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Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece

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Early diagnostic suggestions improve accuracy of family physicians : a randomized controlled trial in Greece. / Kostopoulou, Olga; Lionis, Christos; Angelaki, Agapi; Ayis, Salma; Durbaba, Stevo; Delaney, Brendan.

In: Family Practice, Vol. 32, No. 3, 03.06.2015, p. 323-328.

Research output: Contribution to journalArticle

Harvard

Kostopoulou, O, Lionis, C, Angelaki, A, Ayis, S, Durbaba, S & Delaney, B 2015, 'Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece', Family Practice, vol. 32, no. 3, pp. 323-328. https://doi.org/10.1093/fampra/cmv012

APA

Kostopoulou, O., Lionis, C., Angelaki, A., Ayis, S., Durbaba, S., & Delaney, B. (2015). Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Family Practice, 32(3), 323-328. https://doi.org/10.1093/fampra/cmv012

Vancouver

Kostopoulou O, Lionis C, Angelaki A, Ayis S, Durbaba S, Delaney B. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Family Practice. 2015 Jun 3;32(3):323-328. https://doi.org/10.1093/fampra/cmv012

Author

Kostopoulou, Olga ; Lionis, Christos ; Angelaki, Agapi ; Ayis, Salma ; Durbaba, Stevo ; Delaney, Brendan. / Early diagnostic suggestions improve accuracy of family physicians : a randomized controlled trial in Greece. In: Family Practice. 2015 ; Vol. 32, No. 3. pp. 323-328.

Bibtex Download

@article{986527e0c73e4d1eb626b0ef6d7d206d,
title = "Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece",
abstract = "Background. In a recent randomized controlled trial, providing UK family physicians with ‘early support’ (possible diagnoses to consider before any information gathering) was associated with diagnosing hypothetical patients on computer more accurately than control. Another group of physicians, who gathered information, gave a diagnosis, and subsequently received a list of possible diagnoses to consider (‘late support’), were no more accurate than control, despite being able to change their initial diagnoses.Objective. To replicate the UK study findings in another country with a different primary health care system.Methods. All study materials were translated into Greek. Greek family physicians were randomly allocated to one of three groups: control, early support and late support. Participants saw nine scenarios in random order. After reading some information about the patient and the reason for encounter, they requested more information to diagnose. The main outcome measure was diagnostic accuracy.Results. One hundred fifty Greek family physicians participated.The early support group was more accurate than control [odds ratio (OR): 1.67 (1.21–2.31)]. Like their UK counterparts, physicians in the late support group rarely changed their initial diagnoses after receiving support. The pooled OR for the early support versus control comparison from the meta-analysis of the UK and Greek data was 1.40 (1.13–1.67).Conclusion. Using the same methodology with a different sample of family physicians in a different country, we found that suggesting diagnoses to consider before physicians start gathering information was associated with more accurate diagnoses. This constitutes further supportive evidence of a generalizable effect of early support.",
keywords = "Decision Making, Decision Support, Diagnosis, Diagnostic Errors",
author = "Olga Kostopoulou and Christos Lionis and Agapi Angelaki and Salma Ayis and Stevo Durbaba and Brendan Delaney",
year = "2015",
month = "6",
day = "3",
doi = "10.1093/fampra/cmv012",
language = "English",
volume = "32",
pages = "323--328",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",
number = "3",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Early diagnostic suggestions improve accuracy of family physicians

T2 - a randomized controlled trial in Greece

AU - Kostopoulou, Olga

AU - Lionis, Christos

AU - Angelaki, Agapi

AU - Ayis, Salma

AU - Durbaba, Stevo

AU - Delaney, Brendan

PY - 2015/6/3

Y1 - 2015/6/3

N2 - Background. In a recent randomized controlled trial, providing UK family physicians with ‘early support’ (possible diagnoses to consider before any information gathering) was associated with diagnosing hypothetical patients on computer more accurately than control. Another group of physicians, who gathered information, gave a diagnosis, and subsequently received a list of possible diagnoses to consider (‘late support’), were no more accurate than control, despite being able to change their initial diagnoses.Objective. To replicate the UK study findings in another country with a different primary health care system.Methods. All study materials were translated into Greek. Greek family physicians were randomly allocated to one of three groups: control, early support and late support. Participants saw nine scenarios in random order. After reading some information about the patient and the reason for encounter, they requested more information to diagnose. The main outcome measure was diagnostic accuracy.Results. One hundred fifty Greek family physicians participated.The early support group was more accurate than control [odds ratio (OR): 1.67 (1.21–2.31)]. Like their UK counterparts, physicians in the late support group rarely changed their initial diagnoses after receiving support. The pooled OR for the early support versus control comparison from the meta-analysis of the UK and Greek data was 1.40 (1.13–1.67).Conclusion. Using the same methodology with a different sample of family physicians in a different country, we found that suggesting diagnoses to consider before physicians start gathering information was associated with more accurate diagnoses. This constitutes further supportive evidence of a generalizable effect of early support.

AB - Background. In a recent randomized controlled trial, providing UK family physicians with ‘early support’ (possible diagnoses to consider before any information gathering) was associated with diagnosing hypothetical patients on computer more accurately than control. Another group of physicians, who gathered information, gave a diagnosis, and subsequently received a list of possible diagnoses to consider (‘late support’), were no more accurate than control, despite being able to change their initial diagnoses.Objective. To replicate the UK study findings in another country with a different primary health care system.Methods. All study materials were translated into Greek. Greek family physicians were randomly allocated to one of three groups: control, early support and late support. Participants saw nine scenarios in random order. After reading some information about the patient and the reason for encounter, they requested more information to diagnose. The main outcome measure was diagnostic accuracy.Results. One hundred fifty Greek family physicians participated.The early support group was more accurate than control [odds ratio (OR): 1.67 (1.21–2.31)]. Like their UK counterparts, physicians in the late support group rarely changed their initial diagnoses after receiving support. The pooled OR for the early support versus control comparison from the meta-analysis of the UK and Greek data was 1.40 (1.13–1.67).Conclusion. Using the same methodology with a different sample of family physicians in a different country, we found that suggesting diagnoses to consider before physicians start gathering information was associated with more accurate diagnoses. This constitutes further supportive evidence of a generalizable effect of early support.

KW - Decision Making

KW - Decision Support

KW - Diagnosis

KW - Diagnostic Errors

U2 - 10.1093/fampra/cmv012

DO - 10.1093/fampra/cmv012

M3 - Article

VL - 32

SP - 323

EP - 328

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 3

ER -

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