ArticleJournal of general internal medicine2004
The impact of evidence on physicians' inpatient treatment decisions.
Article in Journal of general internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Automating data extraction in systematic reviews: a systematic review.Systematic reviews · 2015Pooled it
- Evidence based practice in postgraduate healthcare education: a systematic review.BMC health services research · 2007Pooled it
- A mixed-methods analysis of a library-based hand-held intervention with rural clinicians.Health information and libraries journal · 2014Trial
- A KT intervention including the evidence alert system to improve clinician's evidence-based practice behavior--a cluster randomized controlled trial.Implementation science : IS · 2013Trial
- Article
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- Health Information and Global Health Inequity: Point-of-Care Knowledge Systems as a Foundation for Progress.Journal of general internal medicine · 2017Review
- A study to investigate the factors that influence the prescribing habits of non-consultant hospital doctors in Ireland.Irish journal of medical science · 2017Article
- How to understand and conduct evidence-based medicine.Korean journal of anesthesiology · 2016Review
- The effect of scientific evidence on conservation practitioners' management decisions.Conservation biology : the journal of the Society for Conservation Biology · 2015Article
- Point of care information services: a platform for self-directed continuing medical education for front line decision makers.Postgraduate medical journal · 2015Review
- Article
- English-based Pediatric Emergency Medicine Software Improves Physician Test Performance on Common Pediatric Emergencies: A Multicenter Study in Vietnam.The western journal of emergency medicine · 2013Article
- President's column: interoperability--the 30% solution: from dialog and rhetoric to reality.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Clarity and strength of implications for practice in medical journal articles: an exploratory analysis.BMJ quality & safety · 2011Article
- Current Status and Future Prospects of Clinical Psychology: Toward a Scientifically Principled Approach to Mental and Behavioral Health Care.Psychological science in the public interest : a journal of the American Psychological Society · 2008Article
- A comparison of primary care information content in UpToDate and the National Guideline Clearinghouse.Journal of the Medical Library Association : JMLA · 2007Article
- Are there differences in online resources for answering primary care questions?AMIA ... Annual Symposium proceedings. AMIA Symposium · 2005Article
- The essence of EBM.BMJ (Clinical research ed.) · 2004Article
- Hospital care of general medicine patients: the importance of evidence.Journal of general internal medicine · 2004Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePrevious studies have shown that most medical inpatients receive treatment supported by strong evidence (evidence-based treatment), but they have not assessed whether and how physicians actually use evidence when making their treatment decisions. We investigated whether physicians would change inpatient treatment if presented with the results of a literature search.
designBefore-after study.
settingLarge public teaching hospital.
participantsRandom sample of 146 inpatients cared for by 33 internal medicine attending physicians.
interventionsAfter physicians committed to a specific diagnosis and treatment plan, investigators performed standardized literature searches and provided the search results to the attending physicians. MEASUREMENTS AND MAIN
resultsThe primary study outcome was the number of patients whose attending physicians would change treatment due to the literature searches. These changes were evaluated by blinded peer review. A secondary outcome was the proportion of patients who received evidence-based treatment before and after the literature searches. Attending physicians changed treatment for 23 (18%) of 130 eligible patients (95% confidence interval, 12% to 24%) as a result of the literature searches. Overall, 86% of patients (112 of 130) received evidence-based treatments before the searches and 87% (113 of 130) after the searches. Changes were not related to whether patients were receiving evidence-based treatment before the search (P =.6). Panels of peer reviewers judged the quality of patient care as improved or maintained for 18 (78%) of the 23 patients with treatment changes.
conclusionsSearching the literature could improve the treatment of many medical inpatients, including those already receiving evidence-based treatment.
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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.