Evidence map›Paper›PMID 26344447›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Primary Care Physicians' Adherence to Guidelines and Their Likelihood to Prescribe the Human Papillomavirus Vaccine for 11- and 12-Year-Old Girls.

Andrzej Kulczycki, Haiyan Qu, Richard Shewchuk

Abstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Parents' Views on the Best and Worst Reasons for Guideline-Consistent HPV Vaccination.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
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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

3 authors.

Andrzej KulczyckiDepartment of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: andrzej@uab.edu.
Haiyan QuDepartment of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama.
Richard ShewchukDepartment of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama.

Funding

Physicians' Intentions to Administer HPV VaccineR03AI090499 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KULCZYCKI, ANDRZEJ · 2010 to 2011
$146k
NIAID NIH HHS R03 AI090499NIAID NIH HHS R03AI090499-01
6 · The paper itself

Abstract

backgroundInadequate physician adherence to guidelines has received scant attention as a possible cause of suboptimal human papillomavirus (HPV) vaccination rates. We assessed the extent to which primary care physicians (PCPs) adhere to clinical guidelines and their reported intentions to prescribe HPV vaccine to females in the targeted age group, and how this is influenced by perceptions of guideline clarity and other factors.

methodsWe surveyed 301 PCPs to explore their sociodemographic and practice-related characteristics, beliefs, professional norms, and perceived barriers to administer HPV vaccine. Logistic regression predicted the likelihood to prescribe HPV vaccine to 11- and 12-year-old girls on an array of variables hypothesized to influence physicians' recommendations.

resultsOnly 67% of PCPs reported being likely to prescribe HPV vaccine to 11- and 12-year-old patients. PCPs were more likely to prescribe vaccine to 11- and 12-year-old girls if they believed HPV vaccine guidelines were clear (odds ratio [OR], 1.85; 95% CI, 1.03-3.35), agreed with a mandate requirement (OR, 2.39; 95% CI, 1.01-5.61), felt comfortable discussing HPV vaccination with early adolescent girls (OR, 5.10; 95% CI, 2.75-9.45), and had at least 25% of their patients using public assistance to pay for their clinic visits (OR, 3.82; 95% CI, 1.91-7.34). Practice specialty (family physicians or pediatricians) and region were not significant predictors.

conclusionsPCPs exhibit moderate levels of adherence to professional guidelines regarding HPV vaccination. Potential public health benefits will not be realized without stronger efforts to improve the rates at which PCPs administer the vaccine, particularly to 11- and 12-year-olds for whom it is preferentially recommended.

Indexed as

Guideline AdherenceHealth Knowledge, Attitudes, PracticePapillomavirus VaccinesChildFemaleHealth Care SurveysHumansIntentionLogistic ModelsMalePhysicians, Primary CarePractice Guidelines as TopicPractice Patterns, Physicians'PrescriptionsRural PopulationSurveys and QuestionnairesPapillomavirus Vaccines

Identifiers

PMID26344447
PMCPMC4690766

What OpenQuestion holds

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Registered trials

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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.