Evidence map›Paper›PMID 28427915›Full record

ArticleAtencion primaria2017

[Multimorbidity in general practice and the Ariadne principles. A person-centred approach].

Alexandra Prados-Torres, Isabel Del Cura-González, Juan Daniel Prados-Torres, Francisca Leiva-Fernández, Juan Antonio López-Rodríguez, Amaia Calderón-Larrañaga, Christiane Muth

Registry-linked trialAbstract read
In one paragraph

Article in Atencion primaria, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02866799 (Effectiveness of an Intervention for Improving Drug Prescription in Primary Care Patients With Multimorbidity and Polypharmacy), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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.

NCT02866799 nacompletednot on this map

Effectiveness of an Intervention for Improving Drug Prescription in Primary Care Patients With Multimorbidity and Polypharmacy: Study Protocol of a Cluster Randomized Clinical Trial (Multi-PAP Project)

TypeinterventionalSponsorInstituto Aragones de Ciencias de la SaludRan2016 to 2018Enrolled593ConditionsMultimorbidity, Polypharmacy, Other Diagnoses, Comorbidities, and ComplicationsArmsMulti-PAP, Usual care
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Alexandra Prados-TorresInstituto Aragonés de Ciencias de la Salud (IACS), Zaragoza, España; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, España; Universidad de Zaragoza, Zaragoza, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España; Joint Action on Chronic Diseases (JA-CHRODIS), Unión Europea.
Isabel Del Cura-GonzálezRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España; Unidad de Apoyo a la Investigación, Gerencia Asistencial de Atención Primaria, Madrid, España; Universidad Rey Juan Carlos, Madrid, España.
Juan Daniel Prados-TorresUnidad Docente Multiprofesional de Atención Familiar y Comunitaria, Distrito Sanitario Málaga/Guadalhorce, Málaga, España; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España; Universidad de Málaga, Málaga, España. Electronic address: juand.prados.sspa@juntadeandalucia.es.
Francisca Leiva-FernándezUnidad Docente Multiprofesional de Atención Familiar y Comunitaria, Distrito Sanitario Málaga/Guadalhorce, Málaga, España; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España; Universidad de Málaga, Málaga, España.
Juan Antonio López-RodríguezRed de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España; Unidad de Apoyo a la Investigación, Gerencia Asistencial de Atención Primaria, Madrid, España; Universidad Rey Juan Carlos, Madrid, España; Centro de Salud Los Pintores, Parla, Madrid, España.
Amaia Calderón-LarrañagaInstituto Aragonés de Ciencias de la Salud (IACS), Zaragoza, España; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España; Joint Action on Chronic Diseases (JA-CHRODIS), Unión Europea; Aging Research Center, NVS Department - Karolinska Institutet, Solna, Suecia.
Christiane MuthInstitute of General Practice, Johann Wolfgang Goethe University, Frankfurt del Main, Alemania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multimorbidity, defined as the coexistence of two or more chronic conditions in one same individual, has negative consequences for people suffering from it and it poses a real challenge for health systems. In primary care, where most of these patients are attended, the clinical management of multimorbidity can be a complex task due, among others, to the high volume of clinical information that needs to be handled, the scarce scientific evidence available to approach multimorbidity, and the need for coordination among multiple health providers to guarantee continuity of care. Moreover, the adequate implementation of the care plan in these patients requires a process of shared decision making between patient and physician. One of the available tools to support this process, which is specifically directed to patients with multimorbidity in primary care, is described in the present article: the Ariadne principles.

Indexed as

General PracticeMultimorbidityPatient-Centered CareFamily PracticeHumansPractice Guidelines as TopicPrimary Health CareAtención centrada en el pacienteChronic diseasesEnfermedades crónicasMultimorbidityMultimorbilidadPatient-centred care

Identifiers

PMID28427915
PMCPMC6875989

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.