Evidence map›Paper›PMID 30401672›Full record

ArticleJMIR medical informatics2018

Assessing the Impacts of Integrated Decision Support Software on Sexual Orientation Recording, Comprehensive Sexual Health Testing, and Detection of Infections Among Gay and Bisexual Men Attending General Practice: Observational Study.

Denton Callander, Christopher Bourne, Handan Wand, Mark Stoové, Jane S Hocking, John de Wit, John M Kaldor, Basil Donovan, Catherine Pell, Robert Finlayson and 6 more

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

Article in JMIR medical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 88% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

16 authors at 7 institutions in 1 country.

Denton CallanderThe Kirby Institute, University of New South Wales Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-4116-4250
Christopher BourneThe Kirby Institute, University of New South Wales Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-7391-3941
Handan WandThe Kirby Institute, University of New South Wales Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-8279-7652
Mark StoovéBurnet Institute, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0003-2887-1409
Jane S HockingMelbourne School of Population and Global Health, Melbourne University, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0001-9329-8501
John de WitCentre for Social Research in Health, University of New South Wales Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-5895-7935
John M KaldorThe Kirby Institute, University of New South Wales Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-7639-4355
Basil DonovanThe Kirby Institute, University of New South Wales Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-8851-4126
Catherine PellTaylor Square Private Clinic, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-8021-919X
Robert FinlaysonTaylor Square Private Clinic, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-9981-632X
David BakerEast Sydney Doctors, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-1526-9670
Bradley ForssmanFountain Street General Practice, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-2870-9030
B K TeeThe Centre Clinic, Victorian AIDS Council, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0003-1700-5716
Bill KefalasUniversity of New South Wales Health Service, University of New South Wales Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-5499-7120
Tim DuckNew South Wales Ministry of Health, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-2549-7087
Rebecca GuyThe Kirby Institute, University of New South Wales Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-2929-4634
UNSW Sydney · AUIP Australia · AUNew South Wales Department of Health · AUBurnet Institute · AUCancer Council Victoria · AUSydney Hospital · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGay and bisexual men are disproportionately affected by HIV and other sexually transmissible infections (STIs), yet opportunities for sexual health testing of this population are often missed or incomplete in general practice settings. Strategies are needed for improving the uptake and completeness of sexual health testing in this setting.

objectivesThe goal of the research was to evaluate the impact of an intervention centered around integrated decision support software and routine data feedback on the collection of sexual orientation data and sexual health testing among gay and bisexual men attending general practice.

methodsA study using before/after and intervention/comparison methods was undertaken to assess the intervention's impact in 7 purposively sampled Australian general practice clinics located near the urban centers of Sydney and Melbourne. The software was introduced at staggered points between April and August 2012; it used patient records to prompt clinicians to record sexual orientation and accessed pathology testing history to generate prompts when sexual health testing was overdue or incomplete. The software also had a function for querying patient management system databases in order to generate de-identified data extracts, which were used to report regularly to participating clinicians. We calculated summary rate ratios (SRRs) based on quarterly trends and used Poisson regression analyses to assess differences between the 12-month preintervention and 24-month intervention periods as well as between the intervention sites and 4 similar comparison sites that did not receive the intervention.

resultsAmong 32,276 male patients attending intervention clinics, sexual orientation recording increased 19% (from 3213/6909 [46.50%] to 5136/9110 [56.38%]) during the intervention period (SRR 1.10, 95% CI 1.04-1.11, P<.001) while comprehensive sexual health testing increased by 89% (305/1159 [26.32%] to 690/1413 [48.83%]; SRR 1.38, 95% CI 1.28-1.46, P<.001). Comprehensive testing increased slightly among the 7290 gay and bisexual men attending comparison sites, but the increase was comparatively greater in clinics that received the intervention (SRR 1.12, 95% CI 1.10-1.14, P<.001). In clinics that received the intervention, there was also an increase in detection of chlamydia and gonorrhea that was not observed in the comparison sites.

conclusionsIntegrated decision support software and data feedback were associated with modest increases in sexual orientation recording, comprehensive testing among gay and bisexual men, and the detection of STIs. Tests for and detection of chlamydia and gonorrhea were the most dramatically impacted. Decision support software can be used to enhance the delivery of sexual health care in general practice.

Indexed as

general practicemen who have sex with mensexual healthsoftwareSTI

Identifiers

PMID30401672
PMCPMC6246964
OpenAlexW2899589871

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.