Evidence map›Paper›PMID 38213674›Full record

ArticleInternational journal of MS care

Direct and Indirect Care of Patients With Multiple Sclerosis: Burden on Providers and Impact of Portal Messages.

Rola Mahmoud, Katie Callahan, Doug Schell, Suzanne Carron, Salim Chahin

Abstract read
In one paragraph

Article in International journal of MS care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Rola MahmoudFrom Kansas City Physician Partners, Kansas City, MO (RM).ORCID https://orcid.org/0000-0003-0413-3532
Katie CallahanMarion Bloch Neuroscience Institute (KC, DS), Saint Luke's Hospital of Kansas City (RM, KC, DS), University of Missouri-Kansas City School of Medicine, Kansas City, MO.
Doug SchellMarion Bloch Neuroscience Institute (KC, DS), Saint Luke's Hospital of Kansas City (RM, KC, DS), University of Missouri-Kansas City School of Medicine, Kansas City, MO.
Suzanne CarronDepartment of Neurology (RM), The John L. Trotter MS Center, Washington University School of Medicine in St. Louis, St. Louis, MO (SC).
Salim Chahinthe National Multiple Sclerosis Society, St. Louis, MO (SC).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple sclerosis (MS) indirect patient-care time is often underreported and uncompensated. Data on time spent on indirect and direct care by MS providers is lacking.

methodsA survey was designed to understand the practice patterns among MS providers in the United States, including time spent on direct and indirect patient care, as well as managing electronic medical record portal messages. The National MS Society and the American Academy of Neurology facilitated the distribution of the survey to MS providers.

resultsMost providers spent at least 1 hour on new and at least 30 minutes on follow-up direct patient care. For indirect patient care, 77% of providers spent more than 1 hour and 57% spent more than 2 hours per day. While some providers have support staff to help with portal messages, many do not have protected time or compensation for portal messages.

conclusionsMultiple sclerosis providers spent a higher-than-average time on direct and indirect patient care tasks, including portal messages, and most lack protected time or compensation for portal messages. These results highlight the potential impact of indirect patient care (notably portal messages) on provider workload and burnout. Better support, protected time and/or compensation for indirect patient care can help ease physician burden and decrease burnout.

Indexed as

burnoutindirect patient caremultiple sclerosisneurologistportal messages

Identifiers

PMID38213674
PMCPMC10779709

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.