Evidence map›Paper›PMID 25478199›Full record

ReviewJournal of thoracic disease2014

Implementing clinical guidelines for chronic obstructive pulmonary disease: barriers and solutions.

Jeff D Overington, Yao C Huang, Michael J Abramson, Juliet L Brown, John R Goddard, Rayleen V Bowman, Kwun M Fong, Ian A Yang

Open access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of thoracic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 5% 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.

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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Involvement of informal caregivers in supporting patients with COPD: a review of intervention studies.International journal of chronic obstructive pulmonary disease · 2016
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. An Exploratory Study of Physician Decision-Making When Treating Uncontrolled COPD.International journal of chronic obstructive pulmonary disease · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
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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

8 authors at 1 institution in 1 country.

Jeff D Overington1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.
Yao C Huang1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.
Michael J Abramson1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.
Juliet L Brown1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.
John R Goddard1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.
Rayleen V Bowman1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.
Kwun M Fong1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.
Ian A Yang1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.
Lung Foundation Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic obstructive pulmonary disease (COPD) is a complex chronic lung disease characterised by progressive fixed airflow limitation and acute exacerbations that frequently require hospitalisation. Evidence-based clinical guidelines for the diagnosis and management of COPD are now widely available. However, the uptake of these COPD guidelines in clinical practice is highly variable, as is the case for many other chronic disease guidelines. Studies have identified many barriers to implementation of COPD and other guidelines, including factors such as lack of familiarity with guidelines amongst clinicians and inadequate implementation programs. Several methods for enhancing adherence to clinical practice guidelines have been evaluated, including distribution methods, professional education sessions, electronic health records (EHR), point of care reminders and computer decision support systems (CDSS). Results of these studies are mixed to date, and the most effective ways to implement clinical practice guidelines remain unclear. Given the significant resources dedicated to evidence-based medicine, effective dissemination and implementation of best practice at the patient level is an important final step in the process of guideline development. Future efforts should focus on identifying optimal methods for translating the evidence into everyday clinical practice to ensure that patients receive the best care.

Indexed as

chronic obstructiveclinical practice guidelinesevidence-based practicehealth servicesPulmonary disease

Identifiers

PMID25478199
PMCPMC4255168
OpenAlexW2111152642

What OpenQuestion holds

Textmetadata
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.