Evidence map›Paper›PMID 24042173›Full record

ArticlePrimary care respiratory journal : journal of the General Practice Airways Group2013

General practitioners' contribution to the management of community-acquired pneumonia in the Netherlands: a retrospective analysis of primary care, hospital, and national mortality databases with individual data linkage.

Bianca Snijders, Wim van der Hoek, Irina Stirbu, Marianne A B van der Sande, Arianne B van Gageldonk-Lafeber

Abstract read
In one paragraph

Article in Primary care respiratory journal : journal of the General Practice Airways Group, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
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  6. Primary care consultations after hospitalisation for pneumonia: a large population-based cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  7. Incidence and costs of hospitalized adult influenza patients in The Netherlands: a retrospective observational study.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
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  16. The debated problem of community-acquired pneumonia diagnosis: many guidelines, any guideline?Primary care respiratory journal : journal of the General Practice Airways Group · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Bianca SnijdersCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Wim van der Hoek
Irina Stirbu
Marianne A B van der Sande
Arianne B van Gageldonk-Lafeber

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity-acquired pneumonia (CAP) is an important cause of hospital admission and death, but the extent of the problem of CAP at the primary healthcare level is largely unknown.

aimsTo investigate the contribution of general practitioners (GPs) to the management of patients with CAP in the Netherlands.

methodsThe study population consisted of all people enlisted in a GP network. We obtained information on CAP episodes from GP electronic records (using ICPC code R81) during the years 2002-2009. CAP registrations were also obtained from national hospital discharge data (ICD-9 codes) and cause of death statistics (ICD-10 codes). The three registration systems were linked at the individual level. We used descriptive analyses to estimate the annual number of CAP episodes (i.e. defined as a CAP diagnosis within 30 days).

resultsFrom 2002 to 2009 the mean annual size of the study population was 395,039. For this population, 3,700 (0.9%) CAP episodes per year were registered in at least one of the registration systems, 2,933 (79%) of which were in the GP system only. Recovery within 30 days occurred on average in 95% (2,791/2,933) of the CAP episodes annually registered by a GP, while 2.3% (67/2,933) of patients with a GP-registered CAP episode were admitted to hospital within 30 days and 1% (26/2,933) had a fatal outcome within 30 days.

conclusionsThe vast majority of CAP episodes registered in the Netherlands are managed successfully at the GP level without hospitalisation.

Indexed as

AdolescentAdultAgedAged, 80 and overCommunity-Acquired InfectionsDatabases, FactualDisease ManagementFemaleGeneral PracticeHospitalizationHumansMaleMiddle AgedNetherlandsPneumoniaPractice Patterns, Physicians'

Identifiers

PMID24042173
PMCPMC6442853

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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.