Clinical Items Showing Differences Between AAFP and AAFP NRN Physicians Across 3 National Surveys
| Survey and Item | AAFP | AAFP NRN | χ2(df) | Probability |
|---|---|---|---|---|
| AAFP = American Academy of Family Physicians; NRN = National Research Network; PANDAS = pediatric autoimmune neuropsychiatric disorder with group A streptococcus. | ||||
| Hepatitis C survey | ||||
| Test prenatal patients | 10.960 (3) | .012 | ||
| Very likely, % | 18.9 | 13.3 | ||
| Somewhat likely, % | 21.5 | 20.9 | ||
| Somewhat unlikely, % | 43.8 | 38.6 | ||
| Very unlikely, % | 15.9 | 27.2 | ||
| Total No. | 466 | 158 | ||
| Refer to gastroenterologist for positive test | 23.506 (1) | <.001 | ||
| Yes, % | 73.9 | 54.2 | ||
| No, % | 26.1 | 45.8 | ||
| Total No. | 564 | 166 | ||
| Hyperlipidemia survey | ||||
| Low-density lipoprotein goal | 33.384 (3) | <.001 | ||
| <70 mg/dL, % | 5.0 | 11.7 | ||
| <100 mg/dL, % | 74.3 | 82.5 | ||
| <130 mg/dL, % | 18.5 | 1.9 | ||
| <160 mg/dL, % | 2.3 | 3.9 | ||
| Total No. | 622 | 154 | ||
| Stop statin if elevated liver function test | 15.682 (4) | .003 | ||
| Any elevation above normal, % | 6.7 | 5.8 | ||
| 1.5 X upper limit of normal, % | 18.5 | 9.7 | ||
| 2 X upper limit of normal, % | 40.9 | 48.4 | ||
| 3 X upper limit of normal, % | 28.6 | 35.5 | ||
| Other, % | 5.3 | 0.6 | ||
| Total No. | 626 | 155 | ||
| Pharyngitis survey | ||||
| Stop antibiotics if test negative | 16.536 (3) | .001 | ||
| Always, % | 23.2 | 13.7 | ||
| Often, % | 22.1 | 38.8 | ||
| Sometimes, % | 33.9 | 31.7 | ||
| Never, % | 20.8 | 15.8 | ||
| Total No. | 375 | 139 | ||
| Antibiotics to stop PANDAS | 5.065 (1) | .024 | ||
| Yes, % | 15.5 | 8.8 | ||
| No, % | 84.5 | 91.2 | ||
| Total No. | 528 | 181 | ||
| To shorten course of symptoms | 3.873 (1) | .049 | ||
| Yes, % | 66.7 | 74.6 | ||
| No, % | 33.3 | 25.4 | ||
| Total No. | 529 | 181 | ||
| Most likely diagnostic and treatment approach to patient | 11.803 (5) | .038 | ||
| No test, give antibiotic, % | 25.9 | 32.6 | ||
| Rapid test, give antibiotic if positive and no antibiotic if negative, % | 9.6 | 14.4 | ||
| Rapid test, give antibiotic if positive, culture and give antibiotic if negative, and give antibiotic awaiting results, % | 29.6 | 27.6 | ||
| Rapid test, give antibiotic if positive, culture and no antibiotic if negative awaiting results, % | 15.6 | 11.0 | ||
| Culture, give antibiotic, await results | 8.0 | 8.8 | ||
| Rapid test and or culture and give anti- biotic despite a negative result, % | 11.3 | 5.5 | ||
| Total No. | 513 | 181 | ||