Evidence map›Paper›PMID 27542754›Full record

ArticleBMC family practice2016

"It's complicated" - talking about gout medicines in primary care consultations: a qualitative study.

Caroline Morris, Lindsay Macdonald, Maria Stubbe, Anthony Dowell

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Caroline MorrisDepartment Primary Health Care & General Practice, University of Otago, Wellington, 23a Mein Street, Wellington, New Zealand. caroline.morris@otago.ac.nz.
Lindsay MacdonaldDepartment Primary Health Care & General Practice, University of Otago, Wellington, 23a Mein Street, Wellington, New Zealand.
Maria StubbeDepartment Primary Health Care & General Practice, University of Otago, Wellington, 23a Mein Street, Wellington, New Zealand.
Anthony DowellDepartment Primary Health Care & General Practice, University of Otago, Wellington, 23a Mein Street, Wellington, New Zealand.
University of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGout is the most common form of inflammatory arthritis. It is associated with substantial co-morbidity and often managed in primary care. A greater understanding of the communication process between patients and healthcare professionals provides one way of improving the management of this condition. This paper describes communication about gout medicines and treatment between patients and primary care health professionals during routine consultations.

methodsVideo-recordings of 31 individual healthcare consultations between patients and a range of primary care practitioners (general practitioners, practice nurses, podiatrists, dietitians) from an archived database were reviewed. Consultations that encompassed any discussion about gout medicines and treatment were included (n = 27) and were not solely restricted to those where gout was the presenting complaint. Themes were derived from an inductive qualitative analysis, from clinical and linguistic perspectives, based on the conversation between patients and practitioners about medicines and visual observation of these interactions.

resultsA number of factors were identified that had the potential to impact on the optimal management of gout in primary care. These included level of patient knowledge, patient attitudes to medicines, and the attributes of practitioner communication with patients. The latter related to the style of delivery and content of the information provided, and the ability of practitioners to make use of opportunities that arose to discuss these issues.

conclusionsPatients with gout communicate at varying levels of complexity with a diverse range of primary care healthcare professionals about the treatment of their condition. It is important that all practitioners engaging with gout patients in this setting are knowledgeable about the current management of gout, provide clear, consistent and accurate messages, remain aware that these messages may need repeating over time, and are supportive of patients' medicine-taking preferences.

Indexed as

CommunicationPrimary Health CareAdultAgedAttitude to HealthFemaleGeneral PractitionersGoutGout SuppressantsHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedNurse-Patient RelationsNursesNutritionistsGout SuppressantsCommunicationConsultationGoutMedicinePrimary care

Identifiers

PMID27542754
PMCPMC4992199
OpenAlexW2512845666

What OpenQuestion holds

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LicenceCC BY
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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.