Evidence map›Paper›PMID 36515055›Full record

ArticleCanadian family physician Medecin de famille canadien2022

Abdominal aortic aneurysm screening in an academic family practice: Short-term impact of guideline changes.

Craig Olmstead, Adrienne T Wakabayashi, Thomas R Freeman, Sonny S Cejic

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 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
0.3field-weighted citation impact, top 39% 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, 2 citations in OpenAlex.

  1. Article
  2. Observational
  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

4 authors at 3 institutions in 2 countries.

Craig OlmsteadAdjunct Professor in the Department of Family Medicine at Western University in London, Ont. colmstead2017@meds.uwo.ca.
Adrienne T WakabayashiFormer project coordinator in the Department of Family Medicine at Western University.
Thomas R FreemanProfessor Emeritus in the Centre for Studies in Family Medicine in the Department of Family Medicine at Western University.
Sonny S CejicAssociate Professor in the Department of Family Medicine at Western University.
Western University · CACentre for Family Medicine · CAThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate abdominal aortic aneurysm (AAA) screening rates in the 6 months before and after the introduction of updated Canadian Task Force on Preventive Health Care (CTFPHC) guidelines to determine effects on practice patterns, as well as to determine whether certain patient characteristics impact AAA screening rates.

designRetrospective chart review.

settingAcademic family health centre in London, Ont.

participantsMale patients between the ages of 65 and 80.

main outcome measuresScreening rates for AAA before and after the guideline update were compared using the normal approximation of the binomial distribution. Analysis of demographic characteristic effects on screening rates was completed with the Fisher exact test. Number of visits to the clinic with a primary care provider within the study period and imaging type were collected.

resultsOf the 266 patients included in the study, 160 patients were eligible for screening at the start of the study period, 6 months before publication of the CTFPHC AAA guideline. Individuals eligible for screening visited the clinic an average (SD) of 2.44 (1.82) times in the 6 months before and 2.66 (1.99) times in the 6 months after. Overall, 69 individuals had AAA screening completed and 9 had a discussion of AAA screening without any imaging, for a total uptake rate of 88.5% for those who had screening recommended. The overall imaging rate was 48.9%. There was no statistically significant difference in screening rates between the time periods (

conclusionScreening practices did not change appreciably with the introduction of the CTFPHC AAA screening guidelines. Further research is needed to improve AAA screening rates. It is worth exploring electronic medical record-based reminders, nursing staff involvement in screening, screening programs via public health, and point-of-care ultrasound screening in a primary care setting.

Indexed as

Aortic Aneurysm, AbdominalFamily PracticeAgedAged, 80 and overAorta, AbdominalCanadaHumansMaleMass ScreeningRetrospective StudiesRisk FactorsUltrasonography

Identifiers

PMID36515055
PMCPMC9796976
OpenAlexW4311417403

What OpenQuestion holds

Textmetadata
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.