Evidence map›Paper›PMID 33614210›Full record

ArticleDermatology practical & conceptual2021

General Practice Registrars' Management of and Specialist Referral Patterns for Atopic Dermatitis.

Anneliese Willems, Amanda Tapley, Alison Fielding, Vivian Tng, Elizabeth G Holliday, Mieke L van Driel, Jean I Ball, Andrew R Davey, Kristen FitzGerald, Neil A Spike and 1 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Dermatology practical & conceptual, 2021. 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
1.0field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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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

11 authors at 6 institutions in 1 country.

Anneliese WillemsEastern Victoria GP Training, General Practice Training Organisation, Melbourne, VIC, Australia.
Amanda TapleyThe University of Newcastle, School of Public Health and Medicine, Callaghan, NSW, Australia.
Alison FieldingThe University of Newcastle, School of Public Health and Medicine, Callaghan, NSW, Australia.
Vivian TngDepartment of Dermatology, John Hunter Hospital, Newcastle, NSW, Australia.
Elizabeth G HollidayThe University of Newcastle, School of Public Health and Medicine, Callaghan, NSW, Australia.
Mieke L van DrielThe University of Queensland Faculty of Medicine, Primary Care Clinical Unit, Brisbane, QLD, Australia.
Jean I BallHunter Medical Research Institute, Clinical Research Design, IT and Statistical Support Unit (CReDITSS), New Lambton, NSW, Australia.
Andrew R DaveyThe University of Newcastle, School of Public Health and Medicine, Callaghan, NSW, Australia.
Kristen FitzGeraldUniversity of Tasmania, School of Medicine, Hobart, TAS, Australia.
Neil A SpikeEastern Victoria GP Training, General Practice Training Organisation, Melbourne, VIC, Australia.
Parker J MaginThe University of Newcastle, School of Public Health and Medicine, Callaghan, NSW, Australia.
University of Newcastle Australia · AUThe University of Melbourne · AUHunter Medical Research Institute · AUJohn Hunter Hospital · AUThe University of Queensland · AUUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a common presentation in the general practice (GP) setting. Implementation of appropriate referral pathways is instrumental for best patient care and is an essential skill for Australian GP registrars.

objectivesWe aimed to explore the prevalence and associations of GP registrar referrals to specialists for AD management.

methodsA cross-sectional analysis utilizing data from the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing cohort study that documents in-consultation clinical and educational experience of Australian GP registrars. Registrar, patient, and consultation factors associated with referrals for AD were established using logistic regression.

resultsA total of 2,783 registrars (96% response rate) provided data from 381,180 consultations from 2010 to 2019. A total of 3,285 (0.55%) of 595,412 diagnoses managed were AD, of which 222 (6.8%) resulted in referral. Of these referrals, 70% were to dermatologists, 17% to allergists/immunologists, and 10% to pediatricians. Associations of referral included registrar female gender, patient age, longer consultation duration; an established (rather than new) AD diagnosis; supervisor advice being sought; and learning goals being generated.

conclusionsBoth registrar and patient factors influence AD referral patterns. Registrars referred established rather than newly diagnosed AD, suggesting a level of comfort in initial management. Referral was associated with longer consultations, seeking supervisor advice, and generation of learning goals-suggesting these are more complex presentations and, possibly, registrar learning opportunities. A significant proportion of referrals were to non-dermatologist specialists. The implication of this for optimal patient care is a subject for further study.

Indexed as

atopic dermatitisdermatologisteczemageneral practicereferral and consultation

Identifiers

PMID33614210
PMCPMC7875659
OpenAlexW3128620315

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.