Evidence map›Paper›PMID 28965092›Full record

ArticleBMJ open2017

Attitudes and perceptions of GPs and community pharmacists towards their role in the prevention of bisphosphonate-related osteonecrosis of the jaw: a qualitative study in the North East of England.

Andrew Sturrock, Philip M Preshaw, Catherine Hayes, Scott Wilkes

Erratum issuedAbstract read
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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. An erratum has been issued. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
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  10. Assessment of knowledge, attitude and practice among community pharmacists towards dental care: A national cross sectional survey.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2019
    Article
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4 · The record

Corrections and comments

  • Erratum issued
    2017
5 · Who and what money

Authors and funding

4 authors.

Andrew SturrockFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.
Philip M PreshawCentre for Oral Health Research and Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK.
Catherine HayesFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.
Scott WilkesFaculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBisphosphonate-related osteonecrosis of the jaw (BRONJ) is a rare, yet significant, adverse effect of bisphosphonate therapy. A multidisciplinary approach to the prevention of BRONJ is recommended due to the significant morbidity and difficulty treating the condition. Current evidence suggests that both general practitioners (GPs) and community pharmacists have limited knowledge relating to BRONJ and that preventative strategies are rarely implemented.

objectiveTo explore the attitudes and perceptions of GPs and community pharmacists on the risks and preventative strategies for the development of BRONJ.

designInterpretivist methodological approach using qualitative semistructured interviews.

participants9 community pharmacists and 8 GPs.

settingPrimary Care in North East England and Cumbria, UK.

methodsUsing a Grounded Theory methodology and integrating a process of constant comparison in the iterative enrichment of data sets, semistructured interviews were undertaken, transcribed and analysed using framework analysis. Salient themes were identified and related back to extant literature in the field.

resultsFour salient and inter-related themes emerged: (1) uncertain knowledge, indicating limited exposure of respondents to BRONJ, and limited awareness of the implications of its diagnosis, risk factors and preventative strategies; (2) patient specific, referring to the complexity of patients, patient education and prioritising aspects of care; (3) wider context, indicating a lack of interdisciplinary communication and referral processes between professions, workload pressures, access and patient receptivity to dental services; and (4) professional, reflecting professional roles and responsibilities, authority and educational initiatives

conclusionsEffective communication or collaborative care between GPs and community pharmacists for the prevention of BRONJ is not apparent. Interventions to mitigate against the risk of developing BRONJ and clarity of GP and community pharmacy roles are required.

Indexed as

Health Knowledge, Attitudes, PracticeProfessional RoleBisphosphonate-Associated Osteonecrosis of the JawEnglandFemaleGeneral PractitionersHumansInterdisciplinary CommunicationInterviews as TopicMalePharmacistsQualitative ResearchReferral and ConsultationBisphosphonate-Related Osteonecrosis of the JawGeneral PractitionersInterdisciplinary CommunicationPharmacistsQualitative Research

Identifiers

PMID28965092
PMCPMC5640123

What OpenQuestion holds

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LicenceCC BY-NC
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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.