Evidence map›Paper›PMID 37038122›Full record

ArticleBMC primary care2023

Point-of-care laboratory testing in primary care: utilization, limitations and perspectives of general practitioners in Germany.

Anni Matthes, Florian Wolf, Guido Schmiemann, Ildikó Gágyor, Jutta Bleidorn, Robby Markwart

Open access · goldAbstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

  • Commented on by
    2023
5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Anni MatthesInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich Schiller University, Jena, Germany.
Florian WolfInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich Schiller University, Jena, Germany.
Guido SchmiemannInstitute for Public Health and Nursing Sciences, Department for Health Services Research, Bremen University, Bremen, Germany.
Ildikó GágyorDepartment of General Practice, University Hospital Wuerzburg, Würzburg, Germany.
Jutta BleidornInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich Schiller University, Jena, Germany.
Robby MarkwartInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich Schiller University, Jena, Germany. robby.markwart@med.uni-jena.de.
Friedrich Schiller University Jena · DEInfectoGnostics Research Campus Jena · DEUniversitätsklinikum Würzburg · DEUniversity of Bremen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to their fast turnaround time and user-friendliness, point-of-care tests (POCTs) possess a great potential in primary care. The purpose of the study was to assess general practitioners' (GPs) perspectives on POCT use in German primary care, including utilization, limitations and requirements.

methodsWe conducted a cross-sectional survey study among GPs in Germany (federal states of Thuringia, Bremen and Bavaria (Lower Franconia), study period: 04/22-06/2022).

resultsFrom 2,014 GPs reached, 292 participated in our study (response rate: 14.5%). The median number of POCTs used per GP was 7.0 (IQR: 5.0-8.0). Six POCTs are used by the majority of surveyed GPs (> 50%): urine dipstick tests (99%), glucose (urine [91%] and plasma [69%]), SARS-CoV-2 (80%), urine microalbumin (77%), troponin I/T (74%) and prothrombin time / international normalized ratio (65%). The number of utilized POCTs did not differ between GP practice type (p = 0.307) and population size of GP practice location (p = 0.099). The great majority of participating German GPs (93%) rated POCTs as useful diagnostic tools in the GP practice. GPs ranked immediate decisions on patient management and the increase in diagnostic certainty as the most important reasons for performing POCTs. The most frequently reported limitations of POCT use in the GP practice were economic aspects (high costs and inadequate reimbursement), concerns regarding diagnostic accuracy, and difficulties to integrate POCT-testing into practice routines (e.g. time and personnel expenses).

conclusionAlthough participating German GPs generally perceive POCTs as useful diagnostic tools and numerous POCTs are available, several test-related and contextual factors contribute to the relatively low utilization of POCTs in primary care.

Indexed as

COVID-19General PractitionersCOVID-19 TestingCross-Sectional StudiesHumansPoint-of-Care SystemsPoint-of-Care TestingPrimary Health CareSARS-CoV-2Diagnostic proceduresGermanyGP practicePOCTsPoint-of-care-testsRapid tests, primary careSurveyUtilization

Identifiers

PMID37038122
PMCPMC10088261
OpenAlexW4363679287

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.