Evidence map›Paper›PMID 34651042›Full record

ArticleERJ open research2021

Health service utilisation associated with chronic breathlessness: random population sample.

David C Currow, Sungwon Chang, Magnus Ekström, Ann Hutchinson, Tim Luckett, Slavica Kochovska, Phillipa Hay, Stephen Touyz, Eleonora Dal Grande, Miriam J Johnson

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 37 citations in OpenAlex.

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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

10 authors at 5 institutions in 3 countries.

David C CurrowIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Sungwon ChangIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Magnus EkströmIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.ORCID https://orcid.org/0000-0002-7227-5113
Ann HutchinsonWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Tim LuckettIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Slavica KochovskaIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Phillipa HayTranslational Health Research Institute, School of Medicine, Western Sydney University, Penrith South, NSW, Australia.
Stephen TouyzSchool of Psychology, University of Sydney, Camperdown, NSW, Australia.
Eleonora Dal GrandeUniversity of Adelaide, Adelaide, SA, Australia.
Miriam J JohnsonIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
University of Technology Sydney · AUThe University of Adelaide · AUThe University of Sydney · AUUniversity of Hull · GBWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost health service utilisation studies are of people with specific diagnoses or demographic characteristics, and rarely of specific chronic symptoms. The aim of this study was to establish whether population-level health service utilisation increases in people with chronic breathlessness.

methodsA cross-sectional analysis was carried out of the South Australian Health Omnibus Survey 2017, a multi-stage, clustered area, systematic sampling survey of adults where questions are administered face-to-face in respondents' homes. Self-report of health service utilisation in the previous 3 months (medical consultations, emergency department, hospital admission), chronic breathlessness (severity, duration, modified Medical Research Council (mMRC) breathlessness scale) and demographic data were used to predict self-reported health service utilisation.

resultsA total of 2898 people were included (49.0% male; median age 48.0 years (IQR 32.0-63.0); 64.1% educated beyond school; 55.4% in work; 73.5% had outpatient contact; 6.3% had a hospital admission in the previous 3 months). Chronic breathlessness (mMRC ≥1) was reported by 8.8% of respondents. In bivariable analyses, people with greater contact with health services were older, and a higher proportion were overweight/obese and had more severe chronic breathlessness. In multivariable analyses, chronic breathlessness and older age were positively associated with outpatient care and inpatient care, and people with chronic breathlessness were hospitalised for longer (incidence rate ratio 2.5; 95% CI 1.4-4.5).

conclusionThere is a significant association between worse chronic breathlessness and increased health service utilisation. There is a need for greater understanding of factors that initiate contact with health services.

Identifiers

PMID34651042
PMCPMC8503326
OpenAlexW3200532648

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.