Evidence map›Paper›PMID 25267051›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014

Physical health indicators in major mental illness: analysis of QOF data across UK general practice.

Julie Langan Martin, Richard Lowrie, Alex McConnachie, Gary McLean, Frances Mair, Stewart W Mercer, Daniel J Smith

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. The role of the Quality and Outcomes Framework in the care of long-term conditions: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Pooled it
  3. Article
  4. Article
  5. Article
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  7. Article
  8. Cardiovascular disease treatment among patients with severe mental illness: a data linkage study between primary and secondary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    Article
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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

7 authors.

Julie Langan MartinInstitute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
Richard LowriePharmacy and Prescribing Support Unit, NHS Greater Glasgow and Clyde;
Alex McConnachieRobertson Centre for Biostatistics, University of Glasgow;
Gary McLeanInstitute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
Frances MairInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Stewart W MercerGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Daniel J SmithInstitute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Quality and Outcomes Framework (QOF) has specific targets for body mass index (BMI) and blood pressure recording in major mental illness (MMI), diabetes, and chronic kidney disease (CKD). Although aspects of MMI (schizophrenia, bipolar disorder, and related psychoses) are incentivised, barriers to care may occur.

aimTo compare payment, population achievement, and exception rates for blood pressure and BMI recording in MMI relative to diabetes and CKD across the UK. DESIGN AND

settingAnalysis of 2012/2013 QOF data from 9731 UK general practices 2 years after the introduction of the mental health, BMI, and blood pressure QOF indicators.

methodPayment, exception, and population achievement rates for the MMI and CKD blood pressure indicators and the MMI and diabetes BMI indicators were calculated and compared.

resultsUK payment and population achievement rates for BMI recording for MMI were significantly lower than for diabetes (payment: 92.7% versus 95.5% and population achievement: 84.0% versus 92.5%, P<0.001) and exception rates were higher (8.1% versus 2.0%, P<0.001). For blood pressure recording, UK payment and population achievement rates were significantly lower for MMI than for CKD (94.1% versus 97.8% and 87.0% versus 97.1%, P<0.001), while exception rate was higher (6.5% versus 0.0%, P<0.001). This was observed for all countries. Compared with England, Northern Ireland had higher population achievement rates for both mental health indicators, whereas Scotland and Wales had lower rates. There were no cross-jurisdiction differences for CKD and diabetes.

conclusionDifferences in payment, exception, and population achievement rates for blood pressure and BMI recording for MMI relative to CKD and diabetes were observed across the UK. These findings suggest potential inequalities in the monitoring of physical health in MMI within the UK primary care system.

Indexed as

General PracticePrimary Health CareBlood Pressure DeterminationBody Mass IndexDiabetes Mellitus, Type 2EnglandHumansMental DisordersOutcome Assessment, Health CarePractice Patterns, Physicians'Quality Assurance, Health CareQuality Indicators, Health CareRenal Insufficiency, ChronicSocioeconomic Factorsachievement ratesblood pressurebody mass indexchronic kidney diseasediabetesmajor mental illnessQuality and Outcomes Framework

Identifiers

PMID25267051
PMCPMC4173728

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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.