Evidence map›Paper›PMID 28843490›Full record

ArticleAtencion primaria

[Application of the Smoking Scale for Primary Care (ETAP) in clinical practice].

M P González Romero, F J Cuevas-Fernández, I Marcelino-Rodríguez, V J Covas, M C Rodríguez Pérez, A Cabrera de León, A Aguirre-Jaime

Open access · goldAbstract read
In one paragraph

Article in Atencion primaria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 86% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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 3 institutions in 2 countries.

M P González RomeroServicio de Urgencias, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España.
F J Cuevas-FernándezCentro de Salud Barranco Grande, Santa Cruz de Tenerife, España; Área de Medicina Preventiva, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, España.
I Marcelino-RodríguezUnidad de Investigación de Atención Primaria, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España.
V J CovasEscuela de Medicina San Juan Bautista, Caguas, Puerto Rico.
M C Rodríguez PérezUnidad de Investigación de Atención Primaria, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España.
A Cabrera de LeónÁrea de Medicina Preventiva, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, España; Unidad de Investigación de Atención Primaria, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España. Electronic address: acableon@gmail.com.
A Aguirre-JaimeUnidad de Investigación de Atención Primaria, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, España.
Hospital Universitario Nuestra Señora de Candelaria · ESSan Juan Bautista School of Medicine · PRUniversidad de La Laguna · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if the ETAP smoking scale, which measures accumulated exposure to tobacco, both actively and passively, is applicable and effective in the clinical practice of Primary Care for the prevention of acute myocardial infarction (AMI). Location Barranco Grande Health Centre in Tenerife, Spain.

designA study of 61 cases (AMI) and 144 controls. Sampling with random start, without matching. COR-II curves were analysed, and effectiveness was estimated using sensitivity and negative predictive value (NPV). A questionnaire was provided to participating family physicians on the applicability of ETAP in the clinic.

resultsThe opinion of the participating physicians was unanimously favourable. ETAP was easy to use in the clinic, required less than 3min per patient, and was useful to reinforce the preventive intervention. The ETAP COR-II curve showed that 20years of exposure was the best cut-off point, with an area under the curve of 0.70 (95%CI: 0.62-0.78), and a combination of sensitivity (98%) and NPV (96%) for AMI. When stratifying age and gender, all groups achieved sensitivities and NPVs close to 100%, except for men aged ≥55years, in whom the NPV fell to 75%.

conclusionsThe results indicate that ETAP is a valid tool that can be applied and be effective in the clinical practice of Primary Care for the prevention of AMI related to smoking exposure.

Indexed as

Family PracticeAdultAgedAged, 80 and overAge FactorsArea Under CurveAttitude of Health PersonnelCase-Control StudiesEnvironmental ExposureFemaleHumansInhalation ExposureMaleMiddle AgedMyocardial InfarctionPrimary Health CareTobacco Smoke PollutionAtención primariaPrevenciónPreventionPrimary health careSecond hand smokeTabaquismo pasivo

Identifiers

PMID28843490
PMCPMC6836955
OpenAlexW2749505308

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.