Evidence map›Paper›PMID 25757945›Full record

Observational studyBMJ open2015

The accuracy of the general practitioner's sense of alarm when confronted with dyspnoea and/or thoracic pain: protocol for a prospective observational study.

Marie Barais, Pierre Barraine, Florie Scouarnec, Anne Sophie Mauduit, Bernard Le Floc'h, Paul Van Royen, Claire Liétard, Erik Stolper

Open access · goldAbstract readValidation StudyObservational Study
In one paragraph

Observational study in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. 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

8 authors at 3 institutions in 3 countries.

Marie BaraisERCR SPURBO, Department of General Practice, Univeristé de Bretagne Occidentale, Brest, France.
Pierre BarraineERCR SPURBO, Department of General Practice, Univeristé de Bretagne Occidentale, Brest, France.
Florie ScouarnecERCR SPURBO, Department of General Practice, Univeristé de Bretagne Occidentale, Brest, France.
Anne Sophie MauduitERCR SPURBO, Department of General Practice, Univeristé de Bretagne Occidentale, Brest, France.
Bernard Le Floc'hERCR SPURBO, Department of General Practice, Univeristé de Bretagne Occidentale, Brest, France.
Paul Van RoyenDepartment of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium.
Claire LiétardERCR SPURBO, Public Health Department, Université de Bretagne Occidentale, Brest, France.
Erik StolperDepartment of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium Department of General Practice, Faculty of Health, Medicine and Life Sciences, Caphri School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Université de Bretagne Occidentale · FRMaastricht University · NLUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDyspnoea and chest pain are signs shared with multiple pathologies ranging from the benign to life-threatening diseases. Gut feelings such as the sense of alarm and the sense of reassurance are known to play a substantial role in the diagnostic reasoning of general practitioners (GPs). A Gut Feelings Questionnaire (GFQ) has been validated to measure the GP's sense of alarm. A French version of the GFQ is available following a linguistic validation procedure. The aim of the study is to calculate the diagnostic test accuracy of a GP's sense of alarm when confronted with dyspnoea and chest pain. METHODS AND ANALYSIS: Prospective observational study. Patients aged between 18 and 80 years, consulting their GP for dyspnoea and/or thoracic pain will be considered for enrolment in the study. These GPs will have to complete the questionnaire immediately after the consultation for dyspnoea and/or thoracic pain. The follow-up and the final diagnosis will be collected 4 weeks later by phone contact with the GP or with the patient if their GP has no information. Life-threatening and non-life-threatening diseases have previously been defined according to the pathologies or symptoms in the (ICPC2) International Collegiate Programming Contest classification. Members of the research team, blinded to the actual outcomes shown on the index questionnaire, will judge each case in turn and will, by consensus, classify the expected outcomes as either life-threatening or non-life-threatening diseases. The sensitivity, the specificity, the positive and negative likelihood ratio of the sense of alarm will be calculated from the constructed contingency table. ETHICS AND DISSEMINATION: This study was approved by the ethical committee of the University de Bretagne Occidentale. A written informed consent form will be signed and dated by GPs and patients at the beginning of the study. The results will be published in due course.

Indexed as

AnxietyCritical IllnessSymptom AssessmentYoung AdultAdolescentAdultAgedAged, 80 and overChest PainConsensusDyspneaFemaleGeneral PracticeGeneral PractitionersHumansIntuitionAdult cardiology < CARDIOLOGYPRIMARY CAREThromboembolism < CARDIOLOGY

Identifiers

PMID25757945
PMCPMC4360586
OpenAlexW2107458617

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.