Evidence map›Paper›PMID 31533946›Full record

SynthesisBMJ open2019

Systematic review of patient-reported measures of treatment burden in stroke.

Katie I Gallacher, Terry Quinn, Lisa Kidd, David Eton, Megan Dillon, Jennifer Elliot, Natalie Johnston, Patricia J Erwin, Frances Mair

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Katie I GallacherGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK katie.gallacher@glasgow.ac.uk.ORCID 0000-0001-8620-8758
Terry QuinnDepartment of Academic Geriatric Medicine, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
Lisa KiddNursing & Healthcare School, School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
David EtonDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Megan Dillon
Jennifer ElliotStroke and Brain Imaging, Institute of Neuroscience and Psychology, University of Glasgow, Glasgow, UK.
Natalie JohnstonGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Patricia J ErwinMayo Medical Libraries, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Frances MairGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
University of Glasgow · GBMayo Clinic · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTreatment burden is the workload of healthcare for people with long-term conditions (LTC) and its impact on well-being. A method of measurement is required to identify those experiencing high burden and to measure intervention efficacy. Our aim was to identify, examine and appraise validated patient-reported measures (PRMs) of treatment burden in stroke. Here, stroke serves as an exemplar LTC of older adults.

designA systematic review of published studies that describe the development and validation of PRMs measuring treatment burden in stroke survivors. DATA SOURCES: We searched MEDLINE, Embase, CINAHL and PsycINFO electronic databases. ELIGIBILITY CRITERIA: Studies published between January 2000 and 12 April 2019 inclusive, in English language. No restrictions were set based on clinical setting or geographical location. DATA EXTRACTION AND SYNTHESIS: Screening, data extraction and quality appraisal were conducted by two independent reviewers. Content of the PRMs was compared with a published taxonomy of treatment burden. Quality appraisal was conducted using International Society for Quality of Life Research standards.

resultsFrom 3993 articles, 6 relevant PRMs were identified: 3 were stroke specific: The Satisfaction with Stroke Care questionnaire; The Stroke Patient-Reported Outcome Measure and The Barriers to Physical Activity after Stroke scale. Three were generic but validated in stroke: The WHO Quality of Life-100; The Patient's Questionnaire on Participation in Discharge Planning and The Chao Perception of Continuity scale. None comprehensively measured treatment burden. Examples of omitted burdens included developing coping strategies, managing finances and returning to driving. The most notable issue regarding quality appraisal was that three PRMs lacked any underpinning qualitative research relevant to the sample.

conclusionThere is a need to develop a comprehensive PRM of treatment burden for use in stroke, with potential for use in other older populations.

Indexed as

Patient Reported Outcome MeasuresHumansStrokeWorkloadpatient-centred carepatient-reported measurestrokesystematic reviewtreatment burden

Identifiers

PMID31533946
PMCPMC6756342
OpenAlexW2974745016

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.