Evidence map›Paper›PMID 35667683›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022

Impact of COVID-19 on primary care contacts with children and young people in England: longitudinal trends study 2015-2020.

Kimberley A Foley, Edward J Maile, Alex Bottle, Francesca K Neale, Russell M Viner, Simon E Kenny, Azeem Majeed, Dougal S Hargreaves, Sonia Saxena

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.2field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
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  12. Screening children for presymptomatic type 1 diabetes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  13. Observational
  14. Impact of COVID-19 on primary care contacts with children and young people in England - context please.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  15. Author response.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Kimberley A FoleyDepartment of Primary Care and Public Health, Imperial College London, London.ORCID 0000-0003-3664-8100
Edward J MaileDepartment of Primary Care and Public Health, Imperial College London, London.ORCID 0000-0003-1225-2822
Alex BottleDepartment of Primary Care and Public Health, Imperial College London, London.ORCID 0000-0001-9978-2011
Francesca K NealeDepartment of Primary Care and Public Health, Imperial College London, London.ORCID 0000-0002-3316-164X
Russell M VinerPopulation, Policy & Practice Research Programme, UCL Great Ormond Street Institute of Child Health Population Policy and Practice, London.ORCID 0000-0003-3047-2247
Simon E KennyAlder Hey Children's NHS Foundation Trust; professor, Department of Women's and Children's Health, University of Liverpool, Liverpool; national clinical director, NHS England and Improvement, London.ORCID 0000-0002-5917-8554
Azeem MajeedDepartment of Primary Care and Public Health, Imperial College London, London.ORCID 0000-0002-2357-9858
Dougal S HargreavesMohn Centre for Children's Health and Wellbeing, Imperial College London, London.ORCID 0000-0003-0722-9847
Sonia SaxenaDepartment of Primary Care and Public Health, Imperial College London, London.ORCID 0000-0003-3787-2083
Imperial College London · GBInstitute of Population and Public Health · CAUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe NHS response to COVID-19 altered provision and access to primary care.

aimTo examine the impact of COVID-19 on GP contacts with children and young people (CYP) in England. DESIGN AND

settingA longitudinal trends analysis was undertaken using electronic health records from the Clinical Practice Research Datalink (CPRD) Aurum database.

methodAll CYP aged <25 years registered with a GP in the CPRD Aurum database were included. The number of total, remote, and face-to-face contacts during the first UK lockdown (March to June 2020) were compared with the mean contacts for comparable weeks from 2015 to 2019.

resultsIn total, 47 607 765 GP contacts with 4 307 120 CYP were included. GP contacts fell 41% during the first lockdown compared with previous years. Children aged 1-14 years had greater falls in total contacts (≥50%) compared with infants and those aged 15-24 years. Face-to-face contacts fell by 88%, with the greatest falls occurring among children aged 1-14 years (>90%). Remote contacts more than doubled, increasing most in infants (over 2.5-fold). Total contacts for respiratory illnesses fell by 74% whereas contacts for common non-transmissible conditions shifted largely to remote contacts, mitigating the total fall (31%).

conclusionDuring the COVID-19 pandemic, CYP's contact with GPs fell, particularly for face-to-face assessments. This may be explained by a lower incidence of respiratory illnesses because of fewer social contacts and changing health-seeking behaviour. The large shift to remote contacts mitigated total falls in contacts for some age groups and for common non-transmissible conditions.

Indexed as

COVID-19AdolescentChildCommunicable Disease ControlEnglandHumansInfantPandemicsPrimary Health CareadolescentchildCOVID-19general practiceprimary health care

Identifiers

PMID35667683
PMCPMC9183461
OpenAlexW4226450953

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.