ArticleFrontline gastroenterology2013
Improved clinical outcomes and efficacy with a nurse-led dysphagia hotline service.
Article in Frontline gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed, 5 citations in OpenAlex.
- Can patients determine the level of their dysphagia?World journal of gastroenterology · 2017Article
- Maintaining clinical governance when giving telephone advice.Frontline gastroenterology · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA nurse practitioner-led dysphagia service was introduced to improve appropriateness of investigations.
objectiveTo determine the clinical outcomes and efficacy of this service. DESIGN AND PATIENTS: A 7-year prospective audit of the first 2000 patients referred for investigation of dysphagia.
settingRoyal Cornwall Hospitals NHS Trust.
interventionAn innovative nurse practitioner-led telephone dysphagia hotline (DHL) assessment service for all patients and consultant review following investigation prior to discharge. OUTCOMES: Clinical outcomes, service efficiency and cost effectiveness.
results2000 patients (median age 70 years, 48% male) were referred in less than 7 years, 1775 being managed fully through the DHL. 67% patients had gastroscopy only, 13% barium swallow only and 8.8% both and 11.2% had no investigation. Reflux was the commonest cause (41.3%), 9% had peptic stricture, 10% malignancy 1.9% pharyngeal pouches and 0.8% achalasia. The did not attend rate was reduced from 3.9% to 1.1% and 151 patients either refused or did not require investigation saving a potential £53 040. Although some patients with pharyngeal pouches had gastroscopy as initial investigation, no complications resulted.
conclusionsThe nurse practitioner-led DHL service has improved efficiency and resulted in a safe prompt service to patients.
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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.