Evidence map›Paper›PMID 37830099›Full record

ReviewBreathe (Sheffield, England)2023

The complexity of multidisciplinary respiratory care in amyotrophic lateral sclerosis.

David J Berlowitz, Susan Mathers, Karen Hutchinson, Anne Hogden, Kate A Carey, Marnie Graco, Brooke-Mai Whelan, Salma Charania, Frederik Steyn, Peter Allcroft and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Breathe (Sheffield, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  12. The changing face of the modern respiratory clinician.Breathe (Sheffield, England) · 2023
    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

12 authors at 8 institutions in 1 country.

David J BerlowitzThe University of Melbourne, Parkville, Australia.ORCID https://orcid.org/0000-0003-2543-8722
Susan MathersCalvary Health Care Bethlehem, Caulfield South, Australia.
Karen HutchinsonAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Anne HogdenSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.
Kate A CareyThe University of Melbourne, Parkville, Australia.
Marnie GracoThe University of Melbourne, Parkville, Australia.
Brooke-Mai WhelanSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Salma CharaniaMotor Neurone Disease Association of Queensland, Oxley, Australia.
Frederik SteynSchool of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Peter AllcroftSouthern Adelaide Palliative Services, Flinders Medical Centre, Bedford Park, Australia.
Ashley CrookGraduate School of Health, University of Technology Sydney, Chippendale, Australia.
Nicole L SheersThe University of Melbourne, Parkville, Australia.ORCID https://orcid.org/0000-0003-1847-4266
The University of Melbourne · AUThe University of Queensland · AUCalvary Health Care Bethlehem · AUCentral Coast Local Health District · AUFlinders University · AUMotor Neurone Disease Research Australia · AUUniversity of Technology Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Motor neurone disease/amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder with no known cure, where death is usually secondary to progressive respiratory failure. Assisting people with ALS through their disease journey is complex and supported by clinics that provide comprehensive multidisciplinary care (MDC). This review aims to apply both a respiratory and a complexity lens to the key roles and areas of practice within the MDC model in ALS. Models of noninvasive ventilation care, and considerations in the provision of palliative therapy, respiratory support, and speech and language therapy are discussed. The impact on people living with ALS of both inequitable funding models and the complexity of clinical care decisions are illustrated using case vignettes. Considerations of the impact of emerging antisense and gene modifying therapies on MDC challenges are also highlighted. The review seeks to illustrate how MDC members contribute to collective decision-making in ALS, how the sum of the parts is greater than any individual care component or health professional, and that the MDC Educational aims: To highlight the complexities surrounding respiratory care in ALS.To alert clinicians to the risk that complexity of ALS care may modify the effectiveness of any specific, evidence-based therapy for ALS.To describe the importance of person-centred care and shared decision-making in optimising care in ALS.

Identifiers

PMID37830099
PMCPMC10567075
OpenAlexW4387505252

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.