Evidence map›Paper›PMID 32576217›Full record

ArticleBMC family practice2020

Minor surgery in general practice in Ireland- a report of workload and safety.

Ailís Ní Riain, Niall Maguire, Claire Collins

Abstract 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. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

3 authors.

Ailís Ní RiainResearch Department, Irish College of General Practitioners, 4-5 Lincoln Place, Dublin 2, Ireland.
Niall MaguirePrimary Care Surgical Association, Navan, Ireland.
Claire CollinsResearch Department, Irish College of General Practitioners, 4-5 Lincoln Place, Dublin 2, Ireland. claire.collins@icgp.ie.ORCID 0000-0001-8967-5159

Funding

Irish Health Services Executive ICGPMSAR
6 · The paper itself

Abstract

backgroundThe provision of minor surgical services is an established part of the task profile of general practitioners (GPs) in many countries in Europe and elsewhere. This study aimed to collect data on the clinical process and outcomes for specified minor surgical procedures undertaken in Irish general practice by GPs experienced in minor surgery in order to document the scope and safety of minor surgery being undertaken.

methodsOver a six-month period, 24 GPs in 20 practices recorded data on a pre-determined list of procedures undertaken in adults (aged 18 and older); procedures for ingrown toenails were also recorded for those aged 12-18 years. Clinical data were rendered fully anonymous by the participating GPs, entered onto the Excel database template and returned to the project team monthly.

resultsOn average, each practice undertook 212 procedures in a six-month period. The four most frequent procedures include two relatively non-invasive procedures (cryosurgical ablation of skin lesions and aspiration and/or injection of joints) and two more invasive procedures (full thickness excision of skin lesion and shave, punch or incisional biopsy). Overall, 83.8% of relevant specimens were submitted for histology. Combining benign and malignant cases, there was an overall 87% clinical and histological concordance; 85% of malignancies were suspected clinically. A complication was recorded in 0.9% after 1 month.

conclusionsIrish GPs with experience in minor surgery can provide a range of surgical services in the community safely.

Indexed as

General PracticeMinor Surgical ProceduresPractice Patterns, Physicians'Skin NeoplasmsAdolescentAdultBiopsyClinical CompetenceFemaleGeneral PractitionersHumansIrelandMaleOutcome and Process Assessment, Health CareWorkloadDermatologyFamily medicineGeneral practiceMinor surgical proceduresSkin cancer

Identifiers

PMID32576217
PMCPMC7310463

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.