Evidence map›Paper›PMID 42128489›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2026

Integrated care for chronic respiratory disease: a narrative review.

Michael C Steiner, Louise Ryan, Irene Valero-Sanchez, Onyeka Umerah, Thomas J C Ward

Abstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Michael C SteinerDepartment of Respiratory Sciences, University of Leicester, Glenfield Hospital, Leicester, UK ms346@leicester.ac.uk.
Louise RyanNHS Leicester, Leicestershire and Rutland Integrated Care Board, Leicester, UK.
Irene Valero-SanchezNHS Leicester, Leicestershire and Rutland Integrated Care Board, Leicester, UK.
Onyeka UmerahNHS Leicester, Leicestershire and Rutland Integrated Care Board, Leicester, UK.
Thomas J C WardDepartment of Respiratory Sciences, University of Leicester, Glenfield Hospital, Leicester, UK.ORCID https://orcid.org/0000-0002-2748-4063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integration of healthcare services for people with chronic respiratory disease (CRD) is proposed as a means to improve the delivery of evidence-based therapies, thereby improving outcomes, experience of care and reducing health inequalities. In this narrative review we define categories of integration interventions, present a structured assessment of the evidence supporting both horizontal and vertical integrated care models and case-finding in CRD, and describe the implications for the implementation and scaling of integrated care programmes in clinical practice. Our findings suggest better coordination of the provision of evidence-based interventions through horizontal integration can improve clinical outcomes in CRDs, including reducing episodes of unscheduled care. Vertical integration provided by different organisational units in healthcare systems can enhance delivery of evidence-based interventions but impact on longer-term outcomes is less clear. The available evidence, whilst providing support for integration, does not conclusively support a specific model of care or organisational structure. Careful attention is required to define components of integrated care interventions. Study duration and choice of outcomes are key to evaluating clinical and cost effectiveness in future trials.

Indexed as

Delivery of Health Care, IntegratedLungRespiratory Tract DiseasesChronic DiseaseEvidence-Based MedicineHumansTreatment Outcome

Identifiers

PMID42128489
PMCPMC13169065

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.