Evidence map›Paper›PMID 15544701›Full record

ArticleBMC family practice2004

Family physicians' perspectives on practice guidelines related to cancer control.

Louise Zitzelsberger, Eva Grunfeld, Ian D Graham

Abstract read
In one paragraph

Article in BMC family practice, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. Guideline sheets on the side effects of anticancer drugs are useful for general practitioners.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Trial
  3. Do cancer patients benefit from short-term contact with a general practitioner following cancer treatment? A randomised, controlled study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2005
    Trial
  4. Article
  5. Informing the delivery of cancer survivorship care in rural primary care practice.Journal of cancer survivorship : research and practice · 2022
    Article
  6. Article
  7. Family Physicians' Knowledge, Attitudes, and Practices Toward Colorectal Cancer Screening.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Should primary care guidelines be written by family physicians? NO.Canadian family physician Medecin de famille canadien · 2016
    Article
  13. Article
  14. Article
  15. Primary care for young adult cancer survivors: an international perspective.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2010
    Review
  16. Review
  17. Article
  18. Article
  19. Young adults' experiences with cancer: comments from patients and survivors.Canadian family physician Medecin de famille canadien · 2006
    Article
  20. Article
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.

Louise ZitzelsbergerClinical Epidemiology Program, Ottawa Health Research Institute, Ottawa Hospital, Canada. lzitzelsberger@ohri.ca
Eva Grunfeld
Ian D Graham

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily physicians (FPs) play an important role in cancer control. While FPs' attitudes towards, and use of guidelines in general have been explored, no study has looked at the needs of FPs with respect to guidelines for the continuum of cancer control. The objective of this study was to understand which guideline topics FPs consider important.

methodsFive group interviews were conducted by telephone with FPs from across Ontario, Canada. Transcripts were analyzed inductively. Content analysis identified emergent themes. Themes are illustrated by representative quotes taken from the transcripts.

resultsThe main areas where FPs felt guidelines were needed most included screening - a traditional area of responsibility for FPs - and treatment and follow-up - areas where they felt they lacked the knowledge to best support patients. Confusion over best practice when faced with conflicting guidelines varied according to disease site. FPs defined good guideline formats; the most often cited forms of presentation were tear-off sheets to use interactively with patients, or a binder. Computer-based dissemination was acknowledged as the best way of widely distributing material that needs frequent updates. However, until computer use is a common aspect of practice, mail was considered the most viable method of dissemination. Guidelines designed for use by patients were supported by FPs.

conclusionsPreferred guideline topics, format, dissemination methods and role of patient guidelines identified by FPs in this study reflect the nature of their practice situations. Guideline developers and those supporting use of evidence-based guidelines (e.g., Canadian Strategy for Cancer Control) have a responsibility to ensure that FPs are provided with the resources they identify as important, and to provide them in a format that will best support their use.

Indexed as

Attitude of Health PersonnelClinical CompetenceAdultBenchmarkingColorectal NeoplasmsContinuity of Patient CareFamily PracticeFemaleHumansLung NeoplasmsMaleMass ScreeningOntarioPalliative CarePhysicians, FamilyPractice Guidelines as Topic

Identifiers

PMID15544701
PMCPMC535864

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.