Evidence map›Paper›PMID 25811771›Full record

ArticleNPJ primary care respiratory medicine2015

Impact of a patient-specific co-designed COPD care scorecard on COPD care quality: a quasi-experimental study.

C Michael Roberts, Gulsen Gungor, Mike Parker, John Craig, James Mountford

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in NPJ primary care respiratory medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 4 pooled it
1.2field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 4 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. 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 4 institutions in 1 country.

C Michael RobertsBarts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Gulsen GungorRedbridge Clinical Commissioning Group, London, UK.
Mike ParkerPostgraduate Medical Institute, Anglia Ruskin University, Chelmsford, UK.
John CraigInnovation Unit, London, UK.
James MountfordUCL Partners, London, UK.
Anglia Ruskin University · GBKings Health Partners · GBQueen Mary University of London · GBUK Research and Innovation · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe evidence that sharing mass care quality data with health service users improves care is weak.

aimsWe hypothesised that providing patients with individualised care quality data would drive improvements to the care received by those patients.

methodsTogether with patients who had chronic obstructive pulmonary disease (COPD), we co-designed a quality score card mapping indicators derived from National Institute for Clinical Excellence (NICE) quality standards against matched data taken from their general practice clinical records. All 640 COPD patients from 10 practices had improvements in these indicators before and 3 months after the intervention compared with 595 COPD patients in 10 control practices.

resultsSignificant improvements in referral to pulmonary rehabilitation (P=0.03) and confirmation of diagnosis with spirometry (P=0.001) were seen in the intervention compared with the control practice population (P<0.001). Increases in the provision of self-management plans were seen in both the groups. No improvement was seen in other indicators.

conclusionsAlthough the study is not able to prove a direct cause and effect, there is sufficient evidence presented to warrant the larger-scale evaluation of co-designed, personalised, quality score cards for COPD patients used as a tool to enhance care quality.

Indexed as

Quality Indicators, Health CareAdultHealth BehaviorHumansPatient CompliancePulmonary Disease, Chronic ObstructiveSelf Care

Identifiers

PMID25811771
PMCPMC4532153
OpenAlexW2092165435

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.