Evidence map›Paper›PMID 28923817›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Patient Willingness to Have Tests to Guide Antibiotic Use for Respiratory Tract Infections: From the WWAMI Region Practice and Research Network (WPRN).

Malaika Schwartz, Victoria Hardy, Gina A Keppel, William Alto, Jaime Hornecker, Beth Robitaille, Jon Neher, John Holmes, M Ashworth Dirac, Allison M Cole and 1 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. 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
0.6field-weighted citation impact, top 27% 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, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
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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

11 authors at 5 institutions in 1 country.

Malaika SchwartzFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
Victoria HardyFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
Gina A KeppelFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
William AltoFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
Jaime HorneckerFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
Beth RobitailleFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
Jon NeherFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
John HolmesFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
M Ashworth DiracFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
Allison M ColeFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC).
Matthew ThompsonFrom the Department of Family Medicine, University of Washington, Seattle (MS, VH, GAK, AMC, MT); the Seattle Indian Health Board, Seattle, WA (WA); the University of Wyoming Family Medicine Residency, Casper (JH, BR); Valley Family Medicine, Renton (JN); the Department of Family Medicine, Idaho State University, Pocatello (JH); the Swedish First Hill Family Medicine Residency Clinic, Seattle (MAD); the Harborview Medical Center, Seattle (AMC); and the Institute of Translational Health Sciences, Seattle (AMC). mjt@uw.edu.
University of Wyoming · USHarborview Medical Center · USIdaho State University · USSwedish Family Medicine Residency - Cherry Hill · USUniversity of Washington · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR002319
6 · The paper itself

Abstract

introductionThe majority of consultations for acute respiratory tract infections (RTIs) lead to prescriptions for antibiotics, which have limited clinical benefit. We explored patients' willingness to have blood tests as part of the diagnostic work-up for RTIs, and patient knowledge about antibiotics.

methodsPatients at 6 family medicine clinics were surveyed. Regression modeling was used to determine independent predictors of willingness to have venous and point-of-care (POC) blood tests, and knowledge of the value of antibiotics for RTIs.

resultsData were collected from 737 respondents (response rate 83.8%), of whom 65.7% were women, 60.1% were white, and 25.1% were current smokers; patients' mean age was 46.9 years. Sex (female), race (white), and a preference to avoid antibiotics were independent predictors of greater level of antibiotic knowledge. A total of 63.1% were willing to have a venous draw and 79% a POC blood test, to help guide antibiotic decision-making. Non-American Indian/Alaskan Native race, current smoking, and greater knowledge of antibiotics were independent predictors of willingness to have a POC test.

conclusionA large majority of patients seemed willing to have POC tests to facilitate antibiotic prescribing decisions for RTIs. Poor knowledge about antibiotics suggests better education regarding antibiotic use might influence patient attitudes towards use of antibiotics for RTIs.

Indexed as

Decision MakingAdultAgedAged, 80 and overAnti-Bacterial AgentsBacterial InfectionsFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPoint-of-Care SystemsPrimary Health CareReferral and ConsultationRespiratory Tract InfectionsAnti-Bacterial AgentsAntibacterial AgentsDecision MakingFamily PhysiciansHematologic TestsPatient PreferencePoint-of-Care SystemsPractice-based ResearchPrescriptionsReferral and ConsultationRespiratory Tract Infections

Identifiers

PMID28923817
PMCPMC6836869
OpenAlexW2755055291

What OpenQuestion holds

Textmetadata
LicenceTDM
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.