Evidence map›Paper›PMID 40057672›Full record

SynthesisBMC primary care2025

An instrument as an action against the blind spot of acute medical care in general practice - a systematic review.

Johannes Rieken, Daniel Hötker, Christoph Strumann, Jost Steinhäuser

Abstract readSystematic Review
In one paragraph

Synthesis in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

4 authors.

Johannes RiekenInstitute of Family Medicine, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany. johannes.rieken@uni-luebeck.de.
Daniel HötkerInstitute of Family Medicine, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Christoph StrumannInstitute of Family Medicine, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Jost SteinhäuserInstitute of Family Medicine, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing visits to out-of-hours practices and Emergency Departments (EDs) for non-life-threatening urgent cases (NLTUCs) have placed a significant burden on healthcare systems worldwide. General practitioners (GPs), as the first point of contact in primary care, play a critical role in managing acute medical cases. However, limited research has focused on their contribution to acute care, and tools for assessing these cases remain non-existent.

aimThis review aimed to identify instruments for detecting acute medical cases in GP practices, addressing the gap in tools and frameworks specific to the primary care setting.

methodsA systematic review was conducted following PRISMA guidelines. Searches were performed in PubMed, CINAHL, Scopus, and Web of Science, focusing on studies describing instruments for acute care assessment in primary care.

resultsOf 1,560 identified studies, one met the inclusion criteria. The included study described a coding tool designed to assess the complexity of GP consultations, using the ICPC-2 classification system. While this tool effectively captures the multifaceted nature of GP encounters, it was not specifically designed to measure urgency in acute care. DISCUSSION: The review highlights a significant gap in tools for assessing urgency in GP practices, contrasting with established hospital triage systems. Adapting existing tools to incorporate urgency assessment could illuminate the critical impact of GPs on reducing ED burden and managing acute cases.

conclusionThe identified tool for assessing consultation complexity could be adapted to evaluate urgency, highlighting the critical yet underrecognized role of GPs in acute care.

Indexed as

Emergency Service, HospitalGeneral PracticeAcute DiseaseGeneral PractitionersHumansPrimary Health CareAcute careEmergency careGeneral practitionersInstrumentPrimary careSystematic reviewUrgent medical cases

Identifiers

PMID40057672
PMCPMC11889748

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.