Evidence map›Paper›PMID 32723303›Full record

SynthesisBMC family practice2020

Multimorbidity and consultation time: a systematic review.

Ana Carolina Reis Tadeu, Inês Rosendo Carvalho E Silva Caetano, Inês Jorge de Figueiredo, Luiz Miguel Santiago

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 28% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Review
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  9. Review
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  11. Relationships between Demographic Factors and Chronic Conditions with Disease Severities.International journal of environmental research and public health · 2021
    Article
  12. Article
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 at 2 institutions in 2 countries.

Ana Carolina Reis TadeuFaculty of Medicine, University of Coimbra, Coimbra, Portugal. carolina.r.tadeu@gmail.com.ORCID 0000-0002-5473-8591
Inês Rosendo Carvalho E Silva CaetanoFaculty of Medicine, University of Coimbra, Coimbra, Portugal.
Inês Jorge de FigueiredoFaculty of Medicine, University of Coimbra, Coimbra, Portugal.
Luiz Miguel SantiagoFaculty of Medicine, University of Coimbra, Coimbra, Portugal.
University of Coimbra · PTSan Antonio College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultimorbidity (MM) is one of the major challenges health systems currently face. Management of time length of a medical consultation with a patient with MM is a matter of concern for doctors.

methodsA systematic review was performed to describe the impact of MM on the average time of a medical consultation considering the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines. The systematic online searches of the Embase and PubMed databases were undertaken, from January 2000 to August 2018. The studies were independently screened by two reviewers to decide which ones met the inclusion criteria. (Kappa = 0.84 and Kappa = 0.82). Differing opinions were solved by a third person. This systematic review included people with MM criteria as participants (two or more chronic conditions in the same individual). The type of outcome included was explicitly defined - the length of medical appointments with patients with MM. Any strategies aiming to analyse the impact of MM on the average consultation time were considered. The length of time of medical appointment for patients without MM was the comparator criteria. Experimental and observational studies were included.

resultsOf 85 articles identified, only 1 observational study was included, showing a clear trend for patients with MM to have longer consultations than patients without MM criteria (p < 0.001).

conclusionsMore studies are required to better assess allocation length-time for patients with MM and to measure other characteristics like doctors' workload.

Indexed as

MultimorbidityReferral and ConsultationChronic DiseaseDelivery of Health CareHumansObservational Studies as TopicConsultation lengthMedical appointmentMultimorbidityQuality of healthcare

Identifiers

PMID32723303
PMCPMC7390198
OpenAlexW3039530758

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.