Evidence map›Paper›PMID 25348996›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014

Primary care evidence in clinical guidelines: a mixed methods study of practitioners' views.

Asmaa Abdelhamid, Amanda Howe, Tim Stokes, Nadeem Qureshi, Nick Steel

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. 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
  2. Article
  3. Article
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  9. Canadian family physician Medecin de famille canadien · 2022
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  11. GPs' use of gut feelings when assessing cancer risk: a qualitative study in UK primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 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

5 authors.

Asmaa AbdelhamidPopulation Health and Primary Care, Norwich Medical School, University of East Anglia, Norwich, UK.
Amanda HowePopulation Health and Primary Care, Norwich Medical School, University of East Anglia, Norwich, UK.
Tim StokesPrimary Care Clinical Sciences, School of Health and Population Sciences, University of Birmingham, Birmingham, UK.
Nadeem QureshiFaculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
Nick SteelPopulation Health and Primary Care, Norwich Medical School, University of East Anglia, Norwich, UK.

Funding

Department of Health PB-PG-0110-21051
6 · The paper itself

Abstract

backgroundClinical practice guidelines are widely used in primary care, yet are not always based on applicable research.

aimTo explore primary care practitioners' views on the applicability to primary care patients of evidence underpinning National Institute for Health and Care Excellence (NICE) guideline recommendations. DESIGN AND

settingDelphi survey and focus groups in primary care, England, UK.

methodDelphi survey of the perceived applicability of 14 guideline recommendations rated before and after a description of their evidence base, followed by two focus groups.

resultsGPs significantly reduced scores for their perceived likelihood of pursuing recommendations after finding these were based on studies with low applicability to primary care, but maintained their scores for recommendations based on highly applicable research. GPs reported they were more likely to use guidelines where evidence was applicable to primary care, and less likely if the evidence base came from a secondary care population. Practitioners in the focus groups accepted that guideline developers would use the most relevant evidence available, but wanted clearer signposting of those recommendations particularly relevant for primary care patients. Their main need was for brief, clear, and accessible guidelines.

conclusionGuidelines should specify the extent to which the research evidence underpinning each recommendation is applicable to primary care. The relevance of guideline recommendations to primary care populations could be more explicitly considered at all three stages of guideline development: scoping and evidence synthesis, recommendation development, and publication. The relevant evidence base needs to be presented clearly and concisely, and in an easy to identify way.

Indexed as

Attitude of Health PersonnelGuideline AdherencePractice Guidelines as TopicPrimary Health CareDelphi TechniqueFemaleFocus GroupsHumansMaleReimbursement, IncentiveUnited KingdomDelphi surveyevidence basefocus groupsguidelinesNational Institute for Health and Care Excellenceprimary care

Identifiers

PMID25348996
PMCPMC4220224

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.