The evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews.
<h4>Background</h4>As a first step in developing a framework to evaluate and improve the quality of care of children in primary care there is a need to identify the evidence base underpinning interventions relevant to child health. Our objective was to identify all Cochrane systematic re...
Guardado en:
| Autores principales: | , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2011
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/94043e9424e14a4195f2627d979830bd |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:94043e9424e14a4195f2627d979830bd |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:94043e9424e14a4195f2627d979830bd2021-11-18T06:48:53ZThe evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews.1932-620310.1371/journal.pone.0023051https://doaj.org/article/94043e9424e14a4195f2627d979830bd2011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21829691/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>As a first step in developing a framework to evaluate and improve the quality of care of children in primary care there is a need to identify the evidence base underpinning interventions relevant to child health. Our objective was to identify all Cochrane systematic reviews relevant to the management of childhood conditions in primary care and to assess the extent to which Cochrane reviews reflect the burden of childhood illness presenting in primary care.<h4>Methodology/principal findings</h4>We used the Cochrane Child Health Field register of child-relevant systematic reviews to complete an overview of Cochrane reviews related to the management of children in primary care. We compared the proportion of systematic reviews with the proportion of consultations in Australia, US, Dutch and UK general practice in children. We identified 396 relevant systematic reviews; 358 included primary studies on children while 251 undertook a meta-analysis. Most reviews (n = 218, 55%) focused on chronic conditions and over half (n = 216, 57%) evaluated drug interventions. Since 2000, the percentage of pediatric primary care relevant reviews only increased by 2% (7% to 9%) compared to 18% (10% to 28%) in all child relevant reviews. Almost a quarter of reviews (n = 78, 23%) were published on asthma treatments which only account for 3-5% of consultations. Conversely, 15-23% of consultations are due to skin conditions yet they represent only 7% (n = 23) of reviews.<h4>Conclusions/significance</h4>Although Cochrane systematic reviews focus on clinical trials and do not provide a comprehensive picture of the evidence base underpinning the management of children in primary care, the mismatch between the focus of the published research and the focus of clinical activity is striking. Clinical trials are an important component of the evidence base and the lack of trial evidence to demonstrate intervention effectiveness in substantial areas of primary care for children should be addressed.Peter J GillKay Yee WangDavid MantLisa HartlingCarl HeneghanRafael PereraTerry KlassenAnthony HarndenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 8, p e23051 (2011) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Peter J Gill Kay Yee Wang David Mant Lisa Hartling Carl Heneghan Rafael Perera Terry Klassen Anthony Harnden The evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews. |
| description |
<h4>Background</h4>As a first step in developing a framework to evaluate and improve the quality of care of children in primary care there is a need to identify the evidence base underpinning interventions relevant to child health. Our objective was to identify all Cochrane systematic reviews relevant to the management of childhood conditions in primary care and to assess the extent to which Cochrane reviews reflect the burden of childhood illness presenting in primary care.<h4>Methodology/principal findings</h4>We used the Cochrane Child Health Field register of child-relevant systematic reviews to complete an overview of Cochrane reviews related to the management of children in primary care. We compared the proportion of systematic reviews with the proportion of consultations in Australia, US, Dutch and UK general practice in children. We identified 396 relevant systematic reviews; 358 included primary studies on children while 251 undertook a meta-analysis. Most reviews (n = 218, 55%) focused on chronic conditions and over half (n = 216, 57%) evaluated drug interventions. Since 2000, the percentage of pediatric primary care relevant reviews only increased by 2% (7% to 9%) compared to 18% (10% to 28%) in all child relevant reviews. Almost a quarter of reviews (n = 78, 23%) were published on asthma treatments which only account for 3-5% of consultations. Conversely, 15-23% of consultations are due to skin conditions yet they represent only 7% (n = 23) of reviews.<h4>Conclusions/significance</h4>Although Cochrane systematic reviews focus on clinical trials and do not provide a comprehensive picture of the evidence base underpinning the management of children in primary care, the mismatch between the focus of the published research and the focus of clinical activity is striking. Clinical trials are an important component of the evidence base and the lack of trial evidence to demonstrate intervention effectiveness in substantial areas of primary care for children should be addressed. |
| format |
article |
| author |
Peter J Gill Kay Yee Wang David Mant Lisa Hartling Carl Heneghan Rafael Perera Terry Klassen Anthony Harnden |
| author_facet |
Peter J Gill Kay Yee Wang David Mant Lisa Hartling Carl Heneghan Rafael Perera Terry Klassen Anthony Harnden |
| author_sort |
Peter J Gill |
| title |
The evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews. |
| title_short |
The evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews. |
| title_full |
The evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews. |
| title_fullStr |
The evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews. |
| title_full_unstemmed |
The evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews. |
| title_sort |
evidence base for interventions delivered to children in primary care: an overview of cochrane systematic reviews. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2011 |
| url |
https://doaj.org/article/94043e9424e14a4195f2627d979830bd |
| work_keys_str_mv |
AT peterjgill theevidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT kayyeewang theevidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT davidmant theevidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT lisahartling theevidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT carlheneghan theevidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT rafaelperera theevidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT terryklassen theevidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT anthonyharnden theevidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT peterjgill evidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT kayyeewang evidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT davidmant evidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT lisahartling evidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT carlheneghan evidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT rafaelperera evidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT terryklassen evidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews AT anthonyharnden evidencebaseforinterventionsdeliveredtochildreninprimarycareanoverviewofcochranesystematicreviews |
| _version_ |
1718424366266449920 |