Evidence map›Paper›PMID 38286570›Full record

ArticleOpen heart2024

Outpatient care of adults with congenital heart disease in the UK: a qualitative appraisal of the clinician perspective.

Isobel Chaudhry, Anisa Ghassani, Jo Wray, Bill Chaudhry, Louise Coats

Abstract read
In one paragraph

Article in Open heart, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

5 authors.

Isobel ChaudhryPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Anisa GhassaniPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Jo WrayHeart and Lung Directorate, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0002-4769-1211
Bill ChaudhryBiosciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Louise CoatsPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK louise.coats@newcastle.ac.uk.ORCID 0000-0003-3422-5497

Funding

British Heart Foundation RG/19/2/34256
6 · The paper itself

Abstract

objectiveThis study aimed to explore clinicians' perspectives of ambulatory care in adult congenital heart disease (ACHD).

methodsSemistructured interviews were carried out remotely (Zoom) with a range of physicians providing ambulatory care to patients with ACHD across the UK. The chronic care model, thrive and candidacy frameworks were used to design prompt guides and subsequently develop themes. A framework approach was used to code and analyse transcripts, which were managed in NVivo.

results21 clinicians (43% females, 38% specialists) from 10/12 ACHD networks in the UK participated. Shared themes included the purpose of the clinic appointment, problems in the 'hub-and-spoke' care system, role of the general practitioner and ACHD specialist nurse, communication with patients, burden of ambulatory care and patient self-management. Reflecting on these themes, participants identified resources, what care and how and by it is delivered alongside the role of the patient as key areas for future research.

conclusionsThe present structure of ACHD ambulatory care is neither patient-centred nor equitable. The concerned clinicians raise the question whether increasing resource alone without changing structure will lead to better outcomes for patients.

Indexed as

Heart Defects, CongenitalAdultAmbulatory CareAmbulatory Care FacilitiesFemaleHumansMaleUnited KingdomHealth ServicesHeart Defects, CongenitalQuality of Health Care

Identifiers

PMID38286570
PMCPMC10826567

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.