Evidence map›Paper›PMID 31980021›Full record

ArticleBMC family practice2020

General practitioners' views on use of patient reported outcome measures in primary care: a cross-sectional survey and qualitative study.

Grace M Turner, Ian Litchfield, Sam Finnikin, Olalekan Lee Aiyegbusi, Melanie Calvert

Registry-linked trialAbstract read
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06854237 (Prevalence and Characteristics of Widespread Pain in People With Knee Osteoarthritis), which is not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 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.

NCT06854237 active not recruitingnot on this mapstarted 2025, after this paper: background citation

Prevalence and Characteristics of Widespread Pain in People With Knee Osteoarthritis

TypeobservationalSponsorVastra Gotaland RegionRan2025 to 2026Enrolled114ConditionsKnee Osteoarthritis, Widespread Chronic Pain
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Baseline health-related quality of life predicts falls: a secondary analysis of a randomized controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Trial
  5. Article
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  8. Stakeholder perspectives on the use of patient-reported outcome measures in colorectal cancer survivorship care in general practice: qualitative study using interviews.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  9. Article
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  11. Patients' experiences of responding to a Patient-Reported Outcome Measure for palliative care: a mixed method study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
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  17. Observational
  18. A Multi-dimensional Framework of Valued Output for Primary Care in England.Applied health economics and health policy · 2024
    Review
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  20. 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

5 authors.

Grace M TurnerInstitute of Applied Health Research, University of Birmingham, B15 2TT, Birmingham, UK. G.Turner.1@bham.ac.uk.
Ian LitchfieldInstitute of Applied Health Research, University of Birmingham, B15 2TT, Birmingham, UK. I.Litchfield@bham.ac.uk.ORCID 0000-0002-1169-5392
Sam FinnikinInstitute of Applied Health Research, University of Birmingham, B15 2TT, Birmingham, UK.
Olalekan Lee AiyegbusiInstitute of Applied Health Research, University of Birmingham, B15 2TT, Birmingham, UK.
Melanie CalvertInstitute of Applied Health Research, University of Birmingham, B15 2TT, Birmingham, UK.

Funding

Wellcome TrustWellcome Trust 1516ISSFIRA26
6 · The paper itself

Abstract

backgroundPatient reported outcome measures (PROMs) are increasingly used to assess impact of disease and treatment on quality of life and symptoms; however, their use in primary care is fragmented. We aimed to understand how PROMs are currently being used in primary care, the barriers and facilitators of this use and if appropriate how it might be optimised.

methodsCross-sectional survey and semi-structured interviews among general practitioners (GPs) in England. GPs' opinions were explored using an electronic, self-completed questionnaire disseminated to 100 GPs via an online doctors' community and semi-structured qualitative interviews with 25 GPs.

resultsMost GPs surveyed (77/100; 77%) reported using one or more PROM, primarily to aid clinical management (n = 66) or as screening/diagnostic tools (n = 62). Qualitative interviews highlighted challenges in identifying and selecting PROMs; however, some GPs valued PROMs for shared decision making and to direct patient discussions. The interviews identified key barriers to PROM use including: time constraints; insufficient knowledge; lack of integration into clinical systems; and PROMs being mandated without consultation or explanation. Evidence of the benefit of PROMs is required to promote uptake and use of PROMs in primary care.

conclusionImplementation of PROMs in primary care requires integration with clinical systems, a bottom-up approach to PROM selection and system design involving meaningful consultation with patients and primary care clinicians and training/support for use.

Indexed as

Attitude of Health PersonnelGeneral PractitionersPatient Reported Outcome MeasuresPrimary Health CareCross-Sectional StudiesDecision Making, SharedEnglandFemaleHumansMalePractice Patterns, Physicians'Qualitative ResearchSurveys and QuestionnairesGeneral practitionersPatient reported outcome measures (PROMs)Primary careQualitativeSurvey

Identifiers

PMID31980021
PMCPMC6979354

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.