Evidence map›Paper›PMID 9281875›Full record

ReviewThe British journal of general practice : the journal of the Royal College of General Practitioners1997

Evidence-based medicine and general practice.

L D Jacobson, A G Edwards, S K Granier, C C Butler

Abstract readReview
In one paragraph

Review in The British journal of general practice : the journal of the Royal College of General Practitioners, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Barriers to GPs' use of evidence-based medicine: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Answering patient-centred questions efficiently: response-adaptive platform trials in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Do you really care doctor?The British journal of general practice : the journal of the Royal College of General Practitioners · 2009
    Article
  16. The 21st century GP: physician and priest?The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Article
  17. Randomized trial of the effect of research design and publication characteristics on physician change.Primary care companion to the Journal of clinical psychiatry · 2006
    Article
  18. Are guidelines ethical? Some considerations for general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002
    Article
  19. When less is more: a practical approach to searching for evidence-based answers.Journal of the Medical Library Association : JMLA · 2002
    Review
  20. Evidence-based medicine: a commentary on common criticisms.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2000
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

L D JacobsonDepartment of General Practice, University of Wales, College of Medicine.
A G Edwards
S K Granier
C C Butler

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence-based medicine (EBM) aids clinical decision making in all fields of medicine, including primary care. General practice is characterized by particular emphasis on the doctor-patient relationship and on biomedical, personal and contextual perspectives in diagnosis. Most evidence available to general practitioners (GPs) addresses only the bio-medical perspective and is often not directly applicable to primary care, as it derives from secondary or tertiary care. Emphasis on the biomedical domain and the randomized controlled trial (RCT) alone reflects a reductionist approach that fails to do justice to the philosophy of general practice. The art of medicine is founded on context, anecdote, patient stories of illness and personal experience, and we should continue to blend this with good quality and appropriate research findings in patient care.

Indexed as

Evidence-Based MedicineFamily PracticeHumansPhysician-Patient RelationsResearch

Identifiers

PMID9281875
PMCPMC1313058

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.