Evidence map›Paper›PMID 31933130›Full record

ArticleIrish journal of medical science2020

The role of primary care in management of rare diseases in Ireland.

Niall Byrne, Jacqueline Turner, Rita Marron, Deborah M Lambert, Daniel N Murphy, Grace O'Sullivan, Maureen Mason, Frank Broderick, Mary C Burke, Sheila Casey and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Irish journal of medical science, 2020. 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
4.9field-weighted citation impact, top 5% 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, 28 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

18 authors at 4 institutions in 1 country.

Niall ByrneNational Rare Disease Office, Eccles St, Dublin, D07 R2WY, Ireland.
Jacqueline TurnerNational Rare Disease Office, Eccles St, Dublin, D07 R2WY, Ireland.
Rita MarronNational Rare Disease Office, Eccles St, Dublin, D07 R2WY, Ireland.
Deborah M LambertNational Rare Disease Office, Eccles St, Dublin, D07 R2WY, Ireland.ORCID https://orcid.org/0000-0003-0967-0476
Daniel N MurphyNational Rare Disease Office, Eccles St, Dublin, D07 R2WY, Ireland.
Grace O'SullivanNational Rare Disease Office, Eccles St, Dublin, D07 R2WY, Ireland.
Maureen MasonNational Rare Disease Office, Eccles St, Dublin, D07 R2WY, Ireland.
Frank BroderickFairview Medical Centre, Fairview Strand, Dublin, Ireland.
Mary C BurkeGlasnevin Family Practice, Finglas Road, Glasnevin, Dublin, Ireland.
Sheila CaseyKingscourt Surgery, Kingscourt, Co. Cavan, Ireland.
Marguerite DoyleAubrey Medical Centre, Shankill, Dublin, Ireland.
David GibneyBallymun Family Practice, Ballymun, Dublin, Ireland.
Fergus MasonJohnstown Medical Centre, Cabinteely, Dublin, Ireland.
David MolonyThe Red House Family Practice, Mallow, Co., Cork, Ireland.
Deirdre OrmondWindmill Medical Centre, Skerries, Co., Dublin, Ireland.
Colm O' SéBallyfermot Medical Centre, Dublin, Ireland.
Conor O'SheaWheaton Hall Medical Practice, Co Louth, Drogheda, Ireland.
Eileen P TreacyNational Rare Disease Office, Eccles St, Dublin, D07 R2WY, Ireland. etreacy@mater.ie.ORCID https://orcid.org/0000-0002-6226-1615
Kingspan (Ireland) · IEMater Misericordiae University Hospital · IEMolecular Medicine Ireland · IEOur Lady of Lourdes Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background'Slaintecare' aims to address complex patient care needs in an integrated fashion with an emphasis on patient-centred, patient-empowered community care.Currently there is a lack of knowledge of the impact of rare disease management in primary care and of the information tools required by general practitioners to deliver integrated care for rare disease patients.

aimsTo complete a pilot survey to estimate the general practice clinical workload attributable to selected rare diseases and assess the use of relevant information sources.

methodsA retrospective cross-sectional survey was carried out of general practice consultations (2013-2017) for patients with 22 commonly recognised rare diseases.

resultsAround 31 general practitioners from 10 Irish practices completed information on 171 patients with rare diseases over 3707 consultations. General practice-specific coding systems were inadequate for rare disease patient identification. Over 139 (81.3%) patients were adult, and 32 (18.7%) were children. Management of care was hospital and not primary care based in 63%. Those eligible for state-reimbursed care had a significantly higher median number of consultations (23 consultations, IQR = 13-37, or 5.8 consultations/year) than those who paid privately (10 consultations, IQR = 4-19, or 2.5 consultations/year) (p < 0.005).General practitioners had access to public information resources on rare diseases but few had knowledge of (35.5%), or had ever used (12.9%) Orphanet, the international rare disease information portal.

conclusionsBoth specific rare disease-specific coding and use of the relevant rare disease information sources are lacking in general practice in Ireland.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCross-Sectional StudiesFemaleHumansIrelandMaleMiddle AgedPrimary Health CareRare DiseasesRetrospective StudiesSurveys and QuestionnairesClinical codingGeneral practitionersIntegrated delivery of healthcarePatient care managementRare diseases

Identifiers

PMID31933130
PMCPMC7363724
OpenAlexW3000053204

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.