Evidence map›Paper›PMID 30789022›Full record

ArticleChronic respiratory disease

Recommendations for services for people living with chronic breathlessness in advanced disease: Results of a transparent expert consultation.

Lisa Jane Brighton, India Tunnard, Morag Farquhar, Sara Booth, Sophie Miller, Deokhee Yi, Wei Gao, Sabrina Bajwah, William Dc Man, Charles C Reilly and 5 more

Abstract read
In one paragraph

Article in Chronic respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Nonpharmacological management of psychological distress in people with COPD.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  7. HRB open research · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. 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

15 authors.

Lisa Jane Brighton1 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0003-0516-0102
India Tunnard1 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0002-4542-2624
Morag Farquhar2 School of Health Sciences, University of East Anglia, Norwich, UK.ORCID 0000-0001-7991-7679
Sara Booth3 Department of Oncology, University of Cambridge, Cambridge Biomedical Campus, Cambridge, UK.
Sophie Miller1 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Deokhee Yi1 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Wei Gao1 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Sabrina Bajwah1 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
William Dc Man4 National Heart and Lung Institute, Imperial College, London, UK.
Charles C Reilly6 Department of Physiotherapy, King's College Hospital NHS Foundation Trust, London, UK.
Margaret Ogden7 Cicely Saunders Institute Patient and Public Involvement Group, King's College London, London, UK.
Sylvia Bailey7 Cicely Saunders Institute Patient and Public Involvement Group, King's College London, London, UK.
Colleen Ewart7 Cicely Saunders Institute Patient and Public Involvement Group, King's College London, London, UK.
Irene J Higginson1 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Matthew Maddocks1 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.

Funding

Department of Health CDF-2017-10-009Department of Health HS&DR/16/02/18Department of Health PB-PG-0808-17311Department of Health PB-PG-0815-20030Marie Curie MCCC-RP-15-A18859Medical Research Council G0802654
6 · The paper itself

Abstract

Chronic breathlessness is highly distressing for people with advanced disease and their informal carers, yet health services for this group remain highly heterogeneous. We aimed to generate evidence-based stakeholder-endorsed recommendations for practice, policy and research concerning services for people with advanced disease and chronic breathlessness. We used transparent expert consultation, comprising modified nominal group technique during a stakeholder workshop, and an online consensus survey. Stakeholders, representing multiple specialities and professions, and patient/carers were invited to participate. Thirty-seven participants attended the stakeholder workshop and generated 34 separate recommendations, rated by 74 online survey respondents. Seven recommendations had strong agreement and high levels of consensus. Stakeholders agreed services should be person-centred and flexible, should cut across multiple disciplines and providers and should prioritize breathlessness management in its own right. They advocated for wide geographical coverage and access to expert care, supported through skills-sharing among professionals. They also recommended recognition of informal carers and their role by clinicians and policymakers. Overall, stakeholders' recommendations reflect the need for improved access to person-centred, multi-professional care and support for carers to provide or access breathlessness management interventions. Future research should test the optimal models of care and educational strategies to meet these recommendations.

Indexed as

DyspneaIntersectoral CollaborationPatient-Centered CareChronic DiseaseConsensusDelphi TechniqueDisease ProgressionExpert TestimonyHealth Services AccessibilityHumansPolicy MakingReferral and ConsultationSeverity of Illness IndexStakeholder ParticipationUnited KingdomAdvanced diseasebreathlessnessconsensusconsultationpalliative care

Identifiers

PMID30789022
PMCPMC6313262

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.