Evidence map›Paper›PMID 31322989›Full record

ArticleJournal of oncology practice2019

Standardizing Febrile Neutropenia Management: Antimicrobial Stewardship in the Hematologic Malignancy Population.

John C O'Horo, Jasmine R Marcelin, Omar M Abu Saleh, Amelia K Barwise, Patricia M Odean, Christina G Rivera, Aaron J Tande, John W Wilson, Douglas R Osmon, Pritish K Tosh

Open access · bronzeAbstract read
In one paragraph

Article in Journal of oncology practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

John C O'HoroMayo Clinic, Rochester, MN.
Jasmine R MarcelinMayo Clinic, Rochester, MN.
Omar M Abu SalehMayo Clinic, Rochester, MN.
Amelia K BarwiseMayo Clinic, Rochester, MN.
Patricia M OdeanMayo Clinic, Rochester, MN.
Christina G RiveraMayo Clinic, Rochester, MN.
Aaron J TandeMayo Clinic, Rochester, MN.
John W WilsonMayo Clinic, Rochester, MN.
Douglas R OsmonMayo Clinic, Rochester, MN.
Pritish K ToshMayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

Patients with febrile neutropenia (FN) often are subject to antibiotic and diagnostic test overuse. We sought to improve appropriate use of antimicrobials and diagnostic tests for patients with FN. We used a blended quality approach with Lean Six Sigma tools and iterative improvement of a clinical decision aid to guide providers through empirical antimicrobial selection and diagnostic evaluation of patients with FN during a yearlong period. We evaluated the incidence of nonadherence to best practice before, during, and after rollout of a clinical decision aid in conjunction with an educational initiative. At baseline, 71% of patients with FN had at least one critical deviation from best practice. During the project, the percentage decreased to 27.3%; 4 months after the project was completed, the percentage was 33.3% (

Indexed as

Antimicrobial StewardshipAlgorithmsAnti-Bacterial AgentsDisease ManagementFebrile NeutropeniaHematologic NeoplasmsHumansPopulation SurveillancePractice Patterns, Physicians'Anti-Bacterial Agents

Identifiers

PMID31322989
PMCPMC6743219
OpenAlexW2962966258

What OpenQuestion holds

Textmetadata
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.