Evidence map›Paper›PMID 36092268›Full record

ArticleSkin health and disease2022

General practitioners' explanation and advice on childhood eczema and factors influencing their treatment strategy: A qualitative study.

Karlijn F van Halewijn, Tessa Warendorff, Arthur M Bohnen, Mario Veen, Suzanne G M A Pasmans, Patrick J E Bindels, Gijs Elshout

Open access · goldAbstract read
In one paragraph

Article in Skin health and disease, 2022. 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
1.3field-weighted citation impact, top 20% 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, 6 citations in OpenAlex.

  1. Article
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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

7 authors at 1 institution in 1 country.

Karlijn F van HalewijnDepartment of General Practice Erasmus MC, University Medical Center, Rotterdam Rotterdam The Netherlands.ORCID https://orcid.org/0000-0002-9516-8193
Tessa WarendorffDepartment of General Practice Erasmus MC, University Medical Center, Rotterdam Rotterdam The Netherlands.
Arthur M BohnenDepartment of General Practice Erasmus MC, University Medical Center, Rotterdam Rotterdam The Netherlands.
Mario VeenDepartment of General Practice Erasmus MC, University Medical Center, Rotterdam Rotterdam The Netherlands.
Suzanne G M A PasmansDepartment of Dermatology, Center of Pediatric Dermatology Erasmus MC, University Medical Center, Rotterdam Rotterdam The Netherlands.ORCID https://orcid.org/0000-0003-1018-4475
Patrick J E BindelsDepartment of General Practice Erasmus MC, University Medical Center, Rotterdam Rotterdam The Netherlands.
Gijs ElshoutDepartment of General Practice Erasmus MC, University Medical Center, Rotterdam Rotterdam The Netherlands.
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atopic dermatitis (AD) is common in children and the majority of children can be treated by the general practitioner (GP). Various factors can influence the GP's treatment strategy and may lead to less effective treatment. The objective is to gain insight into the treatment goal, treatment strategy, explanation and advice given by GPs when dealing with AD in children and to explore which factors play a role in the choice of pharmacological treatment. Methods: Semi-structured interviews in primary care in the Netherlands were audio-recorded and transcribed. All data were analysed according to the six-steps approach of inductive thematic analysis. Results: We interviewed 16 GPs. Treatment goals mainly focussed on the short term. GPs discussed the importance of emollient use and emphasised emollients as the basis of treatment. We found that several factors played a role in prescribing topical corticosteroids (TCS); severity of the AD, age of the child, skin type, corticophobia among parents and GPs, experience of side effects and dermatological experience. GPs reported giving limited advice about the use of TCS and prescribed medication that is not recommended by the guideline. Conclusion: Various factors seem to influence GPs' treatment strategy for AD in children. More attention and education about the use and safety of TCS in children during GP training, continuous medical education, probably improve treatment in line with guidelines and can lead to more confidence and knowledge about TCS among GPs, which ultimately may improve the education and self-management of patients.

Identifiers

PMID36092268
PMCPMC9435457
OpenAlexW4284895595

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.