Evidence map›Paper›PMID 28077232›Full record

ReviewLancet (London, England)2017

Evidence for underuse of effective medical services around the world.

Paul Glasziou, Sharon Straus, Shannon Brownlee, Lyndal Trevena, Leonila Dans, Gordon Guyatt, Adam G Elshaug, Robert Janett, Vikas Saini

Abstract readReview
PubMed Publisher
In one paragraph

Review in Lancet (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 8 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

133 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Paul GlasziouCentre for Research in Evidence-Based Practice, Bond University, Robina, QLD, Australia. Electronic address: paul_glasziou@bond.edu.au.
Sharon StrausLi Ka Shing Knowledge Institute of St. Michael's Hospital, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Shannon BrownleeLown Institute, Brookline, MA, USA.
Lyndal TrevenaDiscipline of General Practice, School of Public Health, University of Sydney, Sydney, NSW, Australia.
Leonila DansUniversity of the Philippines Manila, Manila, Philippines.
Gordon GuyattDepartment of Clinical Epidemiology & Biostatistics, McMaster University, Ontario, ON, Canada.
Adam G ElshaugMenzies Centre for Health Policy, School of Public Health, University of Sydney, Sydney, NSW, Australia.
Robert JanettHarvard Clinical and Translational Science Center, Boston, MA, USA.
Vikas SainiLown Institute, Brookline, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Underuse-the failure to use effective and affordable medical interventions-is common and responsible for substantial suffering, disability, and loss of life worldwide. Underuse occurs at every point along the treatment continuum, from populations lacking access to health care to inadequate supply of medical resources and labour, slow or partial uptake of innovations, and patients not accessing or declining them. The extent of underuse for different interventions varies by country, and is documented in countries of high, middle, and low-income, and across different types of health-care systems, payment models, and health services. Most research into underuse has focused on measuring solutions to the problem, with considerably less attention paid to its global prevalence or its consequences for patients and populations. Although focused effort and resources can overcome specific underuse problems, comparatively little is spent on work to better understand and overcome the barriers to improved uptake of effective interventions, and methods to make them affordable.

Indexed as

Drug UtilizationEvidence-Based MedicineGlobal HealthHealth Services AccessibilityHealth Services MisuseHealth Services ResearchHumansMedically Underserved AreaPatient Compliance

Identifiers

PMID28077232

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.