Evidence map›Paper›PMID 33895965›Full record

ArticleIrish journal of medical science2022

A survey of general practitioners' knowledge and clinical practice in relation to valvular heart disease.

John P Birrane, Zi Lun Lim, Chee H Liew, Liesbeth Rosseel, Adrienne Heerey, Kieran Coleman, Joseph Gallagher, Darren Mylotte, John W McEvoy

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

Article in Irish journal of medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Review
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

9 authors at 4 institutions in 1 country.

John P BirraneUniversity Hospital Galway and SAOLTA University Health Care Group; National University of Ireland, Galway, Ireland.
Zi Lun LimUniversity Hospital Galway and SAOLTA University Health Care Group; National University of Ireland, Galway, Ireland.
Chee H LiewNational Institute for Prevention and Cardiovascular Health, National University of Ireland Galway, Galway, Ireland.
Liesbeth RosseelUniversity Hospital Galway and SAOLTA University Health Care Group; National University of Ireland, Galway, Ireland.
Adrienne HeereyLower Salthill Medical Practice, Salthill, Galway, Ireland.
Kieran ColemanUniversity Hospital Galway and SAOLTA University Health Care Group; National University of Ireland, Galway, Ireland.
Joseph GallagherIrish College of General Practitioners, Lincoln Place, Dublin 2, Ireland.
Darren MylotteUniversity Hospital Galway and SAOLTA University Health Care Group; National University of Ireland, Galway, Ireland.
John W McEvoyUniversity Hospital Galway and SAOLTA University Health Care Group; National University of Ireland, Galway, Ireland. johnwilliam.mcevoy@nuigalway.ie.
Ollscoil na Gaillimhe – University of Galway · IESaolta University Health Care Group · IEUniversity Hospital Galway · IEGalway Clinic · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGeneral practice has a key role in diagnosing patients with valvular heart disease (VHD) and referring them to appropriate services.

methodsAn anonymous survey was conducted to assess the knowledge and clinical practice behaviour of Irish general practitioners (GPs) in relation to VHD. In addition to demographic data, the survey captured information in the following domains: knowledge of VHD prevalence, knowledge of contemporary VHD treatments, barriers to diagnosis, and referral patterns. To augment responses, a monetary prize (donated to charity) was offered and the survey was also disseminated using social media and by the Irish College of General Practitioners.

resultsValid survey responses were received from 197 GPs. The sample was well-balanced by gender, number of years in practice, and practice setting. A small proportion of GPs (16.8%) used a stethoscope to examine for VHD in all patients over 60 years, a figure that rose to 22.3% in patients over 75. Approximately half of participants (48%) felt confident in their ability to detect and diagnose VHD using a stethoscope, and 74% felt lack of access to echocardiography was a major barrier to making a VHD diagnosis. There was a high level of awareness among GPs of minimally invasive nonsurgical interventions now available for VHD treatment. DISCUSSION: Irish GPs displayed good understanding of contemporary VHD treatment options but reported low confidence and inconsistent practices in evaluating patients for VHD. Improved access to echocardiography might help address these deficiencies, but reorganisation of services will be required in a resource-limited public health service.

Indexed as

General PracticeGeneral PractitionersHeart Valve DiseasesHumansReferral and ConsultationSurveys and QuestionnairesGeneral practicePrimary careSpecialist referralValvular heart disease

Identifiers

PMID33895965
PMCPMC8983626
OpenAlexW3159327863

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.