Evidence map›Paper›PMID 32660655›Full record

ArticleThe Journal of laryngology and otology2020

Restructuring ENT out-patient services during the coronavirus disease 2019 pandemic - an iterative approach.

M Halliwell-Ewen, B Atkin, C T Huins, C L Dalton

Abstract read
In one paragraph

Article in The Journal of laryngology and otology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Review
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

4 authors.

M Halliwell-EwenDepartment of ENT, Queen Elizabeth Hospital Birmingham, UK.
B AtkinDepartment of ENT, Queen Elizabeth Hospital Birmingham, UK.
C T HuinsDepartment of ENT, Queen Elizabeth Hospital Birmingham, UK.
C L DaltonDepartment of ENT, Queen Elizabeth Hospital Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 has demanded enormous adjustments to National Health Service provisions. Non-urgent out-patient work was initially postponed or performed virtually, but is now being re-established. In ENT surgery, aerosol-generating procedures pose a particular challenge in out-patient settings.

objectiveA rapid restructuring of ENT out-patient services is required, to safely accommodate aerosol-generating procedures and increase in-person attendances, whilst coronavirus disease 2019 persists.

methodsData were collected prospectively over four consecutive cycles. Two surveys were conducted. Results were analysed and disseminated, with recommendations for service restructuring implemented at cycle end-points.

resultsOut-patient activity increased four-fold, associated with a significant rise in aerosol-generating procedures during the study period. Mean aerosol-generating procedure duration dropped weekly, implying a learning curve. Service restructuring occurred at cycle end-points.

conclusionIterative data gathering, results analysis and outcome dissemination enabled a swift, data-driven approach to the restructuring of ENT out-patient services. Patient and staff safety was ensured, whilst out-patient capacity was optimised.

Indexed as

AerosolsBetacoronavirusBody FluidsCoronavirus InfectionsCOVID-19Hospital RestructuringHumansIncidenceNational Health ProgramsOtolaryngologyOtorhinolaryngologic Surgical ProceduresOutpatientsPandemicsPneumonia, ViralProspective StudiesQuality ImprovementAerosolsCoronavirusOtolaryngologyOtorhinolaryngologic Surgical ProceduresOutpatientsPandemics

Identifiers

PMID32660655
PMCPMC7468681

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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.