Study #8
APA Citation Thomson, A., Morgan, S., Henderson, K., Tapley, A., Spike, N., Scott, J., . . . Magin, P. (2014). Testing and screening for chlamydia in general practice: A cross-sectional analysis. Australian & New Zealand Journal of Public Health, 38(6), 542-547. doi:10.1111/1753-6405.12261
Study Type (specific type e.g., cohort, RCT, specific qualitative study, and etc.). A cross-sectional analysis from one large cohort study
*Evidence Level (I, II, III, IVA, IVB, VA. VB, VI) Level VB based on it being a cross-sectional study
Sample Size Sample size of 829 doctors and 397 training doctor’s records were analyzed and reviewed from the 29,112 patients that were seen from 2010 to 2012.
Setting & Sample
Characteristics The setting took place in four Australian states (New South Wales, Victoria, South Australia, and Tasmania). The sample consisted of male/female doctors with majority of doctors (63.2%) being under the age of 35 years old. The physicians age range from 22 to 60 years old, with a mean of 33.5 years. The patient’s characteristics were 35% male and 65% female, and patient’s ages ranged from 15 to 60 years old. 35% of patients were under the age of 30. Intervention or issue. The prevalence of chlamydia has been rising in Australian females under the age of 25 years old. The issue of this analysis was to understand the factors associated with physician screening rates for chlamydia testing and to investigate the screening rates for chlamydia in individuals who presented with no symptoms of infection. Comparison The authors compared the reasons on what motivated physicians to initiate chlamydia screening exams. Length of Follow-up N/A – no follow-up was completed in this analysis. Type of statistical measure(s) (RR, OR, %, NNT, etc.) Or thematic analysis. The statistical measures used for analysis were as follows: chi square or Mann-Whitney, p value <0.2 was included in multivariate analysis. The logistic regression was used to measure all outcomes. The Cohen kappa for inter-rater reliability was used to measure asymptomatic and symptomatic screening tests. In addition, the 95% confidence interval was also used in this analysis. Specific Statistical Results for Outcomes of Interest. Or, the major themes from a qualitative study. Cite pages. The results from this review were 2.5% (95% CL 2.34-2.71) of chlamydia test were ordered out of the total consultations of 29,112 (p. 544). For individuals aged 15 to 25 the highest risk group was tested at 5.8% (402/6981) of encounters (7.0% in females and 3.0% in males) (p. 544). The percentage of patients screen for …show more content…
A major finding from this study was the low percentage of testing for STIs by healthcare professionals. The study found testing occurred in 2.5% encounters with patients aged 15 to 60 years old out of 29,112 patient encounters (p. 544). In patients aged 15 to 25 only 5.8% were screened for chlamydia (p. 544). From those being screened for chlamydia exam, it was found that females were screen more than males and female doctors were more likely to initiate screening exams over male physicians (p. 544). Female patients that were new to the clinic or new to the physician were more likely to being screened over clientele that were not new to the clinic or doctor. Another major conclusion, the authors found over 50% screening occurred to be more opportunistic screening than routine screening (p.
APA Citation Thomson, A., Morgan, S., Henderson, K., Tapley, A., Spike, N., Scott, J., . . . Magin, P. (2014). Testing and screening for chlamydia in general practice: A cross-sectional analysis. Australian & New Zealand Journal of Public Health, 38(6), 542-547. doi:10.1111/1753-6405.12261
Study Type (specific type e.g., cohort, RCT, specific qualitative study, and etc.). A cross-sectional analysis from one large cohort study
*Evidence Level (I, II, III, IVA, IVB, VA. VB, VI) Level VB based on it being a cross-sectional study
Sample Size Sample size of 829 doctors and 397 training doctor’s records were analyzed and reviewed from the 29,112 patients that were seen from 2010 to 2012.
Setting & Sample
Characteristics The setting took place in four Australian states (New South Wales, Victoria, South Australia, and Tasmania). The sample consisted of male/female doctors with majority of doctors (63.2%) being under the age of 35 years old. The physicians age range from 22 to 60 years old, with a mean of 33.5 years. The patient’s characteristics were 35% male and 65% female, and patient’s ages ranged from 15 to 60 years old. 35% of patients were under the age of 30. Intervention or issue. The prevalence of chlamydia has been rising in Australian females under the age of 25 years old. The issue of this analysis was to understand the factors associated with physician screening rates for chlamydia testing and to investigate the screening rates for chlamydia in individuals who presented with no symptoms of infection. Comparison The authors compared the reasons on what motivated physicians to initiate chlamydia screening exams. Length of Follow-up N/A – no follow-up was completed in this analysis. Type of statistical measure(s) (RR, OR, %, NNT, etc.) Or thematic analysis. The statistical measures used for analysis were as follows: chi square or Mann-Whitney, p value <0.2 was included in multivariate analysis. The logistic regression was used to measure all outcomes. The Cohen kappa for inter-rater reliability was used to measure asymptomatic and symptomatic screening tests. In addition, the 95% confidence interval was also used in this analysis. Specific Statistical Results for Outcomes of Interest. Or, the major themes from a qualitative study. Cite pages. The results from this review were 2.5% (95% CL 2.34-2.71) of chlamydia test were ordered out of the total consultations of 29,112 (p. 544). For individuals aged 15 to 25 the highest risk group was tested at 5.8% (402/6981) of encounters (7.0% in females and 3.0% in males) (p. 544). The percentage of patients screen for …show more content…
A major finding from this study was the low percentage of testing for STIs by healthcare professionals. The study found testing occurred in 2.5% encounters with patients aged 15 to 60 years old out of 29,112 patient encounters (p. 544). In patients aged 15 to 25 only 5.8% were screened for chlamydia (p. 544). From those being screened for chlamydia exam, it was found that females were screen more than males and female doctors were more likely to initiate screening exams over male physicians (p. 544). Female patients that were new to the clinic or new to the physician were more likely to being screened over clientele that were not new to the clinic or doctor. Another major conclusion, the authors found over 50% screening occurred to be more opportunistic screening than routine screening (p.