The Evidence Base for Interventions Delivered to Children in Primary Care: An Overview of Cochrane Systematic Reviews
2011

Overview of Cochrane Systematic Reviews for Children in Primary Care

Sample size: 396 publication Evidence: moderate

Author Information

Author(s): Gill Peter J., Wang Kay Yee, Mant David, Hartling Lisa, Heneghan Carl, Perera Rafael, Klassen Terry, Harnden Anthony

Primary Institution: Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom

Hypothesis

What is the evidence base for interventions relevant to child health in primary care?

Conclusion

Cochrane systematic reviews do not comprehensively reflect the burden of childhood illness in primary care, highlighting a significant mismatch between research focus and clinical needs.

Supporting Evidence

  • 396 systematic reviews were identified as relevant to childhood conditions in primary care.
  • 55% of the reviews focused on chronic conditions.
  • Only 7% of reviews were relevant to skin conditions, despite them accounting for 15-23% of consultations.
  • 23% of reviews focused on asthma treatments, which only account for 3-5% of consultations.

Takeaway

This study looked at research on children's health care and found that many common health issues in kids aren't well covered by existing studies.

Methodology

The study reviewed Cochrane systematic reviews related to childhood conditions in primary care and compared them with consultation data from various countries.

Potential Biases

Potential bias due to the exclusion of studies focused on children under one month and reliance on existing systematic reviews.

Limitations

The study did not assess the quality of included systematic reviews and focused only on Cochrane reviews, potentially missing relevant studies outside this database.

Participant Demographics

The reviews included children aged 0-18 years.

Digital Object Identifier (DOI)

10.1371/journal.pone.0023051

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