Evidence map›Paper›PMID 25119845›Full record

ArticleNPJ primary care respiratory medicine2014

Patients' perspectives on the impact of a new COPD diagnosis in the face of multimorbidity: a qualitative study.

Sameera Ansari, Hassan Hosseinzadeh, Sarah Dennis, Nicholas Zwar

Abstract read
In one paragraph

Article in NPJ primary care respiratory medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Why don't patients seek help for chronic post-surgical pain after knee replacement? A qualitative investigation.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  7. Article
  8. Multi-morbidities are Not a Driving Factor for an Increase of COPD-Related 30-Day Readmission Risk.International journal of chronic obstructive pulmonary disease · 2020
    Observational
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Should the diagnosis of COPD be based on a single spirometry test?NPJ primary care respiratory medicine · 2016
    Article
  16. Article
  17. Article
  18. General practitioners' perceptions of COPD treatment: thematic analysis of qualitative interviews.International journal of chronic obstructive pulmonary disease · 2016
    Article
  19. 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

4 authors.

Sameera AnsariSchool of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia.
Hassan HosseinzadehSchool of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia.
Sarah Dennis1] School of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia [2] Clinical and Rehabilitation Sciences, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
Nicholas ZwarSchool of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD), a major cause of morbidity and mortality worldwide, often occurs in the presence of comorbidities, which may influence experience and management of the disease. No prior research seems to have gained perspectives of newly diagnosed primary care COPD patients in the context of multimorbidity.

aimsThis qualitative study aimed to explore the impact of a new diagnosis of COPD in the context of multimorbidity and also sought to gain a better understanding of how patients react to the diagnosis and incorporate it into their lives.

methodsParticipants were identified from a cohort of primary care patients with multimorbidity recently diagnosed with COPD. Data was collected via semi-structured interviews from nine male and eight female participants. Thematic analysis was performed and the data interpreted from a constructivist perspective.

resultsFive core themes regarding COPD were induced: (i) reaction to diagnosis, (ii) impact on function and health behaviour, (iii) factors influencing self-management capacity, (iv) healthcare utilisation and (v) interplay of comorbidities. Most participants had difficulty recognising the importance of COPD and its long-term implications. For many, the salience of another chronic condition outweighed COPD. Self-management capacity and utilisation of healthcare services were challenged by low prioritisation of COPD among other comorbidities.

conclusionsThis study provides an insight into how primary care patients feel about being diagnosed with COPD, as well as their prioritisation of the disease in the context of multimorbidity. It highlights the need for tailored education and personalised management incorporating patients' perspectives in primary care.

Indexed as

Attitude to HealthAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPulmonary Disease, Chronic ObstructiveQualitative ResearchSurveys and Questionnaires

Identifiers

PMID25119845
PMCPMC4373407

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.