Evidence map›Paper›PMID 27855107›Full record

Observational studyBMJ open2016

First quality score for referral letters in gastroenterology-a validation study.

Sigrun Losada Eskeland, Cathrine Brunborg, Birgitte Seip, Kristine Wiencke, Øistein Hovde, Tanja Owen, Erik Skogestad, Gert Huppertz-Hauss, Fred-Arne Halvorsen, Kjetil Garborg and 2 more

Abstract readMulticenter StudyObservational StudyValidation Study
In one paragraph

Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Electronic checklists improve referral letters in gastroenterology: a randomized vignette survey.International journal for quality in health care : journal of the International Society for Quality in Health Care · 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

12 authors.

Sigrun Losada EskelandDepartment of Medical Research, Vestre Viken Hospital Trust Bærum, Drammen, Norway.
Cathrine BrunborgResearch Support Services, Oslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.
Birgitte SeipDepartment of Medicine, Vestfold Hospital Trust Tønsberg, Tønsberg, Norway.
Kristine WienckeDepartment of Medicine, Vestre Viken Hospital Trust Bærum, Drammen, Norway.
Øistein HovdeDepartment of Gastroenterology, Innlandet Hospital Trust Gjøvik, Gjøvik, Norway.
Tanja OwenDepartment of Gastroenterology, Østfold Hospital Kalnes, Kalnes, Norway.
Erik SkogestadDepartment of Medicine, Innlandet Hospital Trust Lillehammer, Lillehammer, Norway.
Gert Huppertz-HaussDepartment of Gastroenterology, Telemark Hospital Trust Skien, Skien, Norway.
Fred-Arne HalvorsenDepartment of Medicine, Vestre Viken Hospital Trust Drammen, Drammen, Norway.
Kjetil GarborgDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Lars AabakkenDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Thomas de LangeDepartment of Medicine, Vestre Viken Hospital Trust Bærum, Drammen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo create and validate an objective and reliable score to assess referral quality in gastroenterology.

designAn observational multicentre study. SETTING AND

participants25 gastroenterologists participated in selecting variables for a Thirty Point Score (TPS) for quality assessment of referrals to gastroenterology specialist healthcare for 9 common indications. From May to September 2014, 7 hospitals from the South-Eastern Norway Regional Health Authority participated in collecting and scoring 327 referrals to a gastroenterologist.

main outcome measureCorrelation between the TPS and a visual analogue scale (VAS) for referral quality.

resultsThe 327 referrals had an average TPS of 13.2 (range 1-25) and an average VAS of 4.7 (range 0.2-9.5). The reliability of the score was excellent, with an intra-rater intraclass correlation coefficient (ICC) of 0.87 and inter-rater ICC of 0.91. The overall correlation between the TPS and the VAS was moderate (r=0.42), and ranged from fair to substantial for the various indications. Mean agreement was good (ICC=0.47, 95% CI (0.34 to 0.57)), ranging from poor to good.

conclusionsThe TPS is reliable, objective and shows good agreement with the subjective VAS. The score may be a useful tool for assessing referral quality in gastroenterology, particularly important when evaluating the effect of interventions to improve referral quality.

Indexed as

GastroenterologyReferral and ConsultationAdolescentAdultAgedAged, 80 and overChecklistChildFemaleGastrointestinal DiseasesHumansMaleMiddle AgedNorwayReproducibility of ResultsSeverity of Illness IndexPRIMARY CARE

Identifiers

PMID27855107
PMCPMC5073635

What OpenQuestion holds

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Registered trials

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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.