Evidence map›Paper›PMID 30928940›Full record

ArticleBMJ open2019

Knowledge and use of evidence-based medicine in daily practice by health professionals: a cross-sectional survey.

Carmelo Lafuente-Lafuente, Catia Leitao, Insaf Kilani, Zineb Kacher, Cynthia Engels, Florence Canouï-Poitrine, Joël Belmin

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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

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

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  8. Evidence-Based Medicine:Sultan Qaboos University medical journal · 2025
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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

7 authors.

Carmelo Lafuente-LafuenteGériatrie à orientation Cardiologique et Neurologique, APHP, Hôpitaux univesitaires Pitié-Salpêtrière-Charles Foix, Ivry-sur-Seine, France.ORCID 0000-0002-2475-4670
Catia LeitaoPlateforme de recherche clinique, APHP, Hôpitaux universitaires Pitié-Salpêtrière-Charles Foix, Ivry-sur-Seine, France.
Insaf KilaniPlateforme de recherche clinique, APHP, Hôpitaux universitaires Pitié-Salpêtrière-Charles Foix, Ivry-sur-Seine, France.
Zineb KacherPlateforme de recherche clinique, APHP, Hôpitaux universitaires Pitié-Salpêtrière-Charles Foix, Ivry-sur-Seine, France.
Cynthia EngelsIMRB, A-TVB DHU, CEpiA EA 4393 (Clinical Epidemiology and Ageing Unit), Institut d'Ergothérapie, Université Paris Est Créteil (UPEC), Créteil, France.
Florence Canouï-PoitrineIMRB, A-TVB DHU, CEpiA EA 4393 (Clinical Epidemiology and Ageing Unit), Institut d'Ergothérapie, Université Paris Est Créteil (UPEC), Créteil, France.
Joël BelminGériatrie à orientation Cardiologique et Neurologique, APHP, Hôpitaux univesitaires Pitié-Salpêtrière-Charles Foix, Ivry-sur-Seine, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHealthcare professionals are expected to firmly ground their practice in sound evidence. That implies that they know and use evidence-based medicine (EBM). In this study, our aim was to know how often health professionals actually made use of EBM in their daily practice.

designA questionnaire survey of healthcare professionals.

participantsHealthcare professionals who attended six university postgraduate courses. 226 answered the questionnaire (144 physicians, 64 nurses and 24 pharmacists; response rate 63.3%).

setting56.5% of respondents worked in hospitals (mostly non-teaching), 25.0% in nursing homes and 10.2% in primary care. All participants were French-speaking and lived in France or Switzerland. MEASURES: Declared degree of knowledge and use of EBM, use of EBM-related information sources.

resultsOverall, 14.2% of respondents declared to use EBM regularly in their daily practice and 15.6% declared to use EBM only occasionally. The remaining respondents declared they: knew about EBM but did not use it (33.1%), had just heard about EBM (31.9%) or did not know what EBM is (4.0%). Concerning the use of EBM-related information sources, 83.4% declared to use at least monthly (or more often) clinical guidelines, 47.1% PubMed, 21.3% the Cochrane Library and 6.4% other medical databases.Fewer pharmacists (12%) declared to use EBM in their practice than nurses (22%) or doctors (36%). No difference appeared when analysed by gender, work setting or years after graduation. The most frequent obstacles perceived for the practice of EBM were: lack of general knowledge about EBM, lack of skills for critical appraisal and lack of time.

conclusionsOnly a minority of health professionals-with differences between physicians, nurses and pharmacists-declare to regularly use EBM in their professional practice. A larger proportion appears to be interested in EBM but seems to be deterred by their lack of knowledge, skills and personal time.

Indexed as

Attitude of Health PersonnelClinical Decision-MakingHealth Knowledge, Attitudes, PracticeClinical CompetenceCross-Sectional StudiesEvidence-Based MedicineFemaleFranceHealth PersonnelHumansMaleSwitzerlandattitude of health personneldiffusion of innovationevidence-based medicinehealth care surveyshealth information resources

Identifiers

PMID30928940
PMCPMC6475442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.