Evidence map›Paper›PMID 30714290›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

An Australian community jury to consider case-finding for dementia: Differences between informed community preferences and general practice guidelines.

Rae Thomas, Rebecca Sims, Elaine Beller, Anna Mae Scott, Jenny Doust, David Le Couteur, Dimity Pond, Clement Loy, Cynthia Forlini, Paul Glasziou

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Trading off accuracy and explainability in AI decision-making: findings from 2 citizens' juries.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  6. A Community Jury on initiating weight management conversations in primary care.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  7. Article
  8. Exploring women's priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  9. Article
  10. Why 'case finding' is bad science.Journal of the Royal Society of Medicine · 2020
    Article
  11. An Australian community jury to consider case-finding for dementia: Differences between informed community preferences and general practice guidelines.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  12. Developing and applying a deductive coding framework to assess the goals of Citizen/Community Jury deliberations.Health expectations : an international journal of public participation in health care and health policy · 2019
    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

10 authors.

Rae ThomasCentre for Research in Evidence-Based Practice, Bond University, Gold Coast, Queensland, Australia.ORCID 0000-0002-2165-5917
Rebecca SimsCentre for Research in Evidence-Based Practice, Bond University, Gold Coast, Queensland, Australia.
Elaine BellerCentre for Research in Evidence-Based Practice, Bond University, Gold Coast, Queensland, Australia.
Anna Mae ScottCentre for Research in Evidence-Based Practice, Bond University, Gold Coast, Queensland, Australia.ORCID 0000-0002-0109-9001
Jenny DoustCentre for Research in Evidence-Based Practice, Bond University, Gold Coast, Queensland, Australia.
David Le CouteurSydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Dimity PondSchool of Medicine and Public Health, The University of Newcastle, Sydney, New South Wales, Australia.
Clement LoySydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Cynthia ForliniSydney Health Ethics, School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Paul GlasziouCentre for Research in Evidence-Based Practice, Bond University, Gold Coast, Queensland, Australia.

Funding

National Health and Medical Research Council 1044904National Health and Medical Research Council 1080042National Health and Medical Research Council 1106452
6 · The paper itself

Abstract

backgroundCase-finding for dementia is practised by general practitioners (GPs) in Australia but without an awareness of community preferences. We explored the values and preferences of informed community members around case-finding for dementia in Australian general practice. DESIGN, SETTING AND

participantsA before and after, mixed-methods study in Gold Coast, Australia, with ten community members aged 50-70.

interventionA 2-day citizen/community jury. Participants were informed by experts about dementia, the potential harms and benefits of case-finding, and ethical considerations. PRIMARY AND SECONDARY OUTCOMES: We asked participants, "Should the health system encourage GPs to practice 'case-finding' of dementia in people older than 50?" Case-finding was defined as a GP initiating testing for dementia when the patient is unaware of symptoms. We also assessed changes in participant comprehension/knowledge, attitudes towards dementia and participants' own intentions to undergo case-finding for dementia if it were suggested.

resultsParticipants voted unanimously against case-finding for dementia, citing a lack of effective treatments, potential for harm to patients and potential financial incentives. However, they recognized that case-finding was currently practised by Australian GPs and recommended specific changes to the guidelines. Participants increased their comprehension/knowledge of dementia, their attitude towards case-finding became less positive, and their intentions to be tested themselves decreased.

conclusionOnce informed, community jury participants did not agree case-finding for dementia should be conducted by GPs. Yet their personal intentions to accept case-finding varied. If case-finding for dementia is recommended in the guidelines, then shared decision making is essential.

Indexed as

Practice Guidelines as TopicPublic OpinionAgedAge FactorsAustraliaDementiaFemaleGeneral PracticeHumansMaleMass ScreeningMiddle Agedcitizen jurycommunity jurydementiageneral practiceprimary carepublic health

Identifiers

PMID30714290
PMCPMC6543153

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.