Evidence map›Paper›PMID 37430190›Full record

ArticleBMC primary care2023

The effects of an innovative GP-physiotherapist partnership in improving COPD management in primary care.

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

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

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. 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 3 institutions in 1 country.

Lisa PaganoSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Sarah DennisSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Sally WoottonChronic 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.
Sriram MahadevChronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, Sydney, Australia.
Deborah PallaviciniSydney North Primary Health Network, St Leonards, Australia.
Zoe McKeoughSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia. zoe.mckeough@sydney.edu.au.ORCID 0000-0002-3657-7229
The University of Sydney · AUNorthern Sydney Local Health District · AUBond University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence suggests that management of people with Chronic Obstructive Pulmonary Disease (COPD) in primary care has been suboptimal, in particular, with low referral rates to pulmonary rehabilitation (PR). The aim of this study was to evaluate the effectiveness of a GP-physiotherapist partnership in optimising management of COPD in primary care.

methodsA pragmatic, pilot, before and after study was conducted in four general practices in Australia. A senior cardiorespiratory physiotherapist was partnered with each general practice. Adults with a history of smoking and/or COPD, aged ≥ 40 years with ≥ 2 practice visits in the previous year were recruited following spirometric confirmation of COPD. Intervention was provided by the physiotherapist at the general practice and included PR referral, physical activity and smoking cessation advice, provision of a pedometer and review of inhaler technique. Intervention occurred at baseline, one month and three months. Main outcomes included PR referral and attendance. Secondary clinical outcomes included changes in COPD Assessment Test (CAT) score, dyspnoea, health activation and pedometer step count. Process outcomes included count of initiation of smoking cessation interventions and review of inhaler technique.

resultsA total of 148 participants attended a baseline appointment where pre/post bronchodilator spirometry was performed. 31 participants with airflow obstruction on post-bronchodilator spirometry (mean age 75yrs (SD 9.3), mean FEV

conclusionThe results of this study suggest that this model was able to increase referrals to PR from primary care and was successful in implementing some aspects of COPD management, however, was insufficient to improve symptom scores and physical activity levels in people with COPD.

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

Indexed as

Physical TherapistsPulmonary Disease, Chronic ObstructiveBronchodilator AgentsDyspneaFemaleHumansMalePrimary Health CareBronchodilator AgentsAllied healthCOPDPhysical activityPrimary carePulmonary rehabilitation

Identifiers

PMID37430190
PMCPMC10332030
OpenAlexW4383721688

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.