Evidence map›Paper›PMID 28624759›Full record

ArticleBMJ open2017

GPs' attitudes, beliefs and behaviours regarding exercise for chronic knee pain: a questionnaire survey.

Elizabeth Cottrell, Nadine E Foster, Mark Porcheret, Trishna Rathod, Edward Roddy

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2022
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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

5 authors.

Elizabeth CottrellArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, UK.ORCID 0000-0002-5757-1854
Nadine E FosterKeele Clinical Trials Unit, David Weatherall Building, Keele University, Staffordshire, UK.
Mark PorcheretArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, UK.
Trishna RathodArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, UK.
Edward RoddyArthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, UK.

Funding

Arthritis Research UKDepartment of Health NIHR-RP-011-015
6 · The paper itself

Abstract

objectivesThe aim of this study was to investigate general practitioners' (GPs) attitudes, beliefs and behaviours regarding the use of exercise for patients with chronic knee pain (CKP) attributable to osteoarthritis.

settingPrimary care GPs in the UK.

participants5000 GPs, randomly selected from Binley's database, were mailed a cross-sectional questionnaire survey. OUTCOME MEASURES: GPs' attitudes and beliefs were investigated using attitude statements, and reported behaviours were identified using vignette-based questions. GPs were invited to report barriers experienced when initiating exercise with patients with CKP

results835 (17%) GPs responded. Overall, GPs were positive about general exercise for CKP. 729 (87%) reported using exercise, of which, 538 (74%) reported that they would use both general and local (lower limb) exercises. However, only 92 (11% of all responding) GPs reported initiating exercise in ways aligning with best-evidence recommendations. 815 (98%) GPs reported barriers in using exercise for patients with CKP, most commonly, insufficient time in consultations (n=419; 51%) and insufficient expertise (n=337; 41%).

conclusionsWhile GPs' attitudes and beliefs regarding exercise for CKP were generally positive, initiation of exercise was often poorly aligned with current recommendations, and barriers and uncertainties were reported. GPs' use of exercise may be improved by addressing the key barriers of time and expertise, by developing a pragmatic approach that supports GPs to initiate individualised exercise, and/or by other professionals taking on this role.

Indexed as

ArthralgiaAttitude of Health PersonnelExercise TherapyGeneral PractitionersOsteoarthritis, KneePractice Patterns, Physicians'AdultChronic PainCommunication BarriersFemaleHumansInterdisciplinary CommunicationMaleMiddle AgedPrimary Health CareSurveys and Questionnairesattitudechronic knee painexercisegeneral practitionersosteoarthritissurveys and questionnaires

Identifiers

PMID28624759
PMCPMC5541518

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.