Evidence map›Paper›PMID 36852527›Full record

ArticleACR open rheumatology2023

Enhancing Care Partnerships Using a Rheumatology Dashboard: Bringing Together What Matters Most to Both Patients and Clinicians.

Aricca D Van Citters, Alysha J Taxter, Stephanie D Mathew, Erica Lawson, Joad Eseddi, Vincent Del Gaizo, Jabeen Ahmad, Puneet Bajaj, Stacy Courtnay, Lesley Davila and 8 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

18 authors at 1 institution in 1 country.

Aricca D Van CittersDartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.ORCID https://orcid.org/0000-0002-2961-5661
Alysha J TaxterNationwide Children's Hospital, Columbus, Ohio.ORCID https://orcid.org/0000-0002-2429-116X
Stephanie D MathewDartmouth Health, Lebanon, New Hampshire.
Erica LawsonUniversity of California, San Francisco, San Francisco, California.
Joad EseddiThe University of Texas Southwestern Medical Center, Dallas, Texas.ORCID https://orcid.org/0000-0003-1083-5362
Vincent Del GaizoParent partner.
Jabeen AhmadDartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.
Puneet BajajThe University of Texas Southwestern Medical Center, Dallas, Texas.ORCID https://orcid.org/0000-0002-8688-4059
Stacy CourtnayPatient partner.
Lesley DavilaThe University of Texas Southwestern Medical Center, Dallas, Texas.
Brittany DonaldsonAtrium Health Wake Forest Baptist, Winston-Salem, North Carolina.
Yukiko KimuraJoseph M. Sanzari Children's Hospital and Hackensack Meridian School of Medicine, Hackensack, New Jersey.
Tzielan LeeStanford University School of Medicine, Palo Alto, California.
John N MecchellaDartmouth Health, Lebanon, New Hampshire.
Eugene C NelsonDartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.
Scott PompaDartmouth Health, Lebanon, New Hampshire.
Doreen TabussiJoseph M. Sanzari Children's Hospital and Hackensack Meridian School of Medicine, Hackensack, New Jersey.
Lisa C JohnsonDartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.
Dartmouth Institute for Health Policy and Clinical Practice · US

Funding

ARTHFN 639214
6 · The paper itself

Abstract

objectiveDashboards can support person-centered care by helping people partner with their clinicians to coproduce care based on preferences, shared decision-making, and evidence-based treatments. We engaged caregivers of children with juvenile idiopathic arthritis (JIA), adults with rheumatoid arthritis (RA), and clinicians in a pilot study to assess their experiences and the utility and impact of an electronic previsit questionnaire and point-of-care dashboard to support coproduction of rheumatology care.

methodsWe employed a mixed-methods design to assess users' perceptions of a customized electronic health record rheumatology module at four pediatric rheumatology practices and two adult rheumatology practices. We surveyed a convenience sample of caregivers of children with JIA (n = 113), adults with RA (n = 116), and clinicians (n = 12). We conducted semistructured interviews with 13 caregivers and patients and six care teams. Experiences were evaluated using descriptive statistics and thematic analyses.

resultsCaregivers of children with JIA and adults with RA reported the dashboards were useful during discussions (88%) and helped them talk about what mattered most (82%), make health care decisions (83%), and create a treatment plan (77%). Clinicians provided similar feedback. Two-thirds (67%) of caregivers and adults and 55% of clinicians would recommend the dashboard to peers. System usability scores (77.1 ± 15.6) were above average. Dashboards helped users make sense of health information, communicate more effectively, and make decisions. Improvements to the dashboards and workflows could enhance patient self-management and clinician efficiency.

conclusionVisual point-of-care dashboards can support caregivers, patients, and clinicians to coproduce rheumatology care. Findings demonstrate a need to spread and scale for broader benefit and impact.

Identifiers

PMID36852527
PMCPMC10100696
OpenAlexW4322616869

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.