Evidence map›Paper›PMID 32560875›Full record

ArticleMusculoskeletal science & practice2020

Safety netting; best practice in the face of uncertainty.

Sue Greenhalgh, Laura M Finucane, Christopher Mercer, James Selfe

Open access · greenAbstract read
In one paragraph

Article in Musculoskeletal science & practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

13 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
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  4. Understanding degenerative cervical myelopathy in musculoskeletal practice.The Journal of manual & manipulative therapy · 2025
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  11. Socioeconomic differences in help seeking for colorectal cancer symptoms during COVID-19: a UK-wide qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  12. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Sue GreenhalghClinical Fellow Department of Health Professions, Manchester Metropolitan University, UK; Bolton NHS FT, UK. Electronic address: susan.greenhalgh@boltonft.nhs.uk.
Laura M FinucaneSussex MSK Partnership, Brighton, UK.
Christopher MercerWestern Sussex Hospitals NHS Trust, Chichester, UK.
James SelfeDepartment of Health Professions, Manchester Metropolitan University, UK; Physiotherapy Department, Satakunta University of Applied Sciences, Pori, Finland.
Manchester Metropolitan University · GBSussex Partnership NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Safety netting is a recognised General Practitioner (GP) diagnostic strategy often used in the face of uncertainty to help ensure that a patient with unresolved or worsening symptoms knows when and how to access further advice. It is an important way of reducing clinical risk. In the context of the COVID-19 pandemic and the rapid move to mainly remote consultations within the musculoskeletal field, safety netting is an important strategy to embed within all consultations. Only those presenting with potentially serious conditions are offered face to face consultations. Screening for Red Flags and any indication of a serious cause of symptoms is always first line in any consultation, however, clinical presentations are not always black and white with patients falling into a clear diagnostic category. With patients minds more focussed on COVID-19 symptoms this can be problematic. With the additional ramifications of public health social restrictions, onward management can be a conundrum. Many people with risk factors of serious pathology are also as a consequence, vulnerable to contracting COVID-19. In situations of uncertain clinical presentations, to avoid unnecessary social contact, safety netting can help to monitor symptoms over time until the clinical context becomes more certain. Embedding safety netting within physiotherapy best practice could be a silver lining in this pandemic black cloud.

Indexed as

BetacoronavirusPractice Guidelines as TopicCoronavirus InfectionsCOVID-19HumansPandemicsPatient SafetyPneumonia, ViralPrimary Health CareQualitative ResearchSARS-CoV-2

Identifiers

PMID32560875
PMCPMC7214294
OpenAlexW3023012276

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.