Cochrane · systematic review · CD010907
Interventions to facilitate shared decision making to address antibiotic use for acute respiratory infections in primary care
Coxeter, P, Del Mar, CB, McGregor, L, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Acute Respiratory InfectionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 50%Moderate 2 · 50%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Shared decision making compared to usual care for acute respiratory infections in primary care
Population: antibiotic use in acute respiratory infections
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Antibiotics prescribed or dispensed (6 weeks or less) Shared decision making vs usual care | RR 0.61 [0.55, 0.68] | 8 studies · 10172 participants | Moderate Downgraded: risk of bias |
Antibiotics prescribed or dispensed (12 months or greater) Shared decision making vs usual care | RR 0.74 [0.49, 1.11] | 3 studies · 481588 participants | Low Downgraded: risk of bias |
Patient initiated re‐consultations for the same illness episode Shared decision making vs usual care | RR 0.87 [0.74, 1.03] | 4 studies · 1861 participants | Moderate Downgraded: risk of bias |
Patient satisfaction with the consultation Shared decision making vs usual care | OR 0.86 [0.57, 1.3] | 2 studies · 1052 participants | Low Downgraded: risk of bias |