Evidence map›Paper›PMID 26289923›Full record

ArticleJournal of general internal medicine2016

Ebola Risk and Preparedness: A National Survey of Internists.

Ishani Ganguli, Yuchiao Chang, Arlene Weissman, Katrina Armstrong, Joshua P Metlay

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  8. International Perspectives on General Internal Medicine.Journal of general internal medicine · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Ishani GanguliMassachusetts General Hospital, 55 Fruit Street Bulfinch 205, Boston, MA, 02114, USA. iganguli@partners.org.
Yuchiao ChangMassachusetts General Hospital, 55 Fruit Street Bulfinch 205, Boston, MA, 02114, USA.
Arlene WeissmanAmerican College of Physicians, Philadelphia, PA, USA.
Katrina ArmstrongMassachusetts General Hospital, 55 Fruit Street Bulfinch 205, Boston, MA, 02114, USA.
Joshua P MetlayMassachusetts General Hospital, 55 Fruit Street Bulfinch 205, Boston, MA, 02114, USA.
Harvard University · USMassachusetts General Hospital · USAmerican College of Physicians · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 2014-2015 Ebola virus disease (Ebola) epidemic centered in West Africa highlighted recurring challenges in the United States regarding risk communication and preparedness during global epidemics.

objectiveTo investigate perceptions, preparedness, and knowledge among U.S. internists with regard to Ebola risk.

designCross-sectional Web-based national survey distributed by e-mail between December 2014 and January 2015.

participantsPracticing U.S. internists participating in a research panel representative of American College of Physicians (ACP) membership. MAIN MEASURES: Respondents' perceptions of Ebola, reported sources of information, and reported management of possible Ebola cases. The primary predictor was the possibility of encountering Ebola (based on respondents' geographic proximity to designated airports or confirmed Ebola cases, or on their patients' travel histories). Pre-specified outcomes included reported management intensity in clinical vignettes involving patients at low risk of symptomatic Ebola as well as reported Ebola preparedness. KEY

resultsThe survey response rate was 46.1 %. Among the 202 respondents, 9.9 % (95 % CI 6.2-14.9 %) reported that they had recently evaluated a patient who had traveled to West Africa. Seventy percent (95 % CI 63.0-76.0 %) reported a practice-level protocol. The Centers for Disease Control and Prevention (CDC) was the most popular source for Ebola information (75.2 %, 95 % CI 68.7-81.0 %). Most respondents felt very (45.0 %) or somewhat prepared (52.0 %) to communicate information about or diagnose Ebola, especially those with the possibility of encountering Ebola and those who reported medical journals, professional groups, or government as information sources. One-fifth of respondents (19.8 %, 95 % CI 14.5-26.0 %) reported overly intensive management for low-risk patients. Those with the possibility of encountering Ebola were less likely to report overly intensive management (3.1 vs. 22.9 %, p = 0.011).

conclusionsInternists had wide-ranging views and understanding of Ebola risk; those least likely to encounter Ebola were most likely to be overly aggressive in managing patients at low risk. Our findings underscore the need for better risk communication through various information channels to empower frontline providers in infectious disease outbreaks.

Indexed as

PhysiciansSurveys and QuestionnairesAdultFemaleHemorrhagic Fever, EbolaHumansMaleMiddle AgedRisk FactorsUnited StatesEbolaevidence based medicinemedical decision makingphysician behaviorrisk communication

Identifiers

PMID26289923
PMCPMC4762833
OpenAlexW1801001772

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.