Evidence map›Paper›PMID 37709318›Full record

ArticleBMJ open2023

Perception and clinical practice regarding mucus clearance devices with chronic obstructive pulmonary disease: a cross-sectional study of healthcare providers in Saudi Arabia.

Saeed Mardy Alghamdi, Abdulaziz Alzahrani, Yousef M Alshahrani, Abdulhadi A Al Ruwaithi, Abdulelah Mastour Aldhahir, Abdullah S Alsulayyim, Rayan A Siraj, Abdulelah H Almansour, Ali M Alasmari, Jaber S Alqahtani and 4 more

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Observational
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

14 authors.

Saeed Mardy AlghamdiDepartment of Clinical Technology, Respiratory Care Program, Umm Al-Qura University, Makkah, Saudi Arabia smghamdi@uqu.edu.sa.ORCID 0000-0002-6677-1110
Abdulaziz AlzahraniDepartment of Clinical Technology, Respiratory Care Program, Umm Al-Qura University, Makkah, Saudi Arabia.
Yousef M AlshahraniDepartment of Clinical Technology, Emergency Medical Services Program, Umm Al-Qura University, Makkah, Saudi Arabia.ORCID 0000-0003-4232-2967
Abdulhadi A Al RuwaithiDepartment of Clinical Technology, Emergency Medical Services Program, Umm Al-Qura University, Makkah, Saudi Arabia.ORCID 0000-0001-6768-6463
Abdulelah Mastour AldhahirDepartment of Respiratory Therapy, Jazan University, Jazan, Saudi Arabia.ORCID 0000-0002-4270-9494
Abdullah S AlsulayyimDepartment of Respiratory Therapy, Jazan University, Jazan, Saudi Arabia.ORCID 0000-0003-3922-0548
Rayan A SirajDepartment of Respiratory Therapy, King Faisal University, Al-Hasa, Saudi Arabia.ORCID 0000-0002-4238-9419
Abdulelah H AlmansourDepartment of Family Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Ali M AlasmariDepartment of Respiratory Therapy, College of Medical Rehabilitation Services, Taibah University, Madinah, Saudi Arabia.
Jaber S AlqahtaniDepartment of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, Saudi Arabia.ORCID 0000-0003-1795-5092
Abdullah M AlanaziDepartment of Respiratory Care, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Siraj T JaishiAl-Noor Specialist Hospital, Saudi Arabia Ministry of Health, Makkah, Saudi Arabia.
Bader A AllehyaniKing Abdullah Medical City, Makkah, Saudi Arabia.
Nicholas S HopkinsonNational Heart and Lung Insititute, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesClearing secretions from the airway can be difficult for people with chronic obstructive pulmonary disease (COPD). Mucus clearance devices (MCDs) are an option in disease management to help with this, but healthcare provider awareness and knowledge about them as well as current clinical practice in Saudi Arabia are not known.

designA cross-sectional online survey consisting of four themes; demographics, awareness, recommendations and clinical practice, for MCDs with COPD patients.

settingSaudi Arabia.

participants1188 healthcare providers including general practitioners, family physicians, pulmonologists, nursing staff, respiratory therapists and physiotherapists. PRIMARY OUTCOME MEASURES: Healthcare providers' level of awareness about MCDs, and the identification of current clinical practices of COPD care in Saudi Arabia.

results1188 healthcare providers (44.4% female) completed the survey. Regarding devices, 54.2% were aware of the Flutter, 23.8% the Acapella and 5.4% the positive expiratory pressure mask. 40.7% of the respondents identified the Acapella, and 22.3% the Flutter as first choice for COPD management. 75% would usually or always consider their use in COPD patients reporting daily difficulty clearing mucus, whereas 55.9% would sometimes or usually consider the use of MCDs with COPD patients who produced and were able to clear mucus with cough. In clinical practice, 380 (32%) of the respondents would prescribe MCDs, 378 (31.8%) would give MCDs without prescriptions, 314 (26.4%) would not provide them at all and 116 (9.8%) would only advise patients about them.

conclusionHealthcare providers are aware of the existence of MCDs and their benefits for sputum clearance and believe that MCDs are beneficial for sputum clearance in some COPD patients. TRIAL REGISTRATION NUMBER: ISRCTN44651852.

Indexed as

Physical TherapistsPulmonary Disease, Chronic ObstructiveCross-Sectional StudiesFemaleHumansMaleMucusPerceptionSaudi Arabiachronic airways diseasepulmonary disease, chronic obstructiverespiratory medicine (see thoracic medicine)

Identifiers

PMID37709318
PMCPMC10503362

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.