Evidence map›Paper›PMID 34286200›Full record

ArticleFuture healthcare journal2021

How we adapted the T&O inpatient service during the COVID-19 pandemic with physician associates to support the orthopaedic team.

Roz Tucker, Sverrir Kristinsson, Divya Benny, Zainab Khan, Tofunmi Oni, Andrew Smith

Abstract read
In one paragraph

Article in Future healthcare journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

6 authors.

Roz TuckerQEQM Hospital, Margate, UK.
Sverrir KristinssonQEQM Hospital, Margate, UK.
Divya BennyQEQM Hospital, Margate, UK.
Zainab KhanQEQM Hospital, Margate, UK.
Tofunmi OniQEQM Hospital, Margate, UK.
Andrew SmithQEQM Hospital, Margate, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn March 2020, due to the COVID-19 pandemic, there were increasing demands on medical and intensive care departments in the UK. Medical staff from surgical departments were redeployed. The aim of this study was to determine whether the department was able to maintain standards with the use of the physician associate / medical doctor (PA/MD) model of care.

methodsA mix of questionnaires and audit data was collected prospectively and compared with pre-COVID and the general surgical team which did not have PAs.

resultsSixty-five per cent of responses indicated an improvement compared with pre-COVID conditions and 35% indicated care was the same. The electronic discharge notification audit showed an 89% completion rate for orthopaedics compared with 73% for general surgery. Venous thromboembolism assessment compliance was better compared with general surgery.

conclusionOverall, the study supports the hypothesis that a PA/MD model of care is non-inferior to a MD-only model of care and was effective.

Indexed as

adaptedCOVID-19pandemicphysician associatetrauma and orthopaedics

Identifiers

PMID34286200
PMCPMC8285137

What OpenQuestion holds

Textmetadata
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.