Evidence map›Paper›PMID 32005235›Full record

ArticleBMC health services research2020

Continuity of care and its associations with self-reported health, clinical characteristics and follow-up services after percutaneous coronary intervention.

Irene Valaker, Bengt Fridlund, Tore Wentzel-Larsen, Jan Erik Nordrehaug, Svein Rotevatn, Maj-Britt Råholm, Tone M Norekvål

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06759805 (eCardiacRehab - a Pragmatic Trial on a Home-based Patient-centered e-Health Programme With Tailored Solutions - Feasibility Study), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT06759805 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

eCardiacRehab - a Pragmatic Trial on a Home-based Patient-centered e-Health Programme With Tailored Solutions - Feasibility Study

TypeinterventionalSponsorHaukeland University HospitalRan2025 to 2035Enrolled80ConditionsCoronary Artery Disease, Cardiac Rehabilitation, Ethics, Continuity of Patient CareArmseCardiacRehab
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Patient characteristics and degrees of discontinuity of care in Danish general practice: a cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  4. Article
  5. Article
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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

7 authors.

Irene ValakerFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Svanehaugvegen 1, 6812, Førde, Norway. irene.valaker@hvl.no.ORCID http://orcid.org/0000-0002-9459-2304
Bengt FridlundDepartment of Heart Disease, Haukeland University Hospital, Box 1400, 5021, Bergen, Norway.
Tore Wentzel-LarsenCentre for Clinical Research, Haukeland University Hospital, Haukelandsveien 28, 5009, Bergen, Norway.
Jan Erik NordrehaugDepartment of Clinical Science, Faculty of Medicine, University of Bergen, P.O box 7804, 5020, Bergen, Norway.
Svein RotevatnDepartment of Heart Disease, Haukeland University Hospital, Box 1400, 5021, Bergen, Norway.
Maj-Britt RåholmFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Svanehaugvegen 1, 6812, Førde, Norway.
Tone M NorekvålFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Svanehaugvegen 1, 6812, Førde, Norway.

Funding

Western Norway Health Authority 912184
6 · The paper itself

Abstract

aimsComplexity of care in patients with coronary artery disease is increasing, due to ageing, improved treatment, and more specialised care. Patients receive care from various healthcare providers in many settings. Still, few studies have evaluated continuity of care across primary and secondary care levels for patients after percutaneous coronary intervention (PCI). This study aimed to determine multifaceted aspects of continuity of care and associations with socio-demographic characteristics, self-reported health, clinical characteristics and follow-up services for patients after PCI.

methodsThis multi-centre prospective cohort study collected data at baseline and two-month follow-up from medical records, national registries and patient self-reports. Univariable and hierarchical regressions were performed using the Heart Continuity of Care Questionnaire total score as the dependent variable.

resultsIn total, 1695 patients were included at baseline, and 1318 (78%) completed the two-month follow-up. Patients stated not being adequately informed about lifestyle changes, medication and follow-up care. Those experiencing poorer health status after PCI scored significantly worse on continuity of care. Patients with ST-segment elevation myocardial infarction scored significantly better on informational and management continuity than those with other cardiac diagnoses. The regression analyses showed significantly better continuity (P ≤ 0.034) in patients who were male, received written information from hospital, were transferred to another hospital before discharge, received follow-up from their general practitioner or had sufficient consultation time after discharge from hospital.

conclusionRisk factors for sub-optimal continuity were identified. These factors are important to patients, healthcare providers and policy makers. Action should be taken to educate patients, reconcile discharge plans and organise post-discharge services. Designing pathways with an interdisciplinary approach and shared responsibility between healthcare settings is recommended.

Indexed as

Continuity of Patient CarePercutaneous Coronary InterventionAgedCoronary Artery DiseaseDiagnostic Self EvaluationFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesSelf ReportTreatment OutcomeContinuity of carePercutaneous coronary interventionSelf-reported health status

Identifiers

PMID32005235
PMCPMC6993348

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Registered trials

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.