Evidence map›Paper›PMID 26357469›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2015

Case finding for COPD in primary care: a qualitative study of the views of health professionals.

Shamil Haroon, Rachel E Jordan, David A Fitzmaurice, Peymane Adab

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

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  14. Case-finding for COPD in primary care: a qualitative study of patients' perspectives.International journal of chronic obstructive pulmonary disease · 2018
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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

4 authors at 1 institution in 1 country.

Shamil HaroonSchool of Health and Population Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
Rachel E JordanSchool of Health and Population Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
David A FitzmauriceSchool of Health and Population Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
Peymane AdabSchool of Health and Population Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
University of Birmingham · GB

Funding

Department of Health DRF-2011-04-064
6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is common but largely underdiagnosed. Case-finding initiatives have been evaluated in primary care, but few studies have explored the views of service providers on implementing them in practice.

aimTo explore the views of primary health care providers on case finding for COPD.

methodsA total of 20 semi-structured interviews were conducted from March 2014 to September 2014 among general practitioners, nurses, and managers from practices participating in a large COPD case-finding trial based in primary care in the West Midlands, UK. Participants' views were sought to explore perceived benefits, harms, barriers, and facilitators to implementing COPD case finding in practice. Interviews were transcribed and analyzed using the framework method.

resultsParticipants felt that case finding improves patient care but also acknowledged potential harms to providers (increase in workload) and to patients (overdiagnosis). Insufficient resources, poor knowledge of COPD, and limited access to diagnostic services were viewed as barriers to diagnosis, while provision of community respiratory services, including COPD specialist nurses, and support from secondary care were thought to be facilitators. Participants also expressed a need for more education on COPD for both patients and clinicians.

conclusionCare providers believe that early detection of COPD improves patient care but also has accompanying harms. Barriers to diagnosing COPD, such as insufficient expertise in primary care and limited access to diagnostic services in the community, should be explored and addressed. The knowledge and attitudes of the public about COPD and its symptoms should also be investigated to inform future education and awareness-raising strategies.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticePatient Care TeamPrimary Health CareAdultAgedEarly DiagnosisEnglandFemaleHealth Services AccessibilityHumansInservice TrainingInterviews as TopicMaleMedical OveruseMiddle Agedchronic obstructive pulmonary diseasediagnosisprimary carequalitative research

Identifiers

PMID26357469
PMCPMC4559237
OpenAlexW1562498067

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.