Evidence map›Paper›PMID 38212665›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2024

Healthcare Utilization and Supportive Care Timing in South Korean People Living With Amyotrophic Lateral Sclerosis: A Single-Center Retrospective Study.

Min Seol Jang, Shin Hye Yoo, Min Sun Kim, Belong Cho, Kyae Hyung Kim, Jeongmi Shin, Inyoung Hwang, Seok-Jin Choi, Jung-Joon Sung, Sun Young Lee

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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 2 institutions in 1 country.

Min Seol Jang *Seoul National University Graduate School of Public Health, Seoul, Korea.ORCID https://orcid.org/0000-0003-3807-7575
Shin Hye Yoo *Center for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-7473-1082
Min Sun KimPublic Healthcare Center, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-5323-9857
Belong ChoDepartment of Human Systems Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9558-689X
Kyae Hyung KimPublic Healthcare Center, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-9954-6422
Jeongmi ShinPublic Healthcare Center, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4556-1242
Inyoung HwangPublic Healthcare Center, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-0561-9024
Seok-Jin ChoiDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-6444-977X
Jung-Joon SungDepartment of Neurology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-7525-5313
Sun Young LeeDepartment of Human Systems Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1626-2721
Seoul National University Hospital · KRSeoul National University · KR

Funding

2016 SETAC Asia/Pacific ConferenceR13ES027302 · NIEHS · SOCIETY/ENVIRONMENTAL TOXICOLOGY/CHEM · PI MENZIE, CHARLES · 2016 to 2016
$6k
NIEHS NIH HHS 27302C0115
6 · The paper itself

Abstract

background and purposeDespite the growing demands and challenges faced by patients with amyotrophic lateral sclerosis (ALS) in accessing healthcare services, our understanding of this access remains poor. This study aimed to investigate the healthcare utilization patterns and timing of nutritional and respiration support in patients with ALS in South Korea.

methodsA retrospective cohort study was conducted on patients diagnosed with ALS at a single tertiary hospital between 2016 and 2019 and followed up for 2 years. We evaluated patient characteristics, healthcare utilization (hospital admissions, outpatient visits, and emergency department [ED] visits), and the timing of nutritional and respiration support (noninvasive positive pressure ventilation [NIPPV], tracheostomy, gastrostomy, and nasogastric tube) at 6-month intervals from the first outpatient visit.

resultsAmong the 143 included patients, 73.4% were admitted at least once, 18.9% experienced unplanned admissions, and 30.1% visited the ED at least once during the study period. The most-common reason for ED visits was neurological symptoms during the first 6 months (59.1%), followed by respiratory symptoms. One fifth of patients who visited the ED underwent tracheostomy (20.9%) or NIPPV (20.9%). Two years after the first visit, 32.2% used a ventilator, and 13.3%, 26.6%, and 6.3% had undergone tracheostomy, gastrostomy, and nasogastric tube insertion, respectively.

conclusionsDuring the 2 years following their first outpatient visit, 20% of patients with ALS experienced unplanned admissions and 30% visited the ED. An active and prompt supportive-care program should be implemented to ensure timely functional support in order to reduce these risks of unplanned admissions.

Indexed as

amyotrophic lateral sclerosishealthcare utilizationhospitalizationpalliative careunplanned admission

Identifiers

PMID38212665
PMCPMC10921051
OpenAlexW4390765245

What OpenQuestion holds

Textmetadata
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.