Evidence map›Paper›PMID 35502332›Full record

ArticleOpen access emergency medicine : OAEM2022

Emergency Medicine Physicians' Views on Providing Unnecessary Management in the Emergency Department.

Abdulaziz Alalshaikh, Bader Alyahya, Mohammed Almohawes, Mosaed Alnowiser, Mohammed Ghandour, Mohammed Alyousef, Fahad Abuguyan, Abdulaziz Almehlisi, Fawaz Altuwaijri, Mohammed Alageel

Abstract read
In one paragraph

Article in Open access emergency medicine : OAEM, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

10 authors.

Abdulaziz AlalshaikhEmergency Medicine Department, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0003-3730-5337
Bader AlyahyaEmergency Medicine Department, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0002-4869-4852
Mohammed AlmohawesCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mosaed AlnowiserCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0002-4042-2705
Mohammed GhandourCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mohammed AlyousefCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Fahad AbuguyanEmergency Medicine Department, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0003-1243-5709
Abdulaziz AlmehlisiEmergency Medicine Department, King Saud University, Riyadh, Saudi Arabia.
Fawaz AltuwaijriEmergency Medicine Department, King Saud University, Riyadh, Saudi Arabia.ORCID 0000-0002-0528-9849
Mohammed AlageelEmergency Medicine Department, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To assess the views of emergency medicine physicians (EMPs) on the practice of providing unnecessary medical management in the emergency department. Methods: All EMPs in Saudi Arabia were approached to participate in this cross-sectional study. A self-administered online survey that collected the participants' demographic information and opinions regarding the unnecessary management provided by EMPs in Saudi Arabia was conducted between December 2020 and February 2021. SPSS 22.0 was used to analyze the data. Results: A total of 181 EMPs returned the questionnaire. More than 80% of the participants believed that EMPs order unnecessary tests or procedures at least a few times per week. The major reasons for ordering unnecessary medical tests or procedures were "concern about malpractice issues" (60.8%), "not having enough time with a patient for meaningful discussion" (47%), and "just to be safe" (46.4%). More than 55% of the respondents also believed that EMPs are in the best position to address the problem of unnecessary testing. Conclusion: Most of the EMPs who participated in this study recognized that ordering unnecessary tests is a serious problem that happens on a daily basis. Many factors and reasons were described by the participants, and multiple possible solutions were suggested to help overcome the issue. Evaluating physicians' perspectives on the issue is a key step in addressing the problem and implementing appropriate interventions.

Indexed as

emergency medicine physicianoverdiagnosisover-testingSaudi Arabiaunnecessary investigation

Identifiers

PMID35502332
PMCPMC9056043

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.