Evidence map›Paper›PMID 31189685›Full record

ArticleBMJ open2019

Risk factors for repetitive doctor's consultations due to cough: a cross-sectional study in a Finnish employed population.

Heikki O Koskela, Anne M Lätti, Juha Pekkanen

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact, top 90% 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

15 citing papers in PubMed, 0 citations in OpenAlex.

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  10. Cough symptom severity in patients with refractory or unexplained chronic cough: a systematic survey and conceptual framework.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
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  15. Physical Disorders are Associated with Health Risk Behaviors in Chinese Adolescents: A Latent Class Analysis.International journal of environmental research and public health · 2020
    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

3 authors at 2 institutions in 1 country.

Heikki O KoskelaUnit for Medicine and Clinical Research, Pulmonary Division, Kuopio University Hospital, Kuopio, Finland.ORCID 0000-0002-3386-3262
Anne M LättiUnit for Medicine and Clinical Research, Pulmonary Division, Kuopio University Hospital, Kuopio, Finland.
Juha PekkanenDepartment of Public Health, Helsingin Yliopisto Lääketieteellinen tiedekunta, Helsinki, Finland.
University of Eastern Finland · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCough is the most common symptom prompting people to consult a doctor, thus representing a huge cost to the healthcare. This burden could be reduced by decreasing the number of repetitive consultations by the same individuals. Therefore, it would be valuable to recognise the factors that associate with repetitive doctor's consultations due to cough.

designA cross-sectional, email survey.

settingPublic service employees in two Finnish towns.

participantsThe questionnaire was sent to 13 980 subjects; 3695 (26.4 %) participated.

interventionsThe questionnaire sought detailed information about participant characteristics, all disorders diagnosed by a doctor, various symptoms and doctor's consultations. Those with current cough were inquired about cough characteristics and filled in the Leicester Cough Questionnaire (LCQ). PRIMARY OUTCOME: Repetitive (≥3) doctor's consultations due to cough during the previous 12 months.

resultsThere were 205 participants (5.5% of the participants) with repetitive consultations. They accounted for 848 out of the 1681 doctor's consultations (50.4%) due to cough. Among all participants, repetitive consultations were mainly related to the presence of asthma (adjusted OR (aOR) 2.90 (2.01 to 4.19)) and chronic rhinosinusitis (aOR 2.40 (1.74 to 3.32)). Among the 975 participants with current cough, repetitive consultations were mainly related to a low LCQ total score (aOR 3.84 (2.76 to 5.34) per tertile). Comorbidity, depressive symptoms and smoking were also associated with repetitive consultations.

conclusionsA modest proportion of subjects with repetitive consultations is responsible for every second doctor's consultation due to cough. The typical features of these subjects could be identified. These findings can help to focus on certain subpopulations in order to plan interventions to reduce the healthcare burden attributable to cough.

Indexed as

CoughCross-Sectional StudiesEmploymentFemaleFinlandHumansMaleMiddle AgedPatient Acceptance of Health CareRisk FactorsSelf Reportadult thoracic medicineasthmaepidemiologyrespiratory medicine (see thoracic medicine)

Identifiers

PMID31189685
PMCPMC6576114
OpenAlexW2949990784

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.