Evidence map›Paper›PMID 19439707›Full record

ArticleCanadian family physician Medecin de famille canadien2009

Family physicians and dementia in Canada: Part 1. Clinical practice guidelines: awareness, attitudes, and opinions.

Nicholas J G Pimlott, Malini Persaud, Neil Drummond, Carole A Cohen, James L Silvius, Karen Seigel, Gary R Hollingworth, William B Dalziel

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 8 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

33 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Mini-Cog for the detection of dementia within a primary care setting.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Mini-Cog for the detection of dementia within a community setting.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Mini-Cog for the detection of dementia within a secondary care setting.The Cochrane database of systematic reviews · 2021
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  15. Canadian family physician Medecin de famille canadien · 2021
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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

8 authors.

Nicholas J G PimlottWomen's College Hospital, 60 Grosvenor St, Toronto, ON M5S 1B6, Canada. nick.pimlott@utoronto.ca
Malini Persaud
Neil Drummond
Carole A Cohen
James L Silvius
Karen Seigel
Gary R Hollingworth
William B Dalziel

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess Canadian family physicians' awareness of, attitudes toward, and use of the 1999 Canadian Consensus Conference on Dementia (CCCD) clinical practice guidelines (CPGs); to explore the barriers and enablers to implementing dementia CPGs in clinical practice; and to identify more effective strategies for future dementia guideline development and dissemination.

designQualitative study using focus groups.

settingAcademic family practice clinics in Calgary, Alta, Ottawa, Ont, and Toronto, Ont.

participantsEighteen family physicians.

methodsUsing a semistructured interview guide, we conducted 4 qualitative focus groups of 4 to 6 family physicians whose practices we had audited in a previous study. Transcripts were coded using an inductive data analytic strategy, and categories and themes were identified and described using the principles of thematic analysis. MAIN

findingsFour major themes emerged from the focus group discussions. Family physicians 1) were minimally aware of the existence and the detailed contents of the CCCD guidelines; 2) had strong views about the purposes of guidelines in general; 3) expressed strong concerns about the role of the pharmaceutical industry in the development of such guidelines; and 4) had many ideas to improve future dementia guidelines and CPGs in general.

conclusionFamily physicians were minimally aware of the 1999 CCCD CPGs. They acknowledged, however, the potential of future CPGs to assist them in patient care and offered many strategies to improve the development and dissemination of future dementia guidelines. Future guidelines should more accurately reflect the day-to-day practice experiences and challenges of family physicians, and guideline developers should also be cognizant of family physicians' perceptions that pharmaceutical companies' funding of CPGs undermines the objectivity and credibility of those guidelines.

Indexed as

Attitude of Health PersonnelAwarenessQuality of Health CareAgedAged, 80 and overDementiaFemaleHumansMaleOntarioPhysician-Patient RelationsPhysicians, FamilyPractice Guidelines as Topic

Identifiers

PMID19439707
PMCPMC2682311

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.