Evidence map›Paper›PMID 32111608›Full record

ArticleBMJ open quality2020

Impact of a pilot NHS-funded sore throat test and treat service in community pharmacies on provision and quality of patient care.

Efi Mantzourani, Andrew Evans, Rebecca Cannings-John, Haroon Ahmed, Kerenza Hood, Nicholas Reid, Robin Howe, Emma Williams, Cheryl Way

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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  5. Article
  6. Review
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  8. Article
  9. Article
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  11. Antibiotic stewardship: where next?The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Point-of-Care Testing for Pharyngitis in the Pharmacy.Antibiotics (Basel, Switzerland) · 2020
    Article
  18. 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

9 authors at 4 institutions in 1 country.

Efi MantzouraniSchool of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, UK MantzouraniE1@cardiff.ac.uk.ORCID 0000-0002-6313-1409
Andrew EvansHealth and Social Services Group, Welsh Government, Cardiff, UK.
Rebecca Cannings-JohnCentre for Trials Research, Cardiff University, Cardiff, South Glamorgan, UK.
Haroon AhmedDivision of Population Medicine, Cardiff University, Cardiff, South Glamorgan, UK.
Kerenza HoodCentre for Trials Research, Cardiff University, Cardiff, South Glamorgan, UK.
Nicholas ReidSchool of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, UK.
Robin HoweMicrobiology, Public Health Wales, Cardiff, UK.
Emma WilliamsPrimary Care, Information and Communications Technology, NHS Wales Informatics Service, Cardiff, UK.
Cheryl WayClinical Informatics, NHS Wales Informatics Service, Cardiff, UK.
Cardiff University · GBNational Health Service Wales · GBPublic Health Wales · GBWelsh Government · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA National Health Service (NHS)-funded sore throat test and treat (STTT) service was introduced in selected pharmacies in two local health boards in Wales, as an extension to the national pharmacy common ailment scheme. The aim of this study was to evaluate the impact of STTT on provision and quality of patient care, namely antibiotic use, patient safety and general practitioner (GP) consultation rates.

methodsSecondary analyses of STTT consultation data to describe service outcomes, and routine data to explore changes in antibiotic prescribing and the prevalence of complications. Data were also collected from one GP practice to explore the feasibility of measuring changes in sore throat consultation rates in general practice.

resultsLess than 20% of 1725 consultations resulted in antibiotic supply. The availability of STTT was associated with greater reductions in prescriptions for phenoxymethylpenicillin than in areas where STTT was not available (-3.8% and -3.4%, difference 0.4%). When pharmacy supplies were included, the reductions in the supply of the antibiotic were similar. No increase in the monthly number of incidents of quinsy was detected, and patients were appropriately referred to other healthcare professionals during pharmacy consultations. GP consultation rates since introduction of STTT were found to be lower than the equivalent monthly average since 2014.

conclusionsData from the first 5 months of the STTT service suggest that it may have a role in safely rebalancing uncomplicated sore throat management from general practice to community pharmacies while continuing to promote antibiotic stewardship.

Indexed as

AdolescentAdultAgedAged, 80 and overChildFemaleHumansMaleMiddle AgedPharmaciesPharyngitisPilot ProjectsQuality of Health CareState MedicineWalesantibiotic managementcommunity pharmacy servicesevaluation methodologygeneral practicehealth services research

Identifiers

PMID32111608
PMCPMC7047494
OpenAlexW3007235851

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.