Evidence map›Paper›PMID 28193184›Full record

ArticleBMC family practice2017

Survey of Spanish general practitioners' attitudes toward management of sore throat: an internet-based questionnaire study.

Carl Llor, Isabel Vilaseca, Eduardo Lehrer-Coriat, Xavier Boleda, José L Cañada, Ana Moragas, Josep M Cots

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2017. 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
0.2field-weighted citation impact, top 37% 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, 13 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

7 authors at 5 institutions in 2 countries.

Carl LlorPrimary Healthcare Centre Via Roma, Barcelona, Spain. carles.llor@gmail.com.ORCID 0000-0001-6644-717X
Isabel VilasecaDepartment of Otorhinolaringology, Hospital Clínic of Barcelona, Barcelona, Spain.
Eduardo Lehrer-CoriatDepartment of Otorhinolaringology, Hospital Clínic of Barcelona, Barcelona, Spain.
Xavier BoledaPharmacy Arizcun (Group on respiratory diseases, Sociedad Española de Farmacia Comunitaria), Sant Pere de Ribes, Spain.
José L CañadaPrimary Healthcare Centre Algorta (Group on Infectious Diseases SEMERGEN), Getxo, Vizcaya, Spain.
Ana MoragasPrimary Healthcare Centre Jaume I, University Rovira i Virgili, Tarragona, Spain.
Josep M CotsPrimary Healthcare Centre La Marina (Group on Infectious Diseases, semFYC), University of Barcelona, Barcelona, Spain.
Hospital Clínic de Barcelona · ESPrimary HealthCare · MTSociedad Española de Farmacología Clínica · ESSpanish Society of Family and Community Medicine · ESUniversitat Jaume I · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of sore throat varies widely in Europe. The objective of this study was to gain insight into clinicians' perceptions on the current management of sore throat in Spain.

methodsCross-sectional, internet-based questionnaire study answered from July to September 2013. General practitioners (GPs) affiliated with the two largest scientific societies of primary care were invited to participate in the study. Questions were asked about physician knowledge, the use of current national guidelines for sore throat management, and management in two clinical scenarios, depicting a young adult with sore throat and: 1. cough, coriza with or without fever, and 2. fever without cough and coriza.

resultsThe questionnaire was completed by 1476 GPs (5%) and 12.7% declared using rapid antigen detection tests. Antibiotics were considered by 18.8% of the GPs in the first scenario and by 32% in the second scenario (p < 0.001). The antibiotics most commonly mentioned by GPs were amoxicillin and amoxicillin + clavulanate (52.7 and 31.2%, respectively) whereas penicillin V was only prescribed in 11.9% of the cases. The drugs most commonly considered in both scenarios were analgesics and anti-inflammatory drugs. Antitussives, decongestants and expectorants were more commonly prescribed in cases of suspected viral infection (p < 0.001).

conclusionsGPs have misconceptions as to the indications for using rapid antigen detection tests and prescribing drugs in the management of sore throat. These results suggest that guidelines are seldom followed since one in five GPs declared giving antibiotics for patients with a suspected viral infection and the use of second-choice antibiotics seems considerable.

Indexed as

Attitude of Health PersonnelGeneral PractitionersPractice Patterns, Physicians'AmoxicillinAmoxicillin-Potassium Clavulanate CombinationAnalgesicsAnti-Bacterial AgentsAntigens, BacterialAnti-Inflammatory Agents, Non-SteroidalCross-Sectional StudiesDisease ManagementHumansInternetPenicillin VPharyngitisSpainAmoxicillinAmoxicillin-Potassium Clavulanate CombinationAnalgesicsAnti-Bacterial AgentsAntigens, BacterialAnti-Inflammatory Agents, Non-SteroidalPenicillin VAntibioticsPrimary careRational use of antibioticsSore throatSpain

Identifiers

PMID28193184
PMCPMC5307696
OpenAlexW2589036107

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.