulmonary disease (COPD), and chronic wounds to examine the role of SCBC in family practice
resultsPART 1: SYSTEMATIC REVIEW OF INTERMEDIATE CARE: Seven systematic reviews on intermediate care since 2008 were identified. The literature base is complex and difficult to define. There is evidence to suggest that intermediate care is effective in improving outcomes; however, the effective interventions are still uncertain. PART 2: SYNTHESIS OF EVIDENCE IN INTERMEDIATE CARE MORTALITY: Heart failure Significant reduction in patients receiving SCBC COPD Nonsignificant reduction in patients receiving SCBC HOSPITALIZATION: Heart failure Nonsignificant reduction in patients receiving SCBC COPD Significant reduction in patients receiving SCBC EMERGENCY DEPARTMENT VISITS: Heart failure Nonsignificant reduction in patients receiving SCBC COPD Significant reduction in patients receiving SCBC DISEASE-SPECIFIC PATIENT OUTCOMES: COPD Nonsignificant improvement in lung function in patients receiving SCBC Diabetes Significant reduction in hemoglobin A1c (HbA1c) and systolic blood pressure in patients receiving SCBC Chronic wounds Significant increase in the proportion of healed wounds in patients receiving SCBC QUALITY OF LIFE: Heart failure Trend toward improvement in patients receiving SCBC COPD Significant improvement in patients receiving SCBC PART 3: INTERMEDIATE CARE IN FAMILY PRACTICE--EVIDENCE-BASED ANALYSIS: Five randomized controlled trials were identified comparing SCBC to usual care in family practice. Inclusion criteria were 1) the presence of multiple chronic conditions, and 2) interventions that included 2 or more health care professions. The GRADE quality of the evidence was assessed as low for all outcomes due to the inconsistency and indirectness of the results. LIMITATIONS: This review did not look at disease-specific studies on intermediate care in family practice.
conclusionsSpecialized community-based care effectively improves outcomes in patients with heart failure, COPD, and diabetes. The effectiveness of SCBC in family practice is unclear.
Indexed as
Identifiers
23226812PMC3514853What OpenQuestion holds
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.