Evidence map›Paper›PMID 15082808›Full record

ReviewJournal of medical ethics2004

Ethics of evidence based medicine in the primary care setting.

A Slowther, S Ford, T Schofield

Abstract readReview
In one paragraph

Review in Journal of medical ethics, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Payment for performance and the QOF: are we doing the right thing?The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Article
  10. Article
  11. Article
  12. Article
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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

3 authors.

A SlowtherThe Ethox Centre, University of Oxford, Department of Public Health and Primary Care, Oxford, UK. Ann-marie.Slowther@ethox.ox.ac.uk
S Ford
T Schofield

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence based medicine has had an increasing impact on primary care over the last few years. In the UK it has influenced the development of guidelines and quality standards for clinical practice and the allocation of resources for drug treatments and other interventions. It has informed the thinking around patient involvement in decision making with the concept of evidence based patient choice. There are, however, concerns among primary care clinicians that evidence based medicine is not always relevant to primary care and that undue emphasis placed on it can lead to conflict with a clinician's duty of care and respect for patient autonomy. In this paper we consider the impact of evidence based medicine on primary care, and the ethical implications of its increasing prominence for clinicians and managers in primary care.

Indexed as

Ethics, MedicalDecision MakingEthics, ResearchEvidence-Based MedicineHealth PrioritiesHumansPatient ParticipationPersonal AutonomyPhysician Incentive PlansPhysician-Patient RelationsPrimary Health CarePublic HealthQuality of Health CareSocial JusticeHealth Care and Public Health

Identifiers

PMID15082808
PMCPMC1733840

What OpenQuestion 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 OpenQuestion graph.