Evidence map›Paper›PMID 34869940›Full record

ArticleContemporary clinical trials communications2021

Shared responsibility between general practitioners and highly specialized physicians in chronic spinal cord injury: Study protocol for a nationwide pragmatic nonrandomized interventional study.

Rebecca Tomaschek, Dima Touhami, Stefan Essig, Armin Gemperli

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04071938 (Shared Responsibility Between General Practitioners and Highly Specialized Hospitals in Complex Chronic Conditions), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

NCT04071938 naunknown statusnot on this map

Shared Responsibility Between General Practitioners and Highly Specialized Hospitals in Complex Chronic Conditions: the Case of Spinal Cord Injury in a Nationwide Intervention Study

TypeinterventionalSponsorSchweizer Paraplegiker ForschungRan2019 to 2022Enrolled273ConditionsSpinal Cord InjuriesArmsTeaching to GPs, Site visits to GP practices
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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  3. Review
  4. Article
  5. 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 1 institution in 1 country.

Rebecca TomaschekUniversity of Lucerne, Department of Health Sciences and Medicine, Frohburgstrasse 3, 6002, Lucerne, Switzerland.
Dima TouhamiUniversity of Lucerne, Department of Health Sciences and Medicine, Frohburgstrasse 3, 6002, Lucerne, Switzerland.
Stefan EssigCenter for Primary and Community Care, University of Lucerne, Frohburgstrasse 3, 6002, Lucerne, Switzerland.
Armin GemperliUniversity of Lucerne, Department of Health Sciences and Medicine, Frohburgstrasse 3, 6002, Lucerne, Switzerland.
University of Lucerne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo improve the continuity of care for persons with spinal cord injury (SCI) living in peripheral areas, collaboration between general practitioners (GPs) and specialists is needed. This pragmatic non-randomized interventional study assesses feasibility and effectiveness of a new primary care model based on this collaboration.

methodsThe intervention is medical education on SCI related topics offered by specialists to GPs practicing in rural areas. Outcomes are assessed and analyzed in physicians and patients. Group allocation of persons with SCI follows intention-to-treat principle with intervention group being those in close proximity to a participating GP.

resultsIt is expected that ten GPs and sixteen specialists will take part in the study's intervention. An average difference in "Doctor's opinion on collaboration questionnaire" score (mean 44; SD ± 12) from baseline after two years post-intervention in the group of participating GPs is hypothesized at P-value level <0.05; meanwhile, the control group remains at an average score of 56. Of persons with SCI (n = 395), 230 are expected to take part in the study at baseline. An average modified "Spinal Cord Injury-Secondary Conditions Scale" change in score from baseline to 24 months post intervention is expected to fall from 12.0 to 9.0 in the intervention group and to stay at 12.0 in the control group.

conclusionThe study aims to improve patients' outcomes and providers' experience with delivery of care for persons with SCI, as compared to current best practice.

trial registrationClinicalTrials.gov, NCT04071938. Registered August 28, 2018, https://www.clinicaltrials.gov/ct2/show/NCT04071938.

Indexed as

CollaborationGeneral practitionersModel of carePrimary careSpecialistsSpinal cord injury

Identifiers

PMID34869940
PMCPMC8617342
OpenAlexW3217535695

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.