Evidence map›Paper›PMID 38191186›Full record

ArticleBJGP open2024

GPs' views on emergency care treatment plans: an online survey.

Martin Underwood, Angela Noufaily, Hazel Blanchard, Jeremy Dale, Jenny Harlock, Paramjit Gill, Frances Griffiths, Rachel Spencer, Anne-Marie Slowther

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2024. 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
3.5field-weighted citation impact, top 9% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

9 authors at 3 institutions in 2 countries.

Martin UnderwoodWarwick Medical School, University of Warwick, Coventry, UK m.underwood@warwick.ac.uk.ORCID https://orcid.org/0000-0002-0309-1708
Angela NoufailyWarwick Medical School, University of Warwick, Coventry, UK.
Hazel BlanchardForrest Medical Centre, Coventry, UK.
Jeremy DaleWarwick Medical School, University of Warwick, Coventry, UK.
Jenny HarlockWarwick Medical School, University of Warwick, Coventry, UK.ORCID https://orcid.org/0000-0002-2300-750X
Paramjit GillWarwick Medical School, University of Warwick, Coventry, UK.
Frances GriffithsWarwick Medical School, University of Warwick, Coventry, UK.
Rachel SpencerWarwick Medical School, University of Warwick, Coventry, UK.ORCID https://orcid.org/0000-0003-2578-6954
Anne-Marie SlowtherWarwick Medical School, University of Warwick, Coventry, UK.ORCID https://orcid.org/0000-0002-3338-8457
University of Warwick · GBCoventry (United Kingdom) · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA holistic approach to emergency care treatment planning is needed to ensure that patients' preferences are considered should their clinical condition deteriorate. To address this, emergency care and treatment plans (ECTPs) have been introduced. Little is known about their use in general practice.

aimTo find out GPs' experiences of, and views on, using ECTPs. DESIGN &

settingOnline survey of GPs practising in England.

methodA total of 841 GPs were surveyed using the monthly online survey provided by medeConnect, a market research company.

resultsForty-one per cent of responders' practices used Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) plans for ECTP, 8% used other ECTPs, and 51% used Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) forms. GPs were the predominant professional group completing ECTPs in the community. There was broad support for a wider range of community-based health and social care professionals being able to complete ECTPs. There was no system for reviewing ECTPs in 20% of responders' practices. When compared with using a DNACPR form, GPs using a ReSPECT form for ECTP were more comfortable having conversations about emergency care treatment with patients (odds ratio [OR] = 1.72, 95% confidence interval [CI] = 1.1 to 2.69) and family members (OR =1.85, 95% CI = 1.19 to 2.87).

conclusionThe potential benefits and challenges of widening the pool of health and social care professionals initiating and/or completing the ECTP process needs consideration. ReSPECT plans appear to make GPs more comfortable with ECTP discussions, supporting their implementation. Practice-based systems for reviewing ECTP decisions should be strengthened.

Indexed as

emergency care and treatment plansethicsgeneral practicesurvey and questionnaires

Identifiers

PMID38191186
PMCPMC11300997
OpenAlexW4390699757

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.