Evidence map›Paper›PMID 39876668›Full record

ArticleAnnals of medicine2025

Managing cognitive impairment in patients with chronic obstructive pulmonary disease (COPD) in Saudi Arabia: what are the current practices?

Rayan A Siraj, Ahmed M Alrajeh, Mushabbab A Alahmari, Fahad H Alahmadi, Abdulelah M Aldhahir, Abdullah A Alqarni, Jaber S Alqahtani, Saeed M Alghamdi, Turki M Alanazi, Abdullah Alruwaili and 10 more

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Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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

20 authors.

Rayan A SirajDepartment of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Hofuf, Saudi Arabia.ORCID 0000-0002-4238-9419
Ahmed M AlrajehDepartment of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Hofuf, Saudi Arabia.
Mushabbab A AlahmariDepartment of Respiratory Therapy, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia.
Fahad H AlahmadiRespiratory Therapy Department, College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia.
Abdulelah M AldhahirRespiratory Therapy Program, Nursing Department, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Abdullah A AlqarniDepartment of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.
Jaber S AlqahtaniDepartment of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, Saudi Arabia.ORCID 0000-0003-1795-5092
Saeed M AlghamdiClinical Technology Department, Respiratory Care Program, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia.ORCID 0000-0002-6677-1110
Turki M AlanaziDepartment of Respiratory Therapy, King Saud Bin Abdelaziz University for Health Sciences, Al Ahsa, Saudi Arabia.
Abdullah AlruwailiKing Abdullah International Medical Research Center, Al Ahsa, Saudi Arabia.
Saleh S AlgarniDepartment of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Abdulrhman S AlghamdiDepartment of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Tawah H AlsindiDepartment of Respiratory Therapy Program, Inaya Medical College, Riyadh, Saudi Arabia.
Mohammed M AlyamiRespiratory Therapy Department, Batterjee Medical College, Khamis Mushait, Saudi Arabia.
Faisal A AlshehriRespiratory Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia.
Talal AlshammariOccupational Therapy Department, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Al Ahsa, Saudi Arabia.
Rehab AlhasaniDepartment of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Khalid AlrashedNeurology Department, King Fahad Specialist Hospital- Dammam, Dammam, Saudi Arabia.
Nawaf E SabirAdult Critical Care Department, King Abdulaziz University Hospital-Jeddah, Jeddah, Saudi Arabia.
Ataa F MesbahAdult Critical Care Department, King Abdulaziz University Hospital-Jeddah, Jeddah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCognitive impairment is a common comorbidity, yet overlooked, in patients with chronic obstructive pulmonary disease (COPD). However, little is known about the current practice and perceptions of physicians on recognising and managing cognitive impairment in patients with COPD in Saudi Arabia. This study aimed to investigate current practices and perceptions of physicians in Saudi Arabia regarding the recognition and management of cognitive impairment in COPD patients.

methodsAn online cross-sectional questionnaire was distributed between March and October 2023 to physicians in Saudi Arabia. The collected responses were analysed using descriptive statistics.

resultsA total of 808 physicians completed the online survey. Of whom, only 19% indicated receiving adequate training for managing cognitive impairment. Although the vast majority of physicians reported that cognitive impairment leads to underestimation of COPD severity (85%) and interferes with self-management (85%), only 11% agreed on the important role of screening. In addition, only half of the study participants aimed to identify possible cognitive impairment, with only 4% screening for cognitive impairment during patients' assessment. The overall confidence level in recognising and managing cognitive impairment was relatively low. The most common barriers contributing to the suboptimal management of cognitive impairment in COPD were poor training (62%), the absence of standardised procedures (63%) and limited knowledge (58%) about cognitive impairment in COPD.

conclusionThe current practice of recognising and managing cognitive impairment in Saudi Arabia is suboptimal. This is likely to be attributed to inadequate training, the absence of standardised procedures, and limited knowledge about cognitive impairment in COPD. Healthcare systems should provide more training and implement a holistic approach to detect and manage cognitive impairment during patients' visits.

Indexed as

Cognitive DysfunctionPractice Patterns, Physicians'Pulmonary Disease, Chronic ObstructiveAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSaudi ArabiaSeverity of Illness IndexSurveys and Questionnaireschronic obstructiveCognitive dysfunctioncomorbiditydementiapulmonary disease

Identifiers

PMID39876668
PMCPMC11780691

What OpenQuestion holds

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LicenceCC BY
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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.