Evidence map›Paper›PMID 29188481›Full record

Trial reportQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2018

Using case management in a universal health coverage system to improve quality of life of frequent Emergency Department users: a randomized controlled trial.

Katia Iglesias, Stéphanie Baggio, Karine Moschetti, Jean-Blaise Wasserfallen, Olivier Hugli, Jean-Bernard Daeppen, Bernard Burnand, Patrick Bodenmann

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01934322 (Case Management for Frequent Users of the Emergency Department), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT01934322 nacompletednot on this map

Case Management for Frequent Users of the Emergency Department: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of LausanneRan2012 to 2014Enrolled250ConditionsFrequent Users of the Emergency Department, Vulnerable PopulationsArmsCase Management
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Emergency Department Utilization among Underserved African American Older Adults in South Los Angeles.International journal of environmental research and public health · 2019
    Article
  11. Article
  12. Article
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.

Katia IglesiasSchool of Health Sciences (HEdS-FR), University of Applied Sciences Western Switzerland (HES-SO), Route des Cliniques 15, 1700, Fribourg, Switzerland. Katia.iglesias@hefr.ch.ORCID 0000-0003-1308-1631
Stéphanie BaggioLife Course and Social Inequality Research Center, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-5347-5937
Karine MoschettiInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0003-0900-6444
Jean-Blaise WasserfallenHealth Technology Assessment Unit, Lausanne University Hospital, 1011, Lausanne, Switzerland.ORCID 0000-0003-0097-8474
Olivier HugliEmergency Department, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0003-2312-1625
Jean-Bernard DaeppenAlcohol Treatment Center, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0001-7059-1393
Bernard BurnandInstitute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0002-5678-6044
Patrick BodenmannVulnerable Population Unit, Department of Ambulatory Care and Community Medicine, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0002-1058-1035

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 32003B_135762
6 · The paper itself

Abstract

purposeFrequent Emergency Department users are likely to experience poor quality of life (QOL). Case management interventions are efficient in responding to the complex needs of this population, but their effects on QOL have not been tested yet. Therefore, the aim of our study was to examine to what extent a case management intervention improved frequent Emergency Department users' QOL in a universal health coverage system.

methodsData were part of a randomized controlled trial designed to improve frequent Emergency Department users' QOL at the Lausanne University Hospital, Switzerland. A total of 250 frequent Emergency Department users (≥ 5 attendances during the previous 12 months) were randomly assigned to the control (n = 125) or the intervention group (n = 125). The latter benefited from case management intervention. QOL was evaluated using the WHOQOL-BREF at baseline, two, five and a half, nine, and twelve months later. It included four dimensions: physical health, psychological health, social relationship, and environment. Linear mixed-effects models were used to analyze the change in the patients' QOL over time.

resultsPatients' QOL improved significantly (p < 0.001) in both groups for all dimensions after two months. However, environment QOL dimension improved significantly more in the intervention group after 12 months.

conclusionsEnvironment QOL dimension was the most responsive dimension for short-term interventions. This may have been due to case management's assistance in obtaining income entitlements, health insurance coverage, stable housing, or finding general health care practitioners. Case management in general should be developed to enhance frequent users' QOL.

trial registrationhttp://www.clinicaltrials.gov , Unique identifier: NCT01934322.

Indexed as

Case ManagementEmergency Service, HospitalFemaleHumansInsurance, HealthMaleMiddle AgedQuality of LifeEnvironmentMental healthPhysical healthSocial relationshipVulnerable populationWHOQOL

Identifiers

PMID29188481
PMCPMC5846993

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.