Evidence map›Paper›PMID 33399009›Full record

Observational studyThe European journal of general practice2020

C-reactive protein influences the doctor's degree of suspicion of pneumonia in primary care: a prospective observational study.

Anna B Moberg, Anna Ravell Jensen, Jakob Paues, Falk Magnus

Abstract readObservational Study
In one paragraph

Observational study in The European journal of general practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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.

Anna B MobergKärna Primary Healthcare Centre, Linköping, Sweden.ORCID https://orcid.org/0000-0001-5431-8469
Anna Ravell JensenDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Jakob PauesDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Falk MagnusKärna Primary Healthcare Centre, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn primary care, the diagnosis of pneumonia is often based on history and clinical examination alone. However, a previous study showed that the general practitioner's degree of suspicion correlates well with findings on chest X-ray, when the C-reactive protein (CRP) value is known.

objectivesThe present study aimed to investigate to what extent the physician's degree of suspicion is affected by the CRP level when community-acquired pneumonia is suspected in primary care.

methodsA prospective observational study was conducted at five primary health care centres in Sweden between October 2015 and December 2017. Adult patients (

resultsThe degree of suspicion of pneumonia changed in 69% of the cases; most often to a lower degree (40%). In 28% of the cases, there was no longer any suspicion of pneumonia after CRP.

conclusionOur results indicate that CRP testing highly influences the physician's degree of suspicion of pneumonia in primary care and that it seems to be of most value when not sure of the diagnosis.

Indexed as

Decision MakingCommunity-Acquired InfectionsC-Reactive ProteinFemaleHumansMaleMiddle AgedPhysical ExaminationPneumoniaPoint-of-Care TestingPrimary Health CareProspective StudiesRadiography, ThoracicSwedenUncertaintyC-Reactive ProteinCommunity-acquired pneumoniaC-reactive proteingeneral practicepoint of care testsprimary health care

Identifiers

PMID33399009
PMCPMC7801023

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Registered trials

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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.