Evidence map›Paper›PMID 32211579›Full record

ArticleRheumatology advances in practice2020

Mixed methods study of a new model of care for chronic disease: co-design and sustainable implementation of group consultations into clinical practice.

Michele Russell-Westhead, Nicola O'Brien, Iain Goff, Elizabeth Coulson, Jess Pape, Fraser Birrell

Open access · goldAbstract read
In one paragraph

Article in Rheumatology advances in practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.0field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Management of Rheumatoid Arthritis in Primary Care: A Scoping Review.International journal of environmental research and public health · 2024
    Article
  3. 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

6 authors at 3 institutions in 1 country.

Michele Russell-WestheadMedical Research Council Versus Arthritis Centre for Integrated Research into Musculoskeletal Ageing (CIMA), Newcastle University, Northumberland, UK.
Nicola O'BrienMedical Research Council Versus Arthritis Centre for Integrated Research into Musculoskeletal Ageing (CIMA), Newcastle University, Northumberland, UK.
Iain GoffRheumatology, Northumbria Healthcare NHS Foundation Trust, Northumberland, UK.
Elizabeth CoulsonRheumatology, Northumbria Healthcare NHS Foundation Trust, Northumberland, UK.
Jess PapeRheumatology, Northumbria Healthcare NHS Foundation Trust, Northumberland, UK.
Fraser BirrellMedical Research Council Versus Arthritis Centre for Integrated Research into Musculoskeletal Ageing (CIMA), Newcastle University, Northumberland, UK.
Northumbria Healthcare NHS Foundation Trust · GBNorthumbria University · GBVersus Arthritis · GB

Funding

Medical Research Council MR/P020941/1
6 · The paper itself

Abstract

objectivesGroup consultations are used for chronic conditions, such as inflammatory arthritis, but evidence of efficacy for treatment to target or achieving tight control is lacking. Our aim was to establish whether group consultation is a sustainable, co-designed routine care option and to explore factors supporting spread.

methodsThe study used mixed methods, observational process/outcome data, plus qualitative exploration of enabling themes. It was set in two community hospitals, in 2008-19, with a third hospital from 2016, and was triangulated with primary care qualitative data. There was a total of 3363 arthritis patient attendances at 183 clinics during 2008-19. The early arthritis cohort comprised 46 patients, followed monthly until the treatment target was achieved, during 2016-19. Focus groups included 15 arthritis and 11 osteoporosis group attendees. Intervention was a 2 h group consultation, attended monthly for early/active disease and annually for stable disease. Measurements included attendance, DAS, satisfaction and enabling themes.

resultsThere was a mean number of 18.4 patients per clinic (

conclusionCo-designed group consultations can be sustainable, clinically effective and efficient for monthly review of early active disease and annual review of stable disease. Promoting factors may support effective training for chronic disease group consultations.

Indexed as

chronic diseasegroup consultationsoutcomespain assessment and managementpatientsquality of health care

Identifiers

PMID32211579
PMCPMC7079718
OpenAlexW3003902593

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.