Evidence map›Paper›PMID 29440883›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2018

Do not do in COPD: consensus statement on overuse.

Felipe Villar-Álvarez, Raúl Moreno-Zabaleta, Jose Joaquin Mira-Solves, Eduardo Calvo-Corbella, Salvador Díaz-Lobato, Fernando González-Torralba, Ascensión Hernando-Sanz, Sara Núñez-Palomo, Sergio Salgado-Aranda, Beatriz Simón-Rodríguez and 2 more

Abstract readConsensus Statement
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2018. 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. Head and neck cancer patient journey's health literacy: a multidisciplinary team perspective. VOICE study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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.

Felipe Villar-ÁlvarezDepartment of Pulmonology, IIS-Fundación Jiménez Díaz, CIBERES, UAM.
Raúl Moreno-ZabaletaPulmonology, Inpatient and Noninvasive Mechanical Ventilation, Hospital Universitario Infanta Sofía, Madrid.
Jose Joaquin Mira-SolvesAlicante-Sant Joan Health District, Alicante/Universidad Miguel Hernández Elche/REDISEC.
Eduardo Calvo-CorbellaFamily and Community Medicine, CSU Pozuelo Estación, School of Medicine, UAM.
Salvador Díaz-LobatoDepartment of Pulmonology, Hospital Ramón y Cajal, Madrid.
Fernando González-TorralbaPulmonology Section, Hospital Universitario del Tajo, Aranjuez.
Ascensión Hernando-SanzDepartment of Pulmonology, Hospital Universitario 12 de Octubre.
Sara Núñez-PalomoC.S. Torrelaguna.
Sergio Salgado-ArandaPulmonology Section, Hospital del Sureste.
Beatriz Simón-RodríguezFisioRespiración-Respiratory Physiotherapy Unit, Escuela Universitaria Gimbernat Cantabria.
Paz Vaquero-LozanoS. Pulmonology, CEP Hnos. Sangro HGU Gregorio Marañón, Madrid.
Isabel María Navarro-SolerCalitè Research Group, Universidad Miguel Hernández de Elche, Elche, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To identify practices that do not add value, cause harm, or subject patients with chronic obstructive pulmonary disease (COPD) to a level of risk that outweighs possible benefits (overuse). Methods: A qualitative approach was applied. First, a multidisciplinary group of healthcare professionals used the Metaplan technique to draft and rank a list of overused procedures as well as self-care practices in patients with stable and exacerbated COPD. Second, in successive consensus-building rounds, description files were created for each "do not do" (DND) recommendation, consisting of a definition, description, quality of supporting evidence for the recommendation, and the indicator used to measure the degree of overuse. The consensus group comprised 6 pulmonologists, 2 general practitioners, 1 nurse, and 1 physiotherapist. Results: In total, 16 DND recommendations were made for patients with COPD: 6 for stable COPD, 6 for exacerbated COPD, and 4 concerning self-care. Conclusion: Overuse poses a risk for patients and jeopardizes care quality. These 16 DND recommendations for COPD will lower care risks and improve disease management, facilitate communication between physicians and patients, and bolster patient ability to provide self-care.

Indexed as

Medical OveruseClinical Decision-MakingCost-Benefit AnalysisDisease ProgressionHealth Care CostsHumansPatient SafetyPulmonary Disease, Chronic ObstructiveRisk AssessmentRisk FactorsSelf CareUnnecessary ProceduresconsensusCOPDpatient safetyquality assurance

Identifiers

PMID29440883
PMCPMC5799849

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.