Clinical Research Oriented Workshop (CROW) Meeting: Feb 10, 2022

 1.                   Warm Up: Proposals and pubs all progressing, plus faculty interviews at RMS; the challenges of staying on the cycle of editing/submission rather than cleaning the house!

2.                   Levi: Review manuscript titled “The impact of COVID-19 burden on functional health among adult primary care patients with multiple chronic conditions: a longitudinal study”  Not ready for cone of silence. We are looking for overall feedback. Any ideas on where to submit this?  Can you pick a section to focus on so we don’t get a bunch of feedback on intro/methods. Discussion probably needs the most work.

a.       Is it functional health (title) or what is used in the manuscript?  Why not just health?  Health status? Health outcomes?

b.       Journal: Consider JGIM

c.       Introduction: isn’t obvious that those that perceive Covid burden as heavier would have worse health status? How would this relate to the phenomenon of catastrophizing a difficult experience?

                                                   i.      There were multiple options for measuring burden; the personal questions were of most interest

                                                 ii.      How to intervene on burden – address in Discussion section

                                               iii.      Relevance is in the need to screen, address, treat, and follow up w MCC patients experiencing a pandemic

1.       Also, the need for patient initiated reach out for resources and care

                                               iv.      This is a descriptive piece: historical relevance when we don’t know the long term consequences of Covid.  In the future, we will need this baseline to understand the long term effects – supports future epidemiological understanding

d.       Methods

                                                   i.      “Follow up survey” refers to “Wave 4” – but this is a nonessential detail for the manuscript

                                                 ii.      Liked Table 1; recreate as a figure?

e.       Results

                                                   i.      Table 2: why multiple columns – is there an important difference among these Personal burden responses?  Bring these out

1.       Consider adding an “overall column” or “total N column”

2.       Or a Table 1 with a single column, and Table 2 for “Other Covid Indicators”

3.       “Don’t waste a Table 1 with a single column” is a good guide, but add the Total Column

f.        Discussion

                                                   i.      What a discussion section is for: critically analyze results, context of literature, strengths and limitations, take home message, other interesting findings, next step (maybe)

1.       Context: what we know and what we don’t know – relevance

2.       Reinforce the answer to the research question

                                                 ii.      Message: focus on the take home message – the value of this study epidemiologically in this historic bubble early into the pandemic

1.       There is validity to asking someone in the midst of a pandemic simple questions to assess their overall health

g.       Send your other comments in to Levi!

3.                   Next week:  TBD