Evidence map›Paper›PMID 28574299›Full record

ArticleScandinavian journal of primary health care2017

Quality indicators for the diagnosis and antibiotic treatment of acute respiratory tract infections in general practice: a RAND Appropriateness Method.

Laura Trolle Saust, Lars Bjerrum, Magnus Arpi, Malene Plejdrup Hansen

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Proposed Quality Indicators for Aspects of Pediatric Acute Otitis Media Management.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
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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.

Laura Trolle Sausta Department of Clinical Microbiology , Herlev Hospital, University of Copenhagen , Herlev , Denmark.
Lars Bjerrumb Section of General Practice and Research Unit for General Practice, Department of Public Health , University of Copenhagen , Copenhagen , Denmark.
Magnus Arpia Department of Clinical Microbiology , Herlev Hospital, University of Copenhagen , Herlev , Denmark.
Malene Plejdrup Hansenb Section of General Practice and Research Unit for General Practice, Department of Public Health , University of Copenhagen , Copenhagen , Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop quality indicators for the diagnosis and antibiotic treatment of acute respiratory tract infections, tailored to the Danish general practice setting.

designA RAND/UCLA Appropriateness Method was used.

settingGeneral practice. SUBJECTS: A panel of nine experts, mainly general practitioners, was asked to rate the relevance of 64 quality indicators for the diagnosis and antibiotic treatment of acute respiratory tract infections based on guidelines. Subsequently, a face-to-face meeting was held to resolve misinterpretations and to achieve consensus.

main outcome measuresThe experts were asked to rate the indicators on a nine-point Likert scale. Consensus of appropriateness for a quality indicator was reached if the overall panel median rating was 7-9 with agreement.

resultsA total of 50 of the 64 proposed quality indicators attained consensus. Consensus was achieved for 12 indicators focusing on the diagnostic process and 19 indicators focusing on the decision about antibiotic treatment and choice of antibiotics, respectively.

conclusionThese newly developed quality indicators may be used to strengthen Danish general practitioners' focus on their management of patients with acute respiratory tract infections and to identify where there is a need for future quality improvements.

Indexed as

Family PracticeRespiratory Tract InfectionsAnti-Bacterial AgentsConsensusDenmarkHumansQuality Indicators, Health CareAnti-Bacterial AgentsAntibioticsgeneral practiceprimary carequality assessmentquality indicatorrespiratory tract infections

Identifiers

PMID28574299
PMCPMC5499320

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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.