Evidence map›Paper›PMID 36517744›Full record

ArticleBMC primary care2022

Identifying airway obstruction in primary care: is there a role for physiotherapists?

Lisa Pagano, Sarah Dennis, Sally Wootton, Sriram Mahadev, Andrew S L Chan, Nicholas Zwar, Deborah Pallavicini, Zoe McKeough

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

Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

8 authors at 4 institutions in 1 country.

Lisa PaganoSydney School of Health Sciences, Faculty of Medicine and Health, Level 7, D18 - Susan Wakil Health Building, The University of Sydney, Camperdown, NSW, 2006, Australia.
Sarah DennisSydney School of Health Sciences, Faculty of Medicine and Health, Level 7, D18 - Susan Wakil Health Building, The University of Sydney, Camperdown, NSW, 2006, Australia.
Sally WoottonSydney School of Health Sciences, Faculty of Medicine and Health, Level 7, D18 - Susan Wakil Health Building, The University of Sydney, Camperdown, NSW, 2006, Australia.
Sriram MahadevChronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, Sydney, Australia.
Andrew S L ChanChronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, Sydney, Australia.
Nicholas ZwarFaculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia.
Deborah PallaviciniSydney North Primary Health Network, St Leonards, Australia.
Zoe McKeoughSydney School of Health Sciences, Faculty of Medicine and Health, Level 7, D18 - Susan Wakil Health Building, The University of Sydney, Camperdown, NSW, 2006, Australia. zoe.mckeough@sydney.edu.au.
University of Sydney · AUBond University · AUNorthern Sydney Local Health District · AUSouth Western Sydney Local Health District · AU

Funding

Chronic and Complex Care, Primary and Community Health, Northern Sydney Local Health District NSHN/16/34510
6 · The paper itself

Abstract

aimsTo examine the implementation of a physiotherapist-driven spirometry case finding service in primary care to identify new cases of COPD and confirm diagnosis of existing cases of COPD.

methodsFour general practices were recruited. 'At risk' participants (aged ≥ 40 years, current/ex-smoker) and people with 'existing' COPD were identified from practice databases and invited to attend an assessment with a cardiorespiratory physiotherapist in each general practice. The physiotherapist performed pre/post-bronchodilator spirometry to identify or confirm a diagnosis of COPD (FEV

resultsOne hundred forty eight participants (mean age 70 years (SD 11.1), 57% female) attended a baseline assessment (117 'at risk', 31'existing' COPD) from 748 people invited. Physiotherapists performed 145 pre/post bronchodilator spirometry assessments. Obstruction on post-bronchodilator spirometry was confirmed in 17% (19/114) of 'at risk' and 77% (24/31) of 'existing' COPD. Majority of cases were classified as GOLD Stage II (63%, n = 27). Quality of pre/post bronchodilator spirometries for FEV

conclusionPhysiotherapists integrated into primary care performed high quality spirometry testing, successfully case finding 'at risk' patients and identifying potential misdiagnosis of obstruction in some 'existing' COPD cases.

trial registrationANZCTR, ACTRN12619001127190. Registered 12 August 2019 - Retrospectively registered, http://www.ANZCTR.org.au/ACTRN12619001127190.aspx.

Indexed as

Airway ObstructionPhysical TherapistsPulmonary Disease, Chronic ObstructiveAgedBronchodilator AgentsFemaleForced Expiratory VolumeHumansMalePrimary Health CareBronchodilator AgentsAllied healthCOPDDiagnosisPrimary careSpirometry

Identifiers

PMID36517744
PMCPMC9748384
OpenAlexW4311358124

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.