Evidence map›Paper›PMID 32377279›Full record

ArticlePharmacy practice

FDA collaboration to improve safe use of fluoroquinolone antibiotics: an

John Whyte, Scott Winiecki, Christina Hoffman, Kaushal Patel

Open access · diamondAbstract read
In one paragraph

Article in Pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 96% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. 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 4 institutions in 1 country.

John WhyteMD, MPH. Chief Medical Officer, WebMD. New York, NY (United States). jwhyte@webmd.net.ORCID https://orcid.org/0000-0002-0715-5158
Scott WinieckiMD. Director. Safe Use Initiative, U.S. Food and Drug Administration. Silver Spring, MD (United States). Scott.Winiecki@fda.hhs.gov.ORCID https://orcid.org/0000-0003-4912-4621
Christina HoffmanMS. Group Vice President. Quality and Strategy, Medscape Education. New York, NY (United States). choffman@medscape.net.ORCID https://orcid.org/0000-0002-6054-7521
Kaushal PatelMBA. Group Vice President. Marketing Sciences, WebMD. New York, NY (United States). kapatel@webmd.net.ORCID https://orcid.org/0000-0002-3511-9146
Medscape · USOffice of Chief Medical Examiner · USUnited States Food and Drug Administration · USWebb Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis

methodsA total of 11,774 Medscape healthcare provider (HCP) members prescribing high volumes of fluoroquinolones were randomized into three segments to receive one of three unique targeted short-form messages, each delivered via email, web alerts, and mobile alerts. Some HCPs receiving targeted short-form messages also participated in CME on fluoroquinolone prescribing. A fourth segment of HCPs participated in CME only. Test HCPs were matched to third-party-provider prescriber data to identify control HCPs. We used prescriber data to determine new prescription volume; percentage (%) of HCPs with reduced prescribing; new prescription volume for acute bacterial sinusitis (ABS), uncomplicated urinary tract infection (uUTI), and acute bacterial exacerbations of chronic bronchitis in those with chronic obstructive pulmonary disease (ABECB-COPD). Open rates for emailed targeted short-form messages were also measured.

resultsTargeted short-form messages and CME each resulted in significant new prescription volume reduction versus control. Combining targeted short-form messages with CME yielded the greatest percentage of test HCPs with reduced prescribing (80.1%) versus controls (76.2%; p<0.0001). New prescription volume decreased significantly for uUTI and ABS following exposure to targeted short-form messages, CME, or both. Targeted short-form messages containing comparative prescribing information with or without clinical context were opened at slightly higher rates (10.8% and 10.6%, respectively) than targeted short-form messages containing clinical context alone (9.1%).

conclusionsTargeted short-form messages and CME, alone and in combination, are associated with reduced oral fluoroquinolone prescribing among high prescribers.

Indexed as

Antimicrobial StewardshipBacterialContinuingDrug ResistanceEducationFluoroquinolonesInappropriate PrescribingMedicalPeer InfluencePrescription Drug MisuseRandomized Controlled Trials as TopicUnited States

Identifiers

PMID32377279
PMCPMC7194042
OpenAlexW3017823893

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.