Evidence map›Paper›PMID 38621803›Full record

Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2024

Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry data.

Sahar Pahlavanyali, Øystein Hetlevik, Valborg Baste, Jesper Blinkenberg, Steinar Hunskaar

Abstract readObservational Study
In one paragraph

Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. What makes general practice work: the role of continuity in efficient and sustainable primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  10. 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.

Sahar PahlavanyaliDepartment of Global Public Health and Primary Care, University of Bergen, Bergen.ORCID 0000-0002-8401-7592
Øystein HetlevikDepartment of Global Public Health and Primary Care, University of Bergen, Bergen.ORCID 0000-0001-8912-3426
Valborg BasteThe National Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Bergen.ORCID 0000-0001-6640-9747
Jesper BlinkenbergThe National Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Bergen.ORCID 0000-0002-1713-4350
Steinar HunskaarDepartment of Global Public Health and Primary Care, University of Bergen; head, The National Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Bergen.ORCID 0000-0001-9602-6034

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite many benefits of continuity of care with a named regular GP (RGP), continuity is deteriorating in many countries.

aimTo investigate the association between RGP continuity and mortality, in a personal list system, in addition to examining how breaches in continuity affect this association for patients with chronic diseases. DESIGN AND

settingA registry-based observational study using Norwegian primary care consultation data for patients with asthma, chronic obstructive pulmonary disease (COPD), diabetes mellitus, or heart failure.

methodThe Usual Provider of Care (UPC, value 0-1) Index was used to measure both disease-related (UPC

resultsPatients with COPD with UPC

conclusionHigher disease-related and overall RGP UPC are both associated with lower mortality. However, changing RGP did not significantly affect mortality, indicating a compensatory benefit of informational and management continuity in a patient list system.

Indexed as

Continuity of Patient CareGeneral PracticeHeart FailurePulmonary Disease, Chronic ObstructiveRegistriesAdultAgedAsthmaChronic DiseaseDiabetes MellitusFemaleHumansMaleMiddle AgedNorwayPrimary Health Carechronic diseasecontinuity of caregeneral practicemortalityobservational studyprimary health care

Identifiers

PMID38621803
PMCPMC11044022

What OpenQuestion holds

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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.