Evidence map›Paper›PMID 39020478›Full record

ArticleJournal of foot and ankle research2024

Patient experience of the process to diagnosis of chronic limb-threatening ischaemia: A qualitative study.

Eleanor Atkins, Ian Kellar, Panagiota Birmpili, Jonathan R Boyle, Arun D Pherwani, Ian Chetter, David A Cromwell

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of foot and ankle research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

7 authors.

Eleanor AtkinsClinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.ORCID https://orcid.org/0000-0002-9455-6960
Ian KellarUniversity of Sheffield, Sheffield, UK.
Panagiota BirmpiliClinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
Jonathan R BoyleDepartment of Vascular Surgery, Cambridge University Hospitals NHS Trust and Department of Surgery, University of Cambridge, Cambridge, UK.
Arun D PherwaniStaffordshire & South Cheshire Vascular Network, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Ian ChetterHull York Medical School, Hull, UK.
David A CromwellClinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.

Funding

Circulation Foundation N/ARoyal College of Surgeons of England N/A
6 · The paper itself

Abstract

introductionDelays exist at each stage of the chronic limb-threatening ischaemia (CLTI) care pathway, but there is little known about patient factors influencing delay to diagnosis of CLTI. This study explores the experiences and perceptions of patients recently diagnosed with CLTI.

methodsA qualitative interview study was conducted. Sixteen participants underwent semi-structured interviews. Reflexive thematic analysis was performed on the data, aiming to understand factors which can influence delay in the CLTI care pathway.

resultsFive interrelated themes were developed: CLTI is a devastating condition; Reluctance to ask for help; When we are empowered we get better care; Luck plays a role in the process to diagnosis; and Vascular units can do better, comprising sub-themes of information transfer-consider communication and arterial versus non-arterial centres-proximity isn't everything.

conclusionsThe five themes generated from the interview data describe factors relevant to delay given meaning by participants who have lived experience of CLTI. Theme content should be noted by clinicians, commissioners and providers looking to improve care pathways for patients with CLTI. The importance of awareness for the public, patients and clinicians linked ideas in some themes and interventions to raise awareness should be considered.

Indexed as

Qualitative ResearchAdultAgedAged, 80 and overChronic DiseaseChronic Limb-Threatening IschemiaDelayed DiagnosisFemaleHumansInterviews as TopicIschemiaMaleMiddle Agedchronic limb threatening ischaemiapatientsvascular surgery

Identifiers

PMID39020478
PMCPMC11633341

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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.