Evidence map›Paper›PMID 28434157›Full record

ArticleFamilial cancer2017

General practitioner attitudes towards prescribing aspirin to carriers of Lynch Syndrome: findings from a national survey.

Samuel G Smith, Robbie Foy, Jennifer McGowan, Lindsay C Kobayashi, John Burn, Karen Brown, Lucy Side, Jack Cuzick

Open access · hybridAbstract read
In one paragraph

Article in Familial cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 22% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. GPs' willingness to prescribe aspirin for cancer preventive therapy in Lynch syndrome: a factorial randomised trial investigating factors influencing decisions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Attitudes towards faecal immunochemical testing in patients at increased risk of colorectal cancer: an online survey of GPs in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  14. Review
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

8 authors at 6 institutions in 2 countries.

Samuel G SmithLeeds Institute of Health Sciences, University of Leeds, Floor 10, Worsley Building, Leeds, LS2 9JT, UK. s.smith1@leeds.ac.uk.
Robbie FoyLeeds Institute of Health Sciences, University of Leeds, Floor 10, Worsley Building, Leeds, LS2 9JT, UK.
Jennifer McGowanInstitute of Epidemiology and Healthcare, University College London, London, UK.
Lindsay C KobayashiHarvard T. H. Chan School of Public Health, Center for Population and Development Studies, Harvard University, Cambridge, MA, USA.
John BurnInstitute of Genetic Medicine, Newcastle University, Newcastle, UK.
Karen BrownDepartment of Cancer Studies, University of Leicester, Leicester, UK.
Lucy SideInstitute for Women's Health, University College London, London, UK.
Jack CuzickWolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK.
University College London · GBUniversity of Leeds · GBHarvard University · USNewcastle University · GBQueen Mary University of London · GBUniversity of Leicester · GB

Funding

Cancer Research UK 13101Cancer Research UK 15934Cancer Research UK 16891Cancer Research UK 17965Cancer Research UK C42785/A17965
6 · The paper itself

Abstract

A dose non-inferiority study comparing 100 mg, 300 mg and 600 mg of aspirin for cancer prevention among Lynch Syndrome carriers is underway (Colorectal Adenoma/Carcinoma Prevention Programme trial 3, CaPP3). To guide implementation of the findings, we investigated general practitioner (GP) attitudes towards aspirin prescribing for Lynch Syndrome carriers. We surveyed 1007 UK GPs (9.6% response rate). Using a within-subjects design, GPs read a statement on harms and benefits of aspirin and indicated their willingness to prescribe aspirin at three doses (100 mg, 300 mg, 600 mg). Approximately two-thirds (70.8%) of GPs had heard of Lynch Syndrome or its associated names, and among those 46.7% were aware of the cancer preventive effects of aspirin among carriers. Two-thirds (68.1%) of GPs reported feeling comfortable discussing harms and benefits of aspirin with a Lynch Syndrome patient. Willingness to prescribe was 91.3% at 100 mg, and declined to 81.8% at 300 mg and 62.3% at 600 mg (p < 0.001). In multivariable analyses, willingness to prescribe (600 mg) was higher among GPs ≥50 years (OR 1.46, 95% CI 1.03-2.07), more experienced GPs (OR 1.50, 95% CI 1.10-2.04), GPs who were aware of the cancer preventive effects of aspirin (OR 1.58, 95% CI 1.20-2.09), and those who reported seeing a Lynch Syndrome patient in practice (OR 1.44, 95% CI 1.01-2.05, p = 0.045). GPs report limited awareness of Lynch Syndrome and the preventive effects of aspirin among carriers. To ensure the optimal dose identified in the CaPP3 trial is readily available to patients, prescribing guidance and strategies to educate GPs should be developed.

Indexed as

General PractitionersAspirinAttitude of Health PersonnelColorectal Neoplasms, Hereditary NonpolyposisFemaleHealth Care SurveysHeterozygoteHumansMaleMiddle AgedUnited KingdomAspirinAspirinChemopreventionImplementationLynch SyndromePrescribingPreventive therapy

Identifiers

PMID28434157
PMCPMC5603645
OpenAlexW2538004194

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.