Evidence map›Paper›PMID 36943232›Full record

ArticleThe European journal of general practice2023

Clinical pathway of COVID-19 patients in primary health care in 30 European countries: Eurodata study.

Sara Ares-Blanco, Marina Guisado-Clavero, Lourdes Ramos Del Rio, Ileana Gefaell Larrondo, Louise Fitzgerald, Limor Adler, Radost Assenova, Maria Bakola, Sabine Bayen, Elena Brutskaya-Stempkovskaya and 31 more

Open access · goldAbstract read
In one paragraph

Article in The European journal of general practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 19 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

41 authors at 20 institutions in 28 countries.

Sara Ares-BlancoFederica Montseny Health Centre, Gerencia Asistencial Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.ORCID 0000-0002-4984-8788
Marina Guisado-ClaveroInvestigation Support Multidisciplinary Unit for Primary Care and Community North Area of Madrid, Madrid, Spain.ORCID 0000-0002-8448-2929
Lourdes Ramos Del RioFederica Montseny Health Centre, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.ORCID 0000-0003-4850-2053
Ileana Gefaell LarrondoFederica Montseny Health Centre, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.ORCID 0000-0002-1635-1003
Louise FitzgeraldIrish College of General Practice, MICGP, Royal College of Physician, MRCSI, Ireland.ORCID 0009-0009-8039-3097
Limor AdlerDepartment of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-9335-6596
Radost AssenovaDepartment Urology and General Practice, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.ORCID 0000-0003-2158-5792
Maria BakolaResearch Unit for General Medicine and Primary Health Care, Faculty of Medicine, School of Health Science, University of Ioannina, Ioannina, Greece.ORCID 0000-0002-9016-9322
Sabine BayenDepartment of General Practice, University of Lille, Lille, France.ORCID 0000-0002-3334-9394
Elena Brutskaya-StempkovskayaGeneral Medicine Department, Belarusian State Medical University, Belarus.
Iliana-Carmen BusneagOccupational Health Expert, Spiru Haret University, Bucharest, Romania.ORCID 0000-0001-5611-4312
Philippe-Richard DomeyerSchool of Social Sciences, Hellenic Open University, Patra, Greece.ORCID 0000-0003-4594-1202
Dragan GjorgjievskiMedical Faculty Skopje, Center for Family Medicine, Skopje, North Macedonia.ORCID 0000-0003-1817-7632
Kathryn HoffmannGeneral Practice and Primary Care, University of Vienna, Vienna, Austria.ORCID 0000-0001-8760-4250
Оксана ІльковDepartment of Family Medicine and Outpatient Care, Medical Faculty, Uzhhorod National University, Uzhhorod, Ukraine.ORCID 0000-0002-0923-0596
Vasilis Trifon KarathanosMedical Education Uni, Laboratory of Hygiene and Epidemiology, Medical Department, Faculty of Health Sciences, University of Ioannina, Ioannina, Greece.
Aleksandar KirkovskiFaculty of Medicine, Ss. Cyril and Methodius University, Skopje, North Macedonia.ORCID 0000-0001-9002-7028
Snežana KneževićHealth center Kraljevo, Kraljevo, Serbia.ORCID 0000-0001-9137-2122
Büsra Çimen KorkmazVan Gürpınar District Public Hospital, Istanbul, Turkey.ORCID 0000-0001-7224-5734
Bruno HelenoComprehensive Health Research Center, NOVA Medical School, University Nova de Lisboa, Lisboa, Portugal.ORCID 0000-0002-3943-1858
Katarzyna NesslerDepartment of Family Medicine UJCM, University Jagielloński, Collegium Medicum, Jagielloński, Poland.ORCID 0000-0001-9869-7923
Liubovė MurauskienėDepartment of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID 0000-0002-6625-8843
Ana Luisa NevesImperial College London, London, UK.ORCID 0000-0002-7107-7211
Naldy Parodi LópezNärhälsan Kungshöjd Health Centre, Gothenburg, Sweden.ORCID 0000-0001-6367-9389
Ábel PerjésDepartment of Family Medicine, University of Semmelweis, Budapest, Hungary.ORCID 0000-0002-7176-1275
Davorina PetekDepartment of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID 0000-0002-0151-4463
Ferdinando PetrazzuoliDepartment of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Malmö, Sweden.ORCID 0000-0003-1058-492X
Goranka PetricekDepartment of Family Medicine "Andrija Stampar" School of Public Health, School of Medicine, University of Zagreb, Health Centre Zagreb West, Zagreb, Croatia.ORCID 0000-0002-6614-3085
Bohumil SeifertFirst Faculty of Medicine, Institute of General Practice, Charles University, Prague, Czech Republic.ORCID 0000-0002-6881-8840
Alice SerafiniAzienda Unità Sanitaria Locale di Modena, Modena, Italy.ORCID 0000-0002-7396-2839
Theresa SentkerCenter for Public Health and Healthcare, Hannover, Germany.ORCID 0000-0003-1162-310X
Paula TiiliCommunicable Diseases and Infection Control Unit, City of Vantaa and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-7916-7262
Péter TorzsaDepartment of Family Medicine, Semmelweis University, Budapest, Hungary.
Bert VaesDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.ORCID 0000-0001-5244-1930
Gijs van PotteberghDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.ORCID 0000-0002-4189-3517
Shlomo VinkerDepartment of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0001-9804-7103
María Pilar Astier-PeñaTerritorial Quality Unit, Territorial Directorate of Camp de Tarragona, Institut Català de la Salut, Health Department, Generalitat de Catalunya, GIBA-IIS-Aragón, Spain.ORCID 0000-0002-3192-7672
Raquel Gómez-BravoCHNP, Rehaklinik, Ettelbruck. Luxembourg.ORCID 0000-0002-3786-8626
Heidrun LingnerHannover Medical School, Center for Public Health and Healthcare, Hannover, Germany.ORCID 0000-0003-2074-0367
Clinical investigators†
Clinical investigators:
Madrid Health Service · ESUzhhorod National University · UAAndrzej Frycz Modrzewski Krakow University · PLBursa Uludağ Üni̇versi̇tesi̇ · TRKU Leuven · BESemmelweis University · HUTel Aviv University · ILUniversity Hospital Centre Zagreb · HRUniversity of Ioannina · GRUniversity of Zagreb · HRAndrija Stampar Teaching Institute of Public Health · HRBelarusian State Medical University · BYCharles University · CZGeneralitat de Catalunya · ESHannover Re (Germany) · DEHellenic Open University · GRJagiellonian University · PLLund University · SEMedical University Plovdiv · BGMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost COVID-19 patients were treated in primary health care (PHC) in Europe.

