GPs' understanding of the benefits and harms of treatments for long-term conditions: an online survey

BJGP Open
Julian Stephen TreadwellTrisha Greenhalgh

Abstract

GPs prescribe multiple long-term treatments to their patients. For shared clinical decision-making, understanding of the absolute benefits and harms of individual treatments is needed. International evidence shows that doctors' knowledge of treatment effects is poor but, to the authors knowledge, this has not been researched among GPs in the UK. To measure the level and range of the quantitative understanding of the benefits and harms of treatments for common long-term conditions (LTCs) among GPs. An online cross-sectional survey was distributed to GPs in the UK. Participants were asked to estimate the percentage absolute risk reduction or increase conferred by 13 interventions across 10 LTCs on 17 important outcomes. Responses were collated and presented in a novel graphic format to allow detailed visualisation of the findings. Descriptive statistical analysis was performed. A total of 443 responders were included in the analysis. Most demonstrated poor (and in some cases very poor) knowledge of the absolute benefits and harms of treatments. Overall, an average of 10.9% of responses were correct allowing for ±1% margin in absolute risk estimates and 23.3% allowing a ±3% margin. Eighty-seven point seven per cent of responses ov...Continue Reading

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Citations

Mar 11, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Jane WilcockDavid Spitzer
Apr 6, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Rachel JohnsonHelen Cramer
May 6, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Julian TreadwellTrish Greenhalgh
Jul 22, 2021·JAMA Network Open·Daniel J MorganDeborah Korenstein

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