Evidence map›Paper›PMID 33228654›Full record

Trial reportBMC health services research2020

Comparison of self-report and administrative data sources to capture health care resource use in people with chronic obstructive pulmonary disease following pulmonary rehabilitation.

Chantal L Grimwood, Anne E Holland, Christine F McDonald, Ajay Mahal, Catherine J Hill, Annemarie L Lee, Narelle S Cox, Rosemary Moore, Caroline Nicolson, Paul O'Halloran and 3 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report 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 NCT01423227 (Benefits and Costs of Home-based Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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.

NCT01423227 phase3completednot on this map

Benefits and Costs of Home-based Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorLa Trobe UniversityRan2011 to 2015Enrolled144ConditionsChronic Obstructive Pulmonary DiseaseArmsHome-based pulmonary rehabilitation, Hospital-based pulmonary rehabilitation
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Telerehabilitation for chronic respiratory disease.The Cochrane database of systematic reviews · 2021
    Pooled it
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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

13 authors at 4 institutions in 1 country.

Chantal L GrimwoodPhysiotherapy, The Alfred, PO Box 315, Prahran, VIC, 3181, Australia.
Anne E HollandPhysiotherapy, The Alfred, PO Box 315, Prahran, VIC, 3181, Australia.
Christine F McDonaldInstitute for Breathing and Sleep, Level 5, Harold Stokes Building, Austin Health, PO Box 5555, Heidelberg, VIC, 3084, Australia.
Ajay MahalThe Nossal Institute for Global Health, The University of Melbourne, Parkville, VIC, 3010, Australia.
Catherine J HillInstitute for Breathing and Sleep, Level 5, Harold Stokes Building, Austin Health, PO Box 5555, Heidelberg, VIC, 3084, Australia.
Annemarie L LeePhysiotherapy, The Alfred, PO Box 315, Prahran, VIC, 3181, Australia.
Narelle S CoxLa Trobe University Clinical School, Level 4 The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Rosemary MooreInstitute for Breathing and Sleep, Level 5, Harold Stokes Building, Austin Health, PO Box 5555, Heidelberg, VIC, 3084, Australia.
Caroline NicolsonPhysiotherapy, The Alfred, PO Box 315, Prahran, VIC, 3181, Australia.
Paul O'HalloranPublic Health, La Trobe University, Bundoora, VIC, 3086, Australia.
Aroub LahhamLa Trobe University Clinical School, Level 4 The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Rebecca GilliesLa Trobe University Clinical School, Level 4 The Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia.
Angela T BurgePhysiotherapy, The Alfred, PO Box 315, Prahran, VIC, 3181, Australia. angela.burge@monash.edu.ORCID http://orcid.org/0000-0001-5455-6467
La Trobe University · AUInstitute for Breathing and Sleep · AUThe University of Melbourne · AUThe Alfred Hospital · AU

Funding

Lung Foundation Australia/Boehringer Ingelheim COPD Research FellowshipNational Health and Medical Research Council, Australia project grant 1046353
6 · The paper itself

Abstract

backgroundThe optimal method to collect accurate healthcare utilisation data in people with chronic obstructive pulmonary disease (COPD) is not well established. The aim of this study was to determine feasibility and compare self-report and administrative data sources to capture health care resource use in people with COPD for 12 months following pulmonary rehabilitation.

methodsThis is a secondary analysis of a randomised controlled equivalence trial comparing centre-based and home-based pulmonary rehabilitation. Healthcare utilisation data were collected for 12 months following pulmonary rehabilitation from self-report (monthly telephone questionnaires and diaries) and administrative sources (Medicare Benefits Schedule, medical records). Feasibility was assessed by the proportion of self-reports completed and accuracy was established using month-by-month and per participant comparison of self-reports with administrative data.

resultsData were available for 145/163 eligible study participants (89%, mean age 69 (SD 9) years, mean forced expiratory volume in 1 s 51 (SD 19) % predicted; n = 83 male). For 1725 months where data collection was possible, 1160 (67%) telephone questionnaires and 331 (19%) diaries were completed. Accuracy of recall varied according to type of health care encounter and self-report method, being higher for telephone questionnaire report of emergency department presentation (Kappa 0.656, p < 0.001; specificity 99%, sensitivity 59%) and hospital admission (Kappa 0.669, p < 0.001; specificity 97%, sensitivity 68%) and lower for general practitioner (Kappa 0.400, p < 0.001; specificity 62%, sensitivity 78%) and medical specialist appointments (Kappa 0.458, p < 0.001; specificity 88%, sensitivity 58%). A wide variety of non-medical encounters were reported (allied health and nursing) which were not captured in administrative data.

conclusionFor self-reported methods of healthcare utilisation in people with COPD following pulmonary rehabilitation, monthly telephone questionnaires were more frequently completed and more accurate than diaries. Compared to administrative records, self-reports of emergency department presentations and inpatient admissions were more accurate than for general practitioner and medical specialist appointments.

trial registrationNCT01423227 at clinicaltrials.gov.

Indexed as

Pulmonary Disease, Chronic ObstructiveQuality of LifeAgedFemaleHumansInformation Storage and RetrievalMaleMedicareSelf ReportUnited StatesAccuracyCOPDDiaryHealth care utilisationHospitalisationMedical recordsSelf-report

Identifiers

PMID33228654
PMCPMC7682690
OpenAlexW3106845908

What OpenQuestion holds

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LicenceCC BY
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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.