objectivesTo demonstrate the scope of PHC workflow during the COVID-19 pandemic emphasising similarities and differences of patient's clinical pathways in Europe.

methodsDescriptive, cross-sectional study with data acquired through a semi-structured questionnaire in PHC in 30 European countries, created ad hoc and agreed upon among all researchers who participated in the study. GPs from each country answered the approved questionnaire. Main variable: PHC COVID-19 acute clinical pathway. All variables were collected from each country as of September 2020.

resultsCOVID-19 clinics in PHC facilities were organised in 8/30. Case detection and testing were performed in PHC in 27/30 countries. RT-PCR and lateral flow tests were performed in PHC in 23/30, free of charge with a medical prescription. Contact tracing was performed mainly by public health authorities. Mandatory isolation ranged from 5 to 14 days. Sick leave certification was given exclusively by GPs in 21/30 countries. Patient hotels or other resources to isolate patients were available in 12/30. Follow-up to monitor the symptoms and/or new complementary tests was made mainly by phone call (27/30). Chest X-ray and phlebotomy were performed in PHC in 18/30 and 23/30 countries, respectively. Oxygen and low-molecular-weight heparin were available in PHC (21/30).

conclusionIn Europe PHC participated in many steps to diagnose, treat and monitor COVID-19 patients. Differences among countries might be addressed at European level for the management of future pandemics.

Indexed as

COVID-19Critical PathwaysCross-Sectional StudiesEuropeHumansPandemicsPrimary Health CareCOVID-19Europepatient care managementpolicyprimary health carestandard of care

Identifiers

PMID36943232
PMCPMC10324993
OpenAlexW4328048750

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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.