Evidence map›Paper›PMID 9487174›Full record

ArticleBMJ (Clinical research ed.)1998

General practitioner's perceptions of the route to evidence based medicine: a questionnaire survey.

A McColl, H Smith, P White, J Field

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 215 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
215citing papers in PubMed, 18 pooled it
79.3field-weighted citation impact, top 1% 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

215 citing papers in PubMed, 18 syntheses or guidelines pooled it, 896 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Peripheral nerve blocks for hip fractures in adults.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Peripheral nerve blocks for hip fractures.The Cochrane database of systematic reviews · 2017
    Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Sub-Tenon's anaesthesia versus topical anaesthesia for cataract surgery.The Cochrane database of systematic reviews · 2015
    Pooled it
  13. Pooled it
  14. Pooled it
  15. Pooled it
  16. 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
  17. Guideline
  18. Guideline
  19. Trial
  20. Trial

155 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

A McCollWessex Primary Care Research Network, University of Southampton, Aldermoor Health Centre.
H Smith
P White
J Field
University of Southampton · GBNightingale Hospital · INResearch Network (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the attitude of general practitioners towards evidence based medicine and their related educational needs.

designA questionnaire study of general practitioners.

settingGeneral practice in the former Wessex region, England. SUBJECTS: Randomly selected sample of 25% of all general practitioners (452), of whom 302 replied.

main outcome measuresRespondents' attitude towards evidence based medicine, ability to access and interpret evidence, perceived barriers to practising evidence based medicine, and best method of moving from opinion based to evidence based medicine.

resultsRespondents mainly welcomed evidence based medicine and agreed that its practice improves patient care. They had a low level of awareness of extracting journals, review publications, and databases (only 40% knew of the Cochrane Database of Systematic Reviews), and, even if aware, many did not use them. In their surgeries 20% had access to bibliographic databases and 17% to the world wide web. Most had some understanding of the technical terms used. The major perceived barrier to practising evidence based medicine was lack of personal time. Respondents thought the most appropriate way to move towards evidence based general practice was by using evidence based guidelines or proposals developed by colleagues.

conclusionPromoting and improving access to summaries of evidence, rather than teaching all general practitioners literature searching and critical appraisal, would be the more appropriate method of encouraging evidence based general practice. General practitioners who are skilled in accessing and interpreting evidence should be encouraged to develop local evidence based guidelines and advice.

Indexed as

Attitude of Health PersonnelEvidence-Based MedicineFamily PracticeAwarenessHumansPerceptionSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID9487174
PMCPMC2665572
OpenAlexW1964218750

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.