Evidence map›Paper›PMID 24083367›Full record

Trial reportTelemedicine journal and e-health : the official journal of the American Telemedicine Association2013

A randomized controlled trial comparing health and quality of life of lung transplant recipients following nurse and computer-based triage utilizing home spirometry monitoring.

Stanley M Finkelstein, Bruce R Lindgren, William Robiner, Ruth Lindquist, Marshall Hertz, Bradley P Carlin, Arin VanWormer

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Long-Term Follow-up of a Randomized Controlled Trial Evaluating a Mobile Health Intervention for Self-Management in Lung Transplant Recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2017
    Trial
  6. A Randomized Controlled Trial of a Mobile Health Intervention to Promote Self-Management After Lung Transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2016
    Trial
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  9. Review
  10. Review
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  12. Observational
  13. Review
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  16. Autobiography of William N. Robiner, Ph.D.Journal of clinical psychology in medical settings · 2017
    Article
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  18. Review
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.

Stanley M Finkelstein1 Department of Laboratory Medicine and Pathology/Health Informatics, University of Minnesota , Minneapolis, Minnesota.
Bruce R Lindgren
William Robiner
Ruth Lindquist
Marshall Hertz
Bradley P Carlin
Arin VanWormer

Funding

Informatics based nurse triage in lung transplant careR01NR009212 · NINR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI FINKELSTEIN, STANLEY M · 2005 to 2008
$1.9M
NINR NIH HHS R01 NR009212
6 · The paper itself

Abstract

backgroundLung transplantation is now a standard intervention for patients with advanced lung disease. Home monitoring of pulmonary function and symptoms has been used to follow the progress of lung transplant recipients in an effort to improve care and clinical status. The study objective was to determine the relative performance of a computer-based Bayesian algorithm compared with a manual nurse decision process for triaging clinical intervention in lung transplant recipients participating in a home monitoring program. MATERIALS AND

methodsThis randomized controlled trial had 65 lung transplant recipients assigned to either the Bayesian or nurse triage study arm. Subjects monitored and transmitted spirometry and respiratory symptoms daily to the data center using an electronic spirometer/diary device. Subjects completed the Short Form-36 (SF-36) survey at baseline and after 1 year. End points were change from baseline after 1 year in forced expiratory volume at 1 s (FEV1) and quality of life (SF-36 scales) within and between each study arm.

resultsThere were no statistically significant differences between groups in FEV1 or SF-36 scales at baseline or after 1 year.: Results were comparable between nurse and Bayesian system for detecting changes in spirometry and symptoms, providing support for using computer-based triage support systems as remote monitoring triage programs become more widely available.

conclusionsThe feasibility of monitoring critical patient data with a computer-based decision system is especially important given the likely economic constraints on the growth in the nurse workforce capable of providing these early detection triage services.

Indexed as

Decision Making, Computer-AssistedHealth StatusHome Care ServicesLung TransplantationQuality of LifeTransplant RecipientsAdultAgedFemaleHumansMaleMiddle AgedMonitoring, PhysiologicSpirometryTriageYoung Adult

Identifiers

PMID24083367
PMCPMC3850431

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.