Evidence map›Paper›PMID 34123559›Full record

ArticleDermatology practical & conceptual2021

Management of a Chronic Skin Disease in Primary Care: An Analysis of Early-Career General Practitioners' Consultations Involving Psoriasis.

Sameerah Nawaz, Amanda Tapley, Andrew R Davey, Mieke L van Driel, Alison Fielding, Elizabeth G Holliday, Jean Ball, Irena Patsan, Alyse Berrigan, Simon Morgan and 3 more

Open access · diamondAbstract read
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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 46% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

13 authors at 5 institutions in 1 country.

Sameerah NawazGP Synergy, Regional Training Organisation, Liverpool, NSW, Australia.
Amanda TapleyThe University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Andrew R DaveyThe University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Mieke L van DrielThe University of Queensland Faculty of Medicine, Primary Care Clinical Unit, Brisbane, QLD, Australia.
Alison FieldingThe University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Elizabeth G HollidayThe University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Jean BallHunter Medical Research Institute, Clinical Research Design, IT and Statistical Support Unit (CReDITSS), New Lambton, NSW, Australia.
Irena PatsanThe University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
Alyse BerriganGP Synergy, Regional Training Organisation, NSW & ACT Research and Evaluation Unit, Mayfield West, NSW, Australia.
Simon MorganGP Synergy, Regional Training Organisation, Liverpool, NSW, Australia.
Neil A SpikeEastern Victoria GP Training, General Practice Training Organisation, Melbourne, Australia.
Kristen FitzGeraldUniversity of Tasmania, School of Medicine, Hobart, TAS, Australia.
Parker MaginThe University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.
University of Newcastle Australia · AUHunter Medical Research Institute · AUUniversity of Melbourne · AUUniversity of Queensland · AUUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of psoriasis by general practitioners (GPs) is vital, given its prevalence, chronicity, and associated physical and psychosocial co-morbidities. However, there is little information on how GPs (including early-career GPs) manage psoriasis.

objectivesThis study assessed the frequency with which Australian specialist GP vocational trainees ('registrars') provide psoriasis care and the associations of that clinical experience.

methodsA cross-sectional analysis was done of data from the ReCEnT study, an ongoing multi-site cohort study of Australian GP registrars' experiences during vocational training. In ReCEnT, 60 consecutive consultations are recorded 3 times (6-monthly) during each registrar's training. The outcome factor for this analysis was a problem/diagnosis being psoriasis, and independent variables were related to registrar, patient, practice and consultation factors. This study analysed 17 rounds of data collection (2010-2017) using univariate and multivariable regression.

resultsData from 1,741 registrars regarding 241,888 consultations and 377,980 problems/diagnoses were analysed. Psoriasis comprised 0.15% (n=550) of all problems/diagnoses (95% CI, 0.13-0.16). Significant patient multivariable associations of a problem/diagnosis being psoriasis included age, gender, being new to a practice or a registrar, and psoriasis being an existing problem rather than a new diagnosis. Significant registrar associations included seeking in-consultation information/assistance, not scheduling a follow-up appointment, prescribing medication, and generating learning goals.

conclusionsAustralian registrars have modest training exposure to psoriasis and may find psoriasis management challenging. Furthermore, continuity of care (essential for optimal chronic disease management) was modest. The findings have implications for GPs' approaches to the management of psoriasis more widely as well for general practice education and training policies.

Indexed as

chronic diseasecontinuity of patient carefamily practicegeneral practicemedical and graduate educationpsoriasis

Identifiers

PMID34123559
PMCPMC8172011
OpenAlexW3171498623

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.