Evidence map›Paper›PMID 20331386›Full record

ArticleScandinavian journal of primary health care2010

Quality indicators for diagnosis and treatment of respiratory tract infections in general practice: a modified Delphi study.

Malene Plejdrup Hansen, Lars Bjerrum, Bente Gahrn-Hansen, Dorte Ejg Jarbol

Abstract readComparative Study
In one paragraph

Article in Scandinavian journal of primary health care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  7. Review
  8. Respiratory infections in children: an appropriateness study of when parents should home care or seek medical help.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  9. Review
  10. Defining appropriate antibiotic prescribing in primary care: A modified Delphi panel approach.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2020
    Article
  11. Article
  12. Spanish consensus on treat to target for osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
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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

4 authors.

Malene Plejdrup HansenAudit Project Odense, Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark. mplejdrup@health.sdu.dk
Lars Bjerrum
Bente Gahrn-Hansen
Dorte Ejg Jarbol

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop a set of quality indicators focusing on the diagnosis and treatment of respiratory tract infections in general practice.

designA modified 2-round Delphi study.

settingGeneral practice. SUBJECTS: A panel of 27 experts (13 countries) comprising mainly general practitioners, clinical microbiologists, and clinical pharmacologists were asked to rate the relevance of 59 quality indicators for diagnosis and treatment of respiratory tract infections with regard to reducing antimicrobial resistance and improving patient health. A thorough literature review was carried out to ensure that all potential quality indicators were considered. OUTCOME: Consensus for a quality indicator was reached if > or =75% of experts scored the item > or =5 on a 7-point Likert scale, ranging from 1 (=completely disagree) through 4 (=uncertain) to 7 (=completely agree).

resultsA 96% response rate was achieved in both Delphi rounds. A total of 41 of the proposed 59 quality indicators attained consensus. None of the quality indicators focusing on the diagnostic process achieved consensus. Consensus was attained for 14 quality indicators focusing on the decision regarding antibiotic treatment and for 27 quality indicators focusing on the choice of antibiotics.

conclusionThis study resulted in a final set of 41 quality indicators concerning respiratory tract infections in general practice. These quality indicators may be used to strengthen general practitioners' focus on their management of patients with respiratory tract infections and to identify where it is possible to make improvements.

Indexed as

Quality Indicators, Health CareRespiratory Tract InfectionsAnti-Bacterial AgentsConsensusDelphi TechniqueDrug Resistance, BacterialFamily PracticeHumansReproducibility of ResultsAnti-Bacterial Agents

Identifiers

PMID20331386
PMCPMC3440613

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.