Evidence map›Paper›PMID 37919710›Full record

ArticleBMC health services research2023

Clinical service delivery implications of the COVID-19 pandemic on people with Inflammatory bowel disease: a qualitative study.

Karen Kemp, Pearl Avery, Ruby Bryant, Amanda Cross, Kayleigh Danter, Andrew Kneebone, Deborah Morris, Amy Walker, Lisa Whitley, Lesley Dibley

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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

10 authors at 9 institutions in 1 country.

Karen KempManchester Royal Infirmary, Manchester, UK. karen.kemp@mft.nhs.uk.
Pearl AverySt Mark's Hospital, Harrow, London, UK.
Ruby BryantPatient and Public Involvement Group, Swansea, UK.
Amanda CrossGloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
Kayleigh DanterPatient and Public Involvement Group, Swansea, UK.
Andrew KneeboneRoyal Bolton Hospital Foundation Trust, Bolton, UK.
Deborah MorrisEast and North Hertfordshire NHS Trust, Stevenage, Hertfordshire, UK.
Amy WalkerSouth Warwickshire NHS Foundation Trust, Warwick, UK.
Lisa WhitleyUniversity College London Hospitals NHS Foundation Trust, London, UK.
Lesley DibleyInstitute for Lifecourse Development, University of Greenwich, London, UK.
Swansea University · GBEast and North Hertfordshire NHS Trust · GBGloucestershire Hospitals NHS Foundation Trust · GBManchester Royal Infirmary · GBRoyal Bolton Hospital · GBSouth Warwickshire NHS Foundation Trust · GBSt Mark's Hospital · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Greenwich · GB

Funding

Takeda UK Ltd 20039
6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, clinical services were severely disrupted, restricted, or withdrawn across the country. People living with Inflammatory Bowel Disease (IBD) - an auto-immune disorder for which medical treatment often results in immunosuppression, thus requiring regular monitoring-may have struggled to access clinical support. As part of a larger qualitative study, we investigated experiences of access to clinical services during the pandemic, and patient concerns about and preferences for services in the future.

methodsThis exploratory qualitative study used semi-structured interviews to explore participants' experiences of clinical services across the UK during the pandemic. All data were collected remotely (March - May 2021) using online video-calling platforms or by telephone. Audio files were transcribed professionally and anonymised for analysis. Data were analysed using thematic analysis.

resultsOf the eight themes found across all data, four related specifically to accessing GP, local (district) hospital, and specialist (tertiary) referral services for IBD: 1) The Risk of Attending Hospital; 2) Missing Routine Monitoring or Treatment; 3) Accessing Care as Needed, and 4) Remote Access and The Future.

conclusionsOur findings support other studies reporting changes in use of health services, and concerns about future remote access methods. Maintenance of IBD services in some form is essential throughout crisis periods; newly diagnosed patients need additional support; future dependence on IBD services could be reduced through use of treatment / self-management plans. As the NHS digitalises it's future services, the mode of appointment-remote (telephone, video call), or in-person - needs to be flexible and suit the patient.

Indexed as

COVID-19Inflammatory Bowel DiseasesHospitalsHumansPandemicsQualitative ResearchClinical ServicesInflammatory Bowel DiseaseRemote Access

Identifiers

PMID37919710
PMCPMC10621133
OpenAlexW4388223084

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.