Patient experience with healthcare: Feedback for a ‘Post COVID-19 clinic’ at a tertiary care center in rural area

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1. 

   ScreenIT

   Nov 30, 2021

   SciScore for 10.1101/2021.11.20.21266640: (What is this?)

   Please note, not all rigor criteria are appropriate for all manuscripts.

   Table 1: Rigor

   Ethics	IRB: This study received Institutional Review Board approval (#202105502). Consent: By completing the survey, patients provided consent to participate.
   Sex as a biological variable	not detected.
   Randomization	not detected.
   Blinding	not detected.
   Power Analysis	not detected.

   Table 2: Resources

   Software and Algorithms
   Sentences	Resources
   We collected demographic data (age, sex, and ethnicity) and asked about the 1) timing of initial SARS-CoV-2 infection, highest level of care utilized, symptoms at the time of initial infection, symptoms three months post-infection and up to four most concerning symptoms at the time of the survey; 2) impact of symptoms on perceived physical and mental health, assessed by …

   SciScore for 10.1101/2021.11.20.21266640: (What is this?)

   Please note, not all rigor criteria are appropriate for all manuscripts.

   Table 1: Rigor

   Ethics	IRB: This study received Institutional Review Board approval (#202105502). Consent: By completing the survey, patients provided consent to participate.
   Sex as a biological variable	not detected.
   Randomization	not detected.
   Blinding	not detected.
   Power Analysis	not detected.

   Table 2: Resources

   Software and Algorithms
   Sentences	Resources
   We collected demographic data (age, sex, and ethnicity) and asked about the 1) timing of initial SARS-CoV-2 infection, highest level of care utilized, symptoms at the time of initial infection, symptoms three months post-infection and up to four most concerning symptoms at the time of the survey; 2) impact of symptoms on perceived physical and mental health, assessed by the Patient Reported Outcomes Measurement Information System Global Health-10 item questionnaire (PROMIS GH-10) and effect on cognitive ability assessed by the PROMIS Cognitive Function-Abilities 4a-4 item questionnaire (PROMIS CA-4a);26-28 and 3) experiences with the PASC clinic including wait time for first appointment, distance traveled, satisfaction with services (scheduling, testing, imaging, staff), subspecialty referrals provided and completed, barriers to attending subspeciality referrals, and recommended resources for other patients with PASC.	PASC suggested: (PASC , RRID:SCR_016642)
   All statistical tests were conducted using IBM SPSS Statistics v.27 (IBM, inc. Armonk, NY), were two-sided, and p ≤0.05 was considered statistically significant.	SPSS suggested: (SPSS, RRID:SCR_002865)

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   Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

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   Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:

   Furthermore, adequate steps should be taken by policymakers and stakeholders to alleviate the additional economic burden related to evaluation and management of PASC. 41, 42 Several limitations of our study warrant consideration. The sample was primarily women, Caucasian, and symptomatic; therefore, the findings are less generalizable to men, different racial/ethnic groups, and asymptomatic patients. We were not able to send the survey in other languages like Spanish which may have decreased survey responses from the Spanish-speaking population. Other races were significantly unrepresented in our survey; however, it is also representative of the demographics of midwestern rural Iowa.43 This study is not generalizable to patients in urban areas, or patients seeking care at community and private settings. Patients with confirmed positive SARS-CoV-2 tests were seen in our PASC clinic which excludes patients who were not tested during pandemic’s initial phase. Not all the participants answered the open-ended questions, thus some participant perspectives are not represented. Nevertheless, our analysis of open-ended responses validated and contextualized the survey quantitative results. There is still possibility of recall bias for recollection of dates and symptoms. Finally, there is possibility of recovery of an unknown proportion of patients may have affected survey responses.

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   Results from TrialIdentifier: No clinical trial numbers were referenced.

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   Results from Barzooka: We did not find any issues relating to the usage of bar graphs.

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   Results from JetFighter: We did not find any issues relating to colormaps.

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   Results from rtransparent:

   • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
   • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
   • No protocol registration statement was detected.

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   Results from scite Reference Check: We found no unreliable references.

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   Version published to 10.1101/2021.11.20.21266640v1 on medRxiv

   Nov 21, 2021