Evidence map›Paper›PMID 33414261›Full record

ArticleBMJ open respiratory research2021

Specialty COPD care during COVID-19: patient and clinician perspectives on remote delivery.

Frances Wu, Jenni Burt, Teena Chowdhury, Raymond Fitzpatrick, Graham Martin, Jan W van der Scheer, John R Hurst

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
6.6field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  4. The Psychosocial Impact of the COVID-19 Pandemic on Chronic Care Patients.Journal of the American Medical Directors Association · 2023
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  13. Smoking cessation and vaccination.European respiratory review : an official journal of the European Respiratory Society · 2023
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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 at 4 institutions in 1 country.

Frances WuThe Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, Cambridgeshire, UK.
Jenni BurtThe Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, Cambridgeshire, UK.
Teena ChowdhuryAudit and Accreditation, Royal College of Physicians, London, UK.
Raymond FitzpatrickNuffield Department of Population Health, University of Oxford, Oxford, Oxfordshire, UK.
Graham MartinThe Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, Cambridgeshire, UK.
Jan W van der ScheerThe Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, Cambridgeshire, UK.
John R HurstUCL Respiratory, University College London, London, UK j.hurst@ucl.ac.uk.
University of Cambridge · GBRoyal College of Physicians · GBUniversity College London · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic has impacted specialty chronic obstructive pulmonary disease (COPD) care. We examined the degree to which care has moved to remote approaches, eliciting clinician and patient perspectives on what is appropriate for ongoing remote delivery.

methodsUsing an online research platform, we conducted a survey and consensus-building process involving clinicians and patients with COPD.

resultsFifty-five clinicians and 19 patients responded. The majority of clinicians felt able to assess symptom severity (n=52, 95%), reinforce smoking cessation (n=46, 84%) and signpost to other healthcare resources (n=44, 80%). Patients reported that assessing COPD severity and starting new medications were being addressed through remote care. Forty-three and 31 respondents participated in the first and second consensus-building rounds, respectively. When asked to rate the appropriateness of using remote delivery for specific care activities, respondents reached consensus on 5 of 14 items: collecting information about COPD and overall health status (77%), providing COPD education and developing a self-management plan (74%), reinforcing smoking cessation (81%), deciding whether patients should seek in-person care (72%) and initiating a rescue pack (76%).

conclusionAdoption of remote care delivery appears high, with many care activities partially or completely delivered remotely. Our work identifies strengths and limitations of remote care delivery.

Indexed as

Attitude of Health PersonnelPatient Education as TopicPractice Patterns, Physicians'Self-ManagementSmoking CessationAdultAgedAttitude to HealthCOVID-19Delivery of Health CareFemaleHumansMaleMiddle AgedNursesPatient Acceptance of Health CareCOPD exacerbationsinhaler deviceslong-term oxygen therapy (LTOT)

Identifiers

PMID33414261
PMCPMC7797238
OpenAlexW3119103658

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.