Evidence map›Paper›PMID 36702608›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2023

Free-text analysis of general practice out-of-hours (GPOOH) use by people with advanced cancer: an analysis of coded and uncoded free-text data.

Sarah Ee Mills, Alana Brown-Kerr, Deans Buchanan, Peter T Donnan, Blair H Smith

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. 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
0.6field-weighted citation impact, top 30% 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, 4 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

5 authors at 3 institutions in 1 country.

Sarah Ee MillsSchool of Medicine, University of St Andrews, St Andrews.ORCID 0000-0001-7988-9655
Alana Brown-KerrNHS Tayside, Ninewells Hospital, Dundee.
Deans BuchananNHS Tayside, Ninewells Hospital, Dundee.
Peter T DonnanPopulation Health and Genomics Division, University of Dundee Medical School, Ninewells Hospital and Medical School, Dundee.ORCID 0000-0001-7828-0610
Blair H SmithPopulation Health and Genomics Division, University of Dundee Medical School, Ninewells Hospital and Medical School, Dundee.ORCID 0000-0002-5362-9430
NHS Tayside · GBNinewells Hospital · GBUniversity of St Andrews · GB

Funding

Chief Scientist Office CAF/17/06
6 · The paper itself

Abstract

backgroundPeople with advanced cancer frequently use the GP out-of-hours (GPOOH) service. Considerable amounts of routine GPOOH data are uncoded. Therefore, these data are omitted from existing healthcare datasets.

aimTo conduct a free-text analysis of a GPOOH dataset, to identify reasons for attendance and care delivered through GPOOH to people with advanced cancer. DESIGN AND

settingAn analysis of a GPOOH healthcare dataset was undertaken. It contained all coded and free- text information for 5749 attendances from a cohort of 2443 people who died from cancer in Tayside, Scotland, from 2013-2015.

methodRandom sampling methods selected 575 consultations for free-text analysis. Each consultation was analysed by two independent reviewers to determine the following: assigned presenting complaints; key and additional palliative care symptoms recorded in free text; evidence of anticipatory care planning; and free-text recording of dispensed medications. Inter-rater reliability concordance was established through Kappa testing.

resultsMore than half of all coded reasons for attendance (

conclusionGPOOH delivers a substantial amount of pain management and palliative care, much of which is uncoded. Therefore, it is unrecognised and under-reported in existing large healthcare data analyses.

Indexed as

After-Hours CareGeneral PracticeNeoplasmsFamily PracticeHumansReproducibility of Resultsafter-hours carecancergeneral practicepainpalliative careterminal care

Identifiers

PMID36702608
PMCPMC9888572
OpenAlexW4308006377

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.