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[Evidence and practice: How do primary care physicians evaluate screening interventions? A questionnaire study].

Luca Frank¹, Susann Hueber¹, Thomas Kühlein¹

¹Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Allgemeinmedizinisches Institut, Erlangen, Germany.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen

|July 14, 2018

Summary

This summary is machine-generated.

General practitioners (GPs) are less likely to recommend screening interventions when presented with statistical evidence compared to their everyday practice. Their statistical-based decisions often deviate from official guidelines, suggesting a disconnect between evidence and clinical recommendations.

Keywords:

Empfehlung Entscheidungsfindung Evidenzbasierte Medizin Früherkennung Hausärzte cancer screening decision making evidence-based medicine general practitioners recommendation

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Area of Science:

Medical Decision Making
Health Services Research
Evidence-Based Practice

Background:

Physicians require statistical literacy to effectively communicate screening intervention risks and benefits to patients.
Understanding statistical evidence is crucial for informed patient counseling regarding medical screenings.

Purpose of the Study:

To investigate whether general practitioners (GPs) make different screening recommendations based solely on statistics versus their everyday practice.
To assess the consistency of GPs' statistical-based and practice-based recommendations with official screening guidelines.
To determine if the presentation format of statistical data (table vs. pictogram) influences GPs' screening recommendations.

Main Methods:

An online survey was conducted among German general practitioners (GPs).
GPs evaluated three screening scenarios using statistical evidence presented either in a table or a pictogram.
Participants then provided recommendations for the same screening interventions based on their everyday clinical practice.

Main Results:

GPs were significantly less likely to recommend screening interventions when presented with statistical evidence compared to their everyday practice (p=.002).
Recommendations made in everyday practice aligned more closely with official guidelines than those based on statistical evidence (p=.03).
The format of data presentation (table or pictogram) did not significantly impact GPs' screening recommendations (p=.07).

Conclusions:

GPs' screening recommendations in everyday practice do not appear to be primarily driven by statistical evidence.
Physicians may exhibit greater reluctance to recommend screening interventions when fully aware of the underlying statistical data.
Further research is needed to bridge the gap between statistical evidence and clinical decision-making in screening practices.