Evidence map›Paper›PMID 20406498›Full record

ArticleItalian journal of pediatrics2010

Quality of care of Egyptian asthmatic children: clinicians adherence to asthma guidelines.

Ashraf A Salama, Ahmed A Mohammed, El Sayed E El Okda, Rasha M Said

Open access · goldAbstract readComparative Study
In one paragraph

Article in Italian journal of pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
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

12 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  5. Article
  6. Review
  7. The epidemiology of noncommunicable respiratory disease in sub-Saharan Africa, the Middle East, and North Africa.Malawi medical journal : the journal of Medical Association of Malawi · 2017
    Review
  8. Validation of the knowledge, attitude and perceived practice of asthma instrument among community pharmacists using Rasch analysis.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2015
    Article
  9. Article
  10. Asthma care practicing among general practitioners in Lebanon: a cross-sectional study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2014
    Article
  11. Article
  12. 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

4 authors at 1 institution in 1 country.

Ashraf A SalamaDepartment of Pediatrics, Faculty of Medicine, Ain Shams University, Abssia, Cairo, Egypt.
Ahmed A Mohammed
El Sayed E El Okda
Rasha M Said
Ain Shams University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the development and dissemination of guidelines for the diagnosis and management of asthma, a gap remains between current recommendations and actual practice.

objectivesTo assess the physicians attitude towards asthma guidelines and their adherence to its recommendations.

methodsThree hundred and fifty two clinicians (101 General practitioners, 131 pediatric specialists, 35 pediatric consultants and 85 doctors did not report the qualification) engaged in direct childhood asthma care in Cairo, Egypt were subjected to a self-administered questionnaire with 35 questions of which most were multiple choices, aiming at assessment of three important aspects about the involved physicians; physician's knowledge, practice and attitude. 165 of the clinicians were working in governmental hospitals, 68 clinicians work in private clinics and 119 clinicians work in both.

resultsAgreement with asthma guidelines was present in 76.2% of the studied physicians, however those who not in agreement with the guidelines claimed that this was mainly due to patient factors, firstly the poor socioeconomic standard of the patient (18.1%) and secondly due to poor patient compliance (16%). Poor knowledge was found in 28.5%, poor practice was found in 43.6% and poor attitude was found in 14.4% of the studied physicians. There was positive highly significant correlation between qualification and knowledge, (p<0.01), positive highly significant correlation between qualification and practice, (p<0.01), and positive highly significant correlation between qualification and attitude, (p<0.01).

conclusionThe attitude of the studied physicians revealed agreement of their majority with the guidelines, while the disagreement was mainly explained by the poor socioeconomic standard of the patients. The degree of poor practice is more marked than that of poor knowledge or poor attitude reflecting resources limitations and applications obstacles in the physician's practice.

Indexed as

Clinical CompetenceGuideline AdherenceAsthmaChildCross-Sectional StudiesEgyptHumansPhysiciansPrevalenceQuality Assurance, Health CareSurveys and Questionnaires

Identifiers

PMID20406498
PMCPMC2874797
OpenAlexW2161682241

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.