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148 By primary care for primary care: tools for practice – clinical primary care evidence summaries: descriptive analysis of authorship and conflicts of interest: 2009 – 2022
  1. Michael Kolber1,
  2. Logan Sept1,
  3. Christina Korowynk1,
  4. Adrienne Lindblad2,
  5. G Michael Allan3
  1. 1University of Alberta, Edmonton, Canada
  2. 2Canadian College of Family Physicians, Red Deer, Canada
  3. 3Canadian College of Family Physicians, Salt Spring Island, Canada


Introduction Filtered resources are efficient sources of information for primary health care providers. Some filtered sources do not report list their authors, have minimal primary care input, or do not list potential conflicts of interest (COIs). Launched in 2009, Tools for Practice (TFPs) are one-page evidence summaries of clinically relevant primary care topics; published bi-weekly and distributed to over 40,000 health care professionals worldwide.

Objectives To determine the medical specialities of TFPs authors; the proportion of primary care vs speciality care authors; and to determine the number of TFP authors that report potential financial conflicts of interest.

Methods Retrospective analysis of TFPs from inception May 2009 to Dec 31, 2021. For the analysis, Family Physicians, Pharmacists, medical and pharmacy students, Family Medicine residents, Nurses and Dieticians were consider primary care, while specialists and residents in speciality program were considered specialty care.

Results Over the 12-year study period, 305 TFPs were written by a total of 721 health care professionals. Conflicts of interest was evaluated from Feb 3, 2014 (when mandatory reporting of COIs commenced), resulting in an analysis of 200 TFPs written by 499 authors

Tools for Practice were overwhelmingly written by primary care professionals.

Family Physicians made up the largest group of authors (59.2%), followed by pharmacists (25.4%) and medical learners [medical or pharmacy students or medical residents (9.8%)]. Overall, 692 of 721 authors (96.0%) were from primary care, while 29 (4.0%) of authors represented speciality care.

Conflicts of Interest were reported in 3/499 authors.

Since mandatory COI reporting occurred, 3 of 499 authors (2 Family physicians and 1 pharmacist) reported industry conflicts of interest.

Study Limitations: conflicts of interest were self-reported by authors.

Conclusion Ninety-six percent (96%) of Tools for Practice authors were from primary care with Family Physicians making up over half of all authors. Only 3 potential financial conflicts of interest (0.6%) were reported. Ideally, filtered primary care information resources should be written by primary care practitioners who do not have financial conflicts of interest.

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