Evidence map›Paper›PMID 36199037›Full record

ArticleBMC primary care2022

Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study.

Tessa M Z X K van Horrik, Bart J Laan, Rosanne van Seben, Gerda Rodenburg, Edwin J Heeregrave, Suzanne E Geerlings

Open access · goldAbstract read
In one paragraph

Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 5 institutions in 1 country.

Tessa M Z X K van HorrikDepartment of Internal Medicine, Amsterdam UMC location University of Amsterdam, Infectious Diseases, Room no. D3-226, Meibergdreef 9, 1105 AZ, Amsterdam, North-Holland, the Netherlands. t.m.vanhorrik@amsterdamumc.nl.
Bart J LaanDepartment of Internal Medicine, Amsterdam UMC location University of Amsterdam, Infectious Diseases, Room no. D3-226, Meibergdreef 9, 1105 AZ, Amsterdam, North-Holland, the Netherlands.
Rosanne van SebenCapgemini Invent, PO box 2575, 3500 GN, Utrecht, Utrecht, the Netherlands.
Gerda RodenburgTrauma Centre Southwest Netherlands, Erasmus Medical Centre, Dr. Molewaterplein 40, 3015 GD, Rotterdam, South-Holland, the Netherlands.
Edwin J HeeregraveNational Health Care Institute, PO Box 320, 1110 AH, Diemen, North-Holland, the Netherlands.
Suzanne E GeerlingsDepartment of Internal Medicine, Amsterdam UMC location University of Amsterdam, Infectious Diseases, Room no. D3-226, Meibergdreef 9, 1105 AZ, Amsterdam, North-Holland, the Netherlands.
Amsterdam University Medical Centers · NLCapgemini (Netherlands) · NLErasmus University Rotterdam · NLUniversity of Amsterdam · NLZorginstituut Nederland · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) are common, especially among women. Antibiotics are commonly used to treat UTIs, but might not always be necessary, for example in the case of uncomplicated UTIs such as cystitis. Shared decision making (SDM) could reduce the risk of unnecessary antibiotic prescriptions for uncomplicated cystitis. We investigated the current management and the use of SDM for uncomplicated cystitis in primary care.

methodsWe performed a qualitative semi-structured interview study among 23 women with a history of cystitis, 12 general practitioner (GP) assistants, and 12 GPs in the Netherlands from July to October 2020. All interviews were individually performed by telephone. The data were analyzed through the use of using open and axial coding.

resultsThe GP assistants managed the initial diagnostics and treatment of uncomplicated cystitis in all general practices. Usually, antibiotics were considered the standard treatment of cystitis. In most general practices, SDM was not used in the treatment of uncomplicated cystitis, mainly because of a lack of time. Women reported that they valued being involved in the treatment decision-making process, but they were not always involved. Further, both GP assistants and GPs indicated that SDM would improve the care pathway of uncomplicated UTIs.

conclusionIn our study, SDM was infrequently used to help women with uncomplicated cystitis. To reduce the use of antibiotics for uncomplicated UTIs, a tailored intervention is needed to implement SDM for the treatment of uncomplicated cystitis in primary care.

Indexed as

CystitisUrinary Tract InfectionsAnti-Bacterial AgentsDecision Making, SharedFemaleHumansNetherlandsPrimary Health CareQualitative ResearchAnti-Bacterial AgentsCystitisGeneral practicePrimary careShared decision makingUrinary tract infections

Identifiers

PMID36199037
PMCPMC9534461
OpenAlexW4302028492

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.