Evidence map›Paper›PMID 37637892›Full record

ArticleFrontiers in psychology2023

It's a helluva journey: a qualitative study of patient and clinician experiences of nausea and vomiting syndromes.

Gabrielle Sebaratnam, Mikaela Law, Elizabeth Broadbent, Armen A Gharibans, Christopher N Andrews, Charlotte Daker, Greg O'Grady, Stefan Calder, Celia Keane

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

5 citing papers in PubMed, 14 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

9 authors at 3 institutions in 2 countries.

Gabrielle SebaratnamAlimetry Ltd., Auckland, New Zealand.
Mikaela LawAlimetry Ltd., Auckland, New Zealand.
Elizabeth BroadbentThe Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand.
Armen A GharibansAlimetry Ltd., Auckland, New Zealand.
Christopher N AndrewsAlimetry Ltd., Auckland, New Zealand.
Charlotte DakerThe Department of Gastroenterology, Waitematā District Health Board, Auckland, New Zealand.
Greg O'GradyAlimetry Ltd., Auckland, New Zealand.
Stefan CalderAlimetry Ltd., Auckland, New Zealand.
Celia KeaneThe Department of Surgery, The University of Auckland, Auckland, New Zealand.
University of Auckland · NZUniversity of Calgary · CAWaitemata District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic gastroduodenal disorders including, chronic nausea and vomiting syndrome, gastroparesis, and functional dyspepsia, are challenging to diagnose and manage. The diagnostic and treatment pathways for these disorders are complex, costly and overlap substantially; however, experiences of this pathway have not been thoroughly investigated. This study therefore aimed to explore clinician and patient perspectives on the current clinical pathway. Methods: Semi-structured interviews were conducted between June 2020 and June 2022 with 11 patients with chronic nausea and vomiting syndrome alone (based on Rome IV criteria) and nine gastroenterologists who treat these conditions. Interviews were recorded, transcribed, and thematically analyzed using a reflexive, iterative, inductive approach. Five key patient themes were identified: (1) the impacts of their chronic gastroduodenal symptoms, (2) the complexity of the clinical journey, (3) their interactions with healthcare providers, (4) the need for advocacy, and (5) their experience of treatments. Five key clinician themes were also identified: (1) these conditions were seen as clinically complex, (2) there is an uncertain and variable clinical pathway, (3) the nuance of investigations, (4) these conditions were difficult to therapeutically manage, and (5) there are barriers to developing a therapeutic relationship. Conclusion: Findings indicate that both patients and clinicians are dissatisfied with the current clinical care pathways for nausea and vomiting syndromes. Recommendations included the development of more clinically relevant and discriminant tests, standardization of the diagnostic journey, and the adoption of a multidisciplinary approach to diagnosis and treatment.

Indexed as

chronic nausea and vomiting syndromeclinical care pathwaysdisorders of gut-brain interactionfunctional gastrointestinal disordersgastroparesishealthcare utilizationinterview

Identifiers

PMID37637892
PMCPMC10457000
OpenAlexW4385753265

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.