Evidence map›Paper›PMID 39090530›Full record

ArticleThe journal of headache and pain2024

An interdisciplinary integrated specialized one-stop outpatient clinic for idiopathic intracranial hypertension - a comprehensive assessment of patient satisfaction.

Gabriel Bsteh, Stefan Macher, Nik Krajnc, Wolfgang Marik, Martin Michl, Nina Müller, Sina Zaic, Jürgen Harreiter, Klaus Novak, Christian Wöber and 1 more

Abstract read
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Article in The journal of headache and pain, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Gabriel BstehDepartment of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Vienna, Austria. gabriel.bsteh@meduniwien.ac.at.
Stefan MacherDepartment of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Vienna, Austria.
Nik KrajncDepartment of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Vienna, Austria.
Wolfgang MarikComprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria.
Martin MichlDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.
Nina MüllerDepartment of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Vienna, Austria.
Sina ZaicDepartment of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Vienna, Austria.
Jürgen HarreiterDivision of Endocrinology, Department of Internal Medicine, Medical University of Vienna, Vienna, Austria.
Klaus NovakComprehensive Center for Clinical Neurosciences & Mental Health, Medical University of Vienna, Vienna, Austria.
Christian WöberDepartment of Neurology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Vienna, Austria.
Berthold PempDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of idiopathic intracranial hypertension (IIH) is complex requiring contributions from multiple specialized disciplines. In practice, this creates considerable organizational and communicational challenges. To meet those challenges, we established an interdisciplinary integrated outpatient clinic for IIH with a central coordination and a one-stop concept. Here, we aimed to evaluate effects of this one-stop concept on subjective patient satisfaction and economic outcome in patients with IIH.

methodsIn a retrospective cohort study, we compared the one-stop era with integrated care (IC, 1-JUL-2021 to 31-DEC-2022) to a reference group receiving standard care (SC, 1-JUL-2018 to 31-DEC-2019) regarding subjective patient satisfaction (assessed by the Vienna Patient Inventory). Multivariable binary linear regression models were used to adjust for confounders.

resultsBaseline characteristics of the IC group (n = 85) and SC group (n = 81) were comparable (female: 90.6% vs. 90.1%; mean age: 33.6 vs. 32.8 years, educational level: ≥9 years of education 60.0% vs. 59.3%; located in Vienna 75.3% vs. 76.5%). Compared to SC, management within IC concept was associated with statistically significantly higher subjective patient satisfaction (beta = 0.93; p < 0.001) with the strongest effects observed in satisfaction with treatment accessibility and availability (beta = 2.05; p < 0.001). Subgroup analyses of patients with migration background and language barrier consistently indicated stronger effects of IC in these groups.

conclusionsInterdisciplinary integrated management of IIH statistically significantly and clinically meaningfully improves patient satisfaction - particularly in socioeconomically underprivileged patient groups. Providing structured central coordination to facilitate and improve access to interdisciplinary management provides means to further improve outcome.

Indexed as

Ambulatory Care FacilitiesPatient SatisfactionPseudotumor CerebriAdultAustriaDelivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedPatient Care TeamRetrospective StudiesAccessibilityAvailabilityFacilitiesIdiopathic intracranial hypertensionManagementOne-stop outpatient clinicOutcomePatient satisfactionRelationSettingStaff competence

Identifiers

PMID39090530
PMCPMC11295347

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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.