Applying the results of a systematic review in general practice

Doust, JA and Silagy, CA (2000) Applying the results of a systematic review in general practice. Medical Journal of Australia, 172 4: 153-156.

Author Doust, JA
Silagy, CA
Title Applying the results of a systematic review in general practice
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2000-01-01
Sub-type Article (original research)
Volume 172
Issue 4
Start page 153
End page 156
Total pages 4
Language eng
Abstract Objective: To assess how general practitioners might interpret and apply the results of a systematic review relevant to general practice. Design: Cross-sectional postal survey of general practitioners in August 1997. Participants: 51 general practitioners in the Southern Division of General Practice in Adelaide and 11 professors or heads of departments of general practice. Main outcome measures:Extent to which comments on the implications for practice and implications for research coincided with the evidence presented in a systematic review of antibiotics for the treatment of acute otitis media in children; and reported probability that respondents would prescribe antibiotics in three brief case scenarios. Results: There was considerable variation in the comments made by general practitioners on the implications of the review for clinical practice. After reading the review, respondents with training in critical appraisal were more likely to state that children with acute otitis media would usually recover spontaneously and reported a lower probability of prescribing antibiotics in two of the three case scenarios. Conclusions: Providing systematic reviews is not sufficient for the results of such evidence to be translated:into clinical practice. There is an association between critical appraisal skills and the application of evidence-based practice.
Keyword Medicine, General & Internal
Evidence-based Medicine
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 13 Aug 2007, 21:39:12 EST