Evidence map›Paper›PMID 12016185›Full record

ArticleBMJ (Clinical research ed.)2002

Impaired glucose tolerance: qualitative and quantitative study of general practitioners' knowledge and perceptions.

Graeme Wylie, A Pali S Hungin, Joanne Neely

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Can type 2 diabetes be prevented in UK general practice? A lifestyle-change feasibility study (ISAIAH).The British journal of general practice : the journal of the Royal College of General Practitioners · 2008
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Screening and identifying diabetes in optometric practice: a prospective study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    Article
  13. Article
  14. Review
  15. Article
  16. [Impaired glucose metabolism in patients with ischaemic heart disease].Clinical research in cardiology : official journal of the German Cardiac Society · 2006
    Article
  17. Lifestyle management for type 2 diabetes. Are family physicians ready and willing?Canadian family physician Medecin de famille canadien · 2004
    Article
  18. The prevention of type 2 diabetes: general practitioner and practice nurse opinions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004
    Article
  19. Lifestyle interventions for type 2 diabetes. Relevance for clinical practice.Canadian family physician Medecin de famille canadien · 2003
    Review
  20. Targeting people with pre-diabetes.BMJ (Clinical research ed.) · 2002
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Graeme WylieCentre for Integrated Health Care Research, Wolfson Research Institute, University of Durham, Stockton-on-Tees TS17 6BH. graeme.wylie@dur.ac.uk
A Pali S Hungin
Joanne Neely

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate general practitioners' knowledge of and attitudes to impaired glucose tolerance.

designMixed methodology qualitative and quantitative study with semistructured interviews, focus groups, and questionnaires.

setting34 general practitioners in five primary care groups in the north east of England.

resultsAll the general practitioners had knowledge of impaired glucose tolerance as a clinical entity, but they had little awareness of the clinical significance of impaired glucose tolerance and were uncertain about managing and following up these patients. Attitudes to screening were mixed and were associated with reservations about increased workload, concern about lack of resources, and pessimism about the effectiveness of lifestyle interventions. Some general practitioners felt strongly that screening patients for impaired glucose tolerance and subsequent lifestyle intervention medicalised an essentially social problem and that a health educational approach, involving schools and the media, should be adopted instead. A minority expressed a positive attitude towards a pharmacological approach.

conclusionAwareness of impaired glucose tolerance needs to be raised, and guidelines for management are needed. General practitioners remain to be convinced that they have a role in attempting to reduce the incidence of type 2 diabetes by targeting interventions at patients with impaired glucose tolerance.

Indexed as

Attitude of Health PersonnelClinical CompetenceGlucose IntolerancePhysicians, FamilyFocus GroupsHumans

Identifiers

PMID12016185
PMCPMC111113

What OpenQuestion holds

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Registered trials

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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.