Evidence map›Paper›PMID 34815274›Full record

ArticleBMJ open2021

Frequencies and patterns of microbiology test requests from primary care in Oxfordshire, UK, 2008-2018: a retrospective cohort study of electronic health records to inform point-of-care testing.

J M Ordóñez-Mena, Thomas R Fanshawe, Dona Foster, Monique Andersson, Sarah Oakley, Nicole Stoesser, A Sarah Walker, Gail Hayward

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

8 authors.

J M Ordóñez-MenaDepartment of Primary Care Health Sciences, University of Oxford Nuffield, Oxford, Oxfordshire, UK jose.ordonezmena@phc.ox.ac.uk.ORCID 0000-0002-8965-104X
Thomas R FanshaweDepartment of Primary Care Health Sciences, University of Oxford Nuffield, Oxford, Oxfordshire, UK.
Dona FosterNuffield Department of Medicine, University of Oxford, Oxford, Oxfordshire, UK.
Monique AnderssonDepartment of Microbiology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.
Sarah OakleyDepartment of Microbiology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.
Nicole StoesserNIHR Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.
A Sarah WalkerNIHR Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.
Gail HaywardDepartment of Primary Care Health Sciences, University of Oxford Nuffield, Oxford, Oxfordshire, UK.ORCID 0000-0003-0852-627X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo inform point-of-care test (POCT) development, we quantified the primary care demand for laboratory microbiology tests by describing their frequencies overall, frequencies of positives, most common organisms identified, temporal trends in testing and patterns of cotesting on the same and subsequent dates.

designRetrospective cohort study.

settingPrimary care practices in Oxfordshire.

participants393 905 patients (65% female; 49% aged 18-49). PRIMARY AND SECONDARY OUTCOME MEASURES: The frequencies of all microbiology tests requested between 2008 and 2018 were quantified. Patterns of cotesting were investigated with heat maps. All analyses were done overall, by sex and age categories.

results1 596 752 microbiology tests were requested. Urine culture±microscopy was the most common of all tests (n=673 612, 42%), was mainly requested without other tests and was the most common test requested in follow-up within 7 and 14 days. Of all urine cultures, 180 047 (27%) were positive and 172 651 (26%) showed mixed growth, and

conclusionsThe greatest burden of microbiology testing in primary care is attributable to urine culture ± microscopy; genital and routine antenatal urine and blood testing are also significant contributors. Further research should focus on the feasibility and impact of POCTs for these specimen types.

Indexed as

Electronic Health RecordsPoint-of-Care TestingFemaleHumansMalePregnancyPrimary Health CareRetrospective StudiesUnited Kingdomepidemiologymicrobiologyprimary care

Identifiers

PMID34815274
PMCPMC8611454

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.