Evidence map›Paper›PMID 10764366›Full record

Trial reportBMJ (Clinical research ed.)2000

Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care.

P Kinnersley, E Anderson, K Parry, J Clement, L Archard, P Turton, A Stainthorpe, A Fraser, C C Butler, C Rogers

3 registry-linked trialsAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 89 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 13 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.

NCT00461201 naunknown statusnot on this mapstarted 2009, after this paper: background citation

Effectiveness of an Intervention in Primary Care: Randomized Controlled Trial Comparing Care for Patients Requesting Same Day Consultations by Nurse Practitioner vs General Practitioners

TypeinterventionalSponsorCatalan Institute of HealthRan2009Enrolled1,640ConditionsAcute Disease, Nursing Care, Ambulatory Care, Family PracticeArmsNurse practitioner care of patients
NCT01388374 nacompletednot on this mapstarted 2010, after this paper: background citation

A Study on the (Cost-)Effectiveness of Nurse Practitioners Working at the Primary Out of Hours Emergency Service and the Feasibility of Implementing These Nurses

TypeinterventionalSponsorRadboud University Medical CenterRan2010 to 2012Enrolled12,092ConditionsOut of Hours Medical Care, Primary Health CareArmsOther, care provided by Nurse Practitioners
NCT02745236 nacompletednot on this mapstarted 2016, after this paper: background citation

The Effect of Nurse Practitioner-Led Care on Health Related Quality Of Life in Adult Patients With Atrial Fibrillation - A Randomized Trial

TypeinterventionalSponsorUniversity of AlbertaRan2016 to 2020Enrolled150ConditionsAtrial FibrillationArmsNurse Practitioner Led-Care, Cardiologist Led-Care
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 13 syntheses or guidelines pooled it.

  1. Pooled it
  2. Nurses as substitutes for doctors in primary care.The Cochrane database of systematic reviews · 2018
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  10. Comparing the cost of nurse practitioners and GPs in primary care: modelling economic data from randomised trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
    Pooled it
  11. Systematic review of recent innovations in service provision to improve access to primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004
    Pooled it
  12. Walk-in centres in primary care: a review of the international literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003
    Pooled it
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  19. Comparison of GP and nurse practitioner consultations: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

P KinnersleyDepartment of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff CF3 7PN.
E Anderson
K Parry
J Clement
L Archard
P Turton
A Stainthorpe
A Fraser
C C Butler
C Rogers

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo ascertain any differences between care from nurse practitioners and that from general practitioners for patients seeking "same day" consultations in primary care.

designRandomised controlled trial with patients allocated by one of two randomisation schemes (by day or within day).

setting10 general practices in south Wales and south west England. SUBJECTS: 1368 patients requesting same day consultations.

main outcome measuresPatient satisfaction, resolution of symptoms and concerns, care provided (prescriptions, investigations, referrals, recall, and length of consultation), information provided to patients, and patients' intentions for seeking care in the future.

resultsGenerally patients consulting nurse practitioners were significantly more satisfied with their care, although for adults this difference was not observed in all practices. For children, the mean difference between general and nurse practitioner in percentage satisfaction score was -4.8 (95% confidence interval -6.8 to -2.8), and for adults the differences ranged from -8.8 (-13.6 to -3.9) to 3.8 (-3.3 to 10.8) across the practices. Resolution of symptoms and concerns did not differ between the two groups (odds ratio 1.2 (95% confidence interval 0.8 to 1.8) for symptoms and 1.03 (0.8 to 1.4) for concerns). The number of prescriptions issued, investigations ordered, referrals to secondary care, and reattendances were similar between the two groups. However, patients managed by nurse practitioners reported receiving significantly more information about their illnesses and, in all but one practice, their consultations were significantly longer.

conclusionThis study supports the wider acceptance of the role of nurse practitioners in providing care to patients requesting same day consultations.

Indexed as

Acute DiseaseAdolescentAdultAgedChildChild, PreschoolEnglandFamily PracticeFemaleHumansInfantInfant, NewbornMaleMiddle AgedNurse PractitionersPatient Acceptance of Health Care

Identifiers

PMID10764366
PMCPMC27347

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.