Evidence map›Paper›PMID 31113364›Full record

ArticleBMC family practice2019

The role of the GP in managing suspected transient ischaemic attack: a qualitative study.

Duncan Edwards, Grace M Turner, Satnam K Virdee, Jonathan Mant

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

Article in BMC family practice, 2019. 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
0.2field-weighted citation impact, top 46% 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, 2 citations in OpenAlex.

  1. Care settings of transient ischemic attack in the United States: A cohort study from the TriNetX health research network.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    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

4 authors at 2 institutions in 1 country.

Duncan EdwardsPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Worts' Causeway, Cambridge, CB1 8RN, UK.
Grace M TurnerInstitute for Applied Health Research, University of Birmingham, Birmingham, Edgbaston, B15 2TT, UK. G.turner.1@bham.ac.uk.ORCID 0000-0002-9783-9413
Satnam K VirdeeInstitute for Applied Health Research, University of Birmingham, Birmingham, Edgbaston, B15 2TT, UK.
Jonathan MantPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Worts' Causeway, Cambridge, CB1 8RN, UK.
University of Birmingham · GBUniversity of Cambridge · GB

Funding

Department of Health PB-PG-1207-15216Department of Health PDF-2017-10-047
6 · The paper itself

Abstract

backgroundNational guidelines recommend patients with suspected transient ischaemic attack (TIA) should be seen by a specialist within 24 h. However, people with suspected TIA often present to non-specialised services, particularly primary care. Therefore, general practitioners (GPs) have a crucial role in recognition and urgent referral of people with suspected TIA. This study aims to explore the role of GPs in the initial management of suspected TIA in the United Kingdom (UK).

methodsOne-to-one, semi-structured interviews with GPs, TIA clinic staff and patients with suspected TIA from two sites in the UK: Cambridge and Birmingham. Thematic analysis was undertaken to explore views on the role of the GP in managing suspected TIA. Thirty semi-structured interviews were conducted with stroke patients (n = 12), GPs (n = 9) and TIA clinic hospital staff (n = 9) from two hospitals and nine GP practices in surrounding areas.

resultsThree overarching themes were identified: (1) multiple management pathways for suspected TIA; (2) uncertainty regarding suspected TIA as an emergency or routine situation; and (3) influences on the urgency of GP management.

conclusionsGuidelines on the primary care management of TIA describe only a small proportion of the factors which influence GP management and referral of suspected TIA. Efforts to improve treatment, appropriate referral and patient experience should use a real rather than idealised model of the GP role in managing suspected TIA.

Indexed as

General PractitionersPhysician's RoleReferral and ConsultationAgedFemaleHumansIschemic Attack, TransientMaleMedical Staff, HospitalMiddle AgedNursing Staff, HospitalQualitative ResearchStrokeGeneral practitioners (GPs)Primary careStrokeTransient ischaemic attack (TIA)

Identifiers

PMID31113364
PMCPMC6530060
OpenAlexW2947345818

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.