Evidence map›Paper›PMID 28551723›Full record

ArticleRheumatology international2017

National variation in the composition of rheumatology multidisciplinary teams: a cross-sectional study.

Mwidimi Ndosi, Rachel Ferguson, Michael R Backhouse, Lindsay Bearne, Phillip Ainsworth, Alan Roach, Elaine Dennison, Lindsey Cherry

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Evaluation of a multidisciplinary care model to improve quality of life in rheumatoid arthritis: a randomised controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  15. Rheumatology advances in practice · 2021
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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 7 institutions in 1 country.

Mwidimi NdosiDepartment of Nursing and Midwifery, Centre for Health and Clinical Research, University of the West of England, Bristol, UK. mwidimi.ndosi@uwe.ac.uk.ORCID http://orcid.org/0000-0002-7764-3173
Rachel FergusonFaculty of Health Sciences, University of Southampton, Southampton, UK.
Michael R BackhouseLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Lindsay BearneDivision of Health and Social Care Research, King's College London, London, UK.
Phillip AinsworthSuffolk Agricultural Association, Suffolk, UK.
Alan RoachBritish Society for Rheumatology, London, UK.
Elaine DennisonMRC Lifecourse Epidemiology Unit, Southampton, UK.
Lindsey CherryFaculty of Health Sciences, University of Southampton, Southampton, UK.
Solent NHS Trust · GBBritish Society for Rheumatology · GBKing's College London · GBMRC Lifecourse Epidemiology Unit · GBUniversity of Leeds · GBUniversity of Suffolk · GBUniversity of the West of England · GB

Funding

Department of Health PDF-2013-06-055Medical Research Council G0400491Medical Research Council MC_U147574234Medical Research Council MC_U147574237Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UU_12011/1Versus Arthritis 19583
6 · The paper itself

Abstract

The objective of this study is to describe the composition of multidisciplinary teams (MDT) working within rheumatology departments across the UK. All rheumatology departments in the United Kingdom (UK) were invited to participate in a national electronic survey between February 2014 and April 2015 as a part of a national audit for the management of rheumatoid and early inflammatory arthritis commissioned by Healthcare Quality Improvement Partnership. Rheumatology departments were asked to report their MDT composition; defined as a rheumatologist (consultant or specialist trainee), specialist nurse, occupational therapist physiotherapist, and podiatrist. The data were collected as Whole Time Equivalent (WTE) of each professional group at each department adjusted to 100,000 population. The data were grouped according to British Society for Rheumatology regions to study regional variations. The survey was completed by 164/167 departments (98% response rate). All departments reported an MDT comprising a rheumatologist (consultant or specialist trainee) and almost all included a specialist nurse but only 28 (17%) of the departments had MDTs comprising all the professional groups. There was a high degree of regional variation in the provision of Allied Health Professionals (physiotherapists, occupational therapists, and podiatrists) in the UK. MDT care is recommended for the management of inflammatory arthritis, but few UK rheumatology departments have a full complement of healthcare professionals within their MDT. There is a high degree of regional variation in the composition and staffing levels of the rheumatology MDT across the UK; the impact of which warrants further investigation.

Indexed as

Cross-Sectional StudiesDelivery of Health Care, IntegratedHealthcare DisparitiesHealth Care SurveysHospital DepartmentsHumansInterdisciplinary CommunicationMedical AuditNurse SpecialistsOccupational TherapistsPatient Care TeamPhysical TherapistsPodiatryRheumatic DiseasesRheumatologistsRheumatologyArthritisHealth serviceMultidisciplinaryNational surveyRehabilitationTeam care

Identifiers

PMID28551723
PMCPMC5570775
OpenAlexW2618473307

What OpenQuestion holds

Textmetadata
LicenceTDM
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.