Evidence map›Paper›PMID 35902188›Full record

Trial reportBMJ open2022

Impact of a phone call with a medical student/general practitioner team on morbidity of chronic patients during the first French COVID-19 lockdown (COVIQuest): a cluster randomised trial.

Clarisse Dibao-Dina, Julie Léger, Isabelle Ettori-Ajasse, Estelle Boivin, Juliette Chambe, Karim Abou-Mrad-Fricquegnon, Sophie Sun, Maeva Jego, Baptiste Motte, Benoit Chiron and 17 more

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

Trial report in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04359875 (Does a Systematic Phone-call by a Medical Student/General Practitioner Team in Patients Suffering From a Chronic Condition During the COVID-19 Containment Period Impact One-month Hospitalization's Rate in France? A Cluster Randomized Trial), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 46% 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.

NCT04359875 nacompletednot on this map

Does a Systematic Phone-call by a Medical Student/General Practitioner Team in Patients Suffering From a Chronic Condition During the COVID-19 Containment Period Impact One-month Hospitalization's Rate in France? A Cluster Randomized Trial

TypeinterventionalSponsorUniversity Hospital, ToursRan2020 to 2020Enrolled22,000ConditionsCardiovascular Diseases, Mental DisorderArmsPhone-call screening and management by a medical student/general practitioner tandem
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. 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

27 authors at 15 institutions in 1 country.

Clarisse Dibao-DinaDepartment of General Practice, University of Tours, Tours, France clarisse.dibao-dina@univ-tours.fr.ORCID 0000-0002-1750-2846
Julie LégerCIC Tours, CHRU Tours, Tours, France.
Isabelle Ettori-AjasseDepartment of General Practice, University of Tours, Tours, France.
Estelle BoivinCIC Tours, CHRU Tours, Tours, France.
Juliette ChambeDepartment of General Practice, University of Strasbourg, Strasbourg, France.
Karim Abou-Mrad-FricquegnonDepartment of General Practice, University of Tours, Tours, France.
Sophie SunCUMG, Universite Lyon 1 Faculte de Medecine Lyon-Est, Lyon, France.ORCID 0000-0002-2202-5060
Maeva JegoDepartment of General Practice, Aix-Marseille University, Marseille, France.ORCID 0000-0003-3324-256X
Baptiste MotteDepartment of General Practice, University of Lille, Lille, France.
Benoit ChironDepartment of General Practice, Bretagne Occidentale University, Brest, France.
Stéphanie SidorkiewiczDepartment of General Practice, Hôpital Hôtel-Dieu, Sorbonne Paris Cité, Paris Descartes University, Paris, France.
Cam-Anh KhauDepartment of Medicine, University of Paris, Paris, France.
Tiphanie BouchezDepartment of General Practice, University of Nice Sophia Antipolis, Nice, France.
Maria GhaliDepartment of General Practice, University of Angers, Angers, France.
Sébastien BruelDepartment of General Practice, Faculty Jacques Lisfranc, Jean Monnet University Medical, Saint Priest en Jarez, France.
Jean-Pierre LebeauDepartment of General Practice, University of Tours, Tours, France.
Vincent CamusCHRU Tours, Tours, France.
Wissam El-HageCHRU Tours, Tours, France.
Denis AngoulvantCHRU Tours, Tours, France.
Agnès CailleINSERM U1246, Tours, France.
Leslie Guillon-GrammaticoCHRU Tours, Tours, France.
Emeline LaurentCHRU Tours, Tours, France.
Olivier Saint-LaryResearch, French National College of Teachers in General Practice, Paris, France.
Rémy BoussageonResearch, French National College of Teachers in General Practice, Paris, France.
Denis PouchainDepartment of General Practice, University of Tours, Tours, France.ORCID 0000-0001-6882-3474
Bruno GiraudeauINSERM U1246, Tours, France.
COVIQuest group
Centre Hospitalier Universitaire de Tours · FRUniversité de Tours · FRInserm · FRAix-Marseille Université · FRDélégation Paris 5 · FRUniversité Claude Bernard Lyon 1 · FRUniversité Côte d'Azur · FRUniversité d'Angers · FRUniversité de Bretagne Occidentale · FRUniversité de Lille · FRUniversité de Poitiers · FRUniversité de Strasbourg · FRUniversité Jean Monnet · FRUniversité Paris Cité · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe first COVID-19 lockdown led to a significantly reduced access to healthcare, which may have increased decompensations in frail patients with chronic diseases, especially older patients living with a chronic cardiovascular disease (CVD) or a mental health disorder (MHD). The objective of COVIQuest was to evaluate whether a general practitioner (GP)-initiated phone call to patients with CVD and MHD during the COVID-19 lockdown could reduce the number of hospitalisation(s) over a 1-month period.

designThis is a cluster randomised controlled trial. Clusters were GPs from eight French regions.

participantsPatients ≥70 years old with chronic CVD (COVIQuest_CV subtrial) or ≥18 years old with MHD (COVIQuest_MH subtrial).

interventionsA standardised GP-initiated phone call aiming to evaluate patients' need for urgent healthcare, with a control group benefiting from usual care (ie, the contact with the GP was by the patient's initiative).

main outcome measuresHospital admission within 1 month after the phone call.

resultsIn the COVIQuest_CV subtrial, 131 GPs and 1834 patients were included in the intervention group and 136 GPs and 1510 patients were allocated to the control group. Overall, 65 (3.54%) patients were hospitalised in the intervention group vs 69 (4.57%) in the control group (OR 0.82, 95% CI 0.56 to 1.20; risk difference -0.77, 95% CI -2.28 to 0.74). In the COVIQuest_MH subtrial, 136 GPs and 832 patients were included in the intervention group and 131 GPs and 548 patients were allocated to the control group. Overall, 27 (3.25%) patients were hospitalised in the intervention group vs 12 (2.19%) in the control group (OR 1.52, 95% CI 0.82 to 2.81; risk difference 1.38, 95% CI 0.06 to 2.70).

conclusionA GP-initiated phone call may have been associated with more hospitalisations within 1 month for patients with MHD, but results lack robustness and significance depending on the statistical approach used. TRIAL REGISTRATION NUMBER: NCT04359875.

Indexed as

Cardiovascular DiseasesCOVID-19General PractitionersStudents, MedicalAdolescentAgedChronic DiseaseCommunicable Disease ControlHumansMorbidityTreatment OutcomeCOVID-19preventive medicineprimary care

Identifiers

PMID35902188
PMCPMC9340580
OpenAlexW4288455770

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.