W J McIsaac
Affiliation: Mount Sinai Hospital
- Overestimation error and unnecessary antibiotic prescriptions for acute cystitis in adult womenWarren J McIsaac
Ray D Wolfe Department of Family Medicine, Mount Sinai Hospital, Toronto, Canada
Med Decis Making 31:405-11. 2011..This study assessed whether physician overestimation of the likelihood of bacterial infection contributed to unnecessary antibiotic prescriptions...
- Effect on antibiotic prescribing of repeated clinical prompts to use a sore throat score: lessons from a failed community intervention studyWarren J McIsaac
Mt Sinai Family Medicine Centre, 600 University Ave, Suite 413, Toronto, Ont, Canada M5G 1X5
J Fam Pract 51:339-44. 2002..This study sought to determine whether repeated clinical prompts to use a scoring approach could help family physicians lower antibiotic use in patients with a sore throat...
- The validity of a sore throat score in family practiceW J McIsaac
Family Medicine Centre, Mount Sinai Hospital, Toronto, Ont
CMAJ 163:811-5. 2000..The study also examined the potential impact of this clinical score on the prescribing of antibiotics in community-based family practice...
- Referral of children with otitis media. Do family physicians and pediatricians agree?W J McIsaac
Department of Family and Community Medicine, University of Toronto, Ontario
Can Fam Physician 46:1780-2, 1785-8. 2000....
- Empirical validation of guidelines for the management of pharyngitis in children and adultsWarren J McIsaac
Ray D Wolfe Department of Family Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada
JAMA 291:1587-95. 2004..Recent guidelines for management of pharyngitis vary in their recommendations concerning empirical antibiotic treatment and the need for laboratory confirmation of group A streptococcus (GAS)...
- Otolaryngologists' perceptions of the indications for tympanostomy tube insertion in childrenW J McIsaac
Department of Family and Community Medicine, University of Toronto, Ont
CMAJ 162:1285-8. 2000..The objective of this study was to describe the factors that influence otolaryngologists to recommend tympanostomy tube insertion in children with otitis media and their level of agreement about indications for surgery...
- Does clinical error contribute to unnecessary antibiotic use?W J McIsaac
Mt Sinai Family Medicine Centre, Toronto, Ontario, Canada
Med Decis Making 20:33-8. 2000..3% when the chance of the infection was overestimated by 50% or more. Clinical error in estimating the likelihood of group A streptococcal infection probably contributes to unnecessary antibiotic use in patients with sore throat...
- Antibiotics for lower respiratory tract infections. Still too frequently prescribed?Warren J McIsaac
Ray D Wolfe Department of Family Medicine, Mt Sinai Hospital, Toronto, Ont
Can Fam Physician 50:569-75. 2004..To examine how Canadian family physicians currently prescribe for lower respiratory tract infections (LRTIs)...
- Validation of a decision aid to assist physicians in reducing unnecessary antibiotic drug use for acute cystitisWarren J McIsaac
Granovsky Gluskin Family Medicine Centre, 60 Murray Street, Toronto, Ontario, Canada
Arch Intern Med 167:2201-6. 2007..In a previous study, use of a decision aid based on 4 clinical items would have reduced unnecessary antibiotic prescriptions for acute cystitis by 30% compared with usual physician care...
- Effect of an explicit decision-support tool on decisions to prescribe antibiotics for sore throatW J McIsaac
Mt Sinai Family Medicine Centre, University of Toronto, Ontario, Canada
Med Decis Making 18:220-8. 1998....
- A clinical score to reduce unnecessary antibiotic use in patients with sore throatW J McIsaac
Mount Sinai Family Medical Centre, Department of Family and Community Medicine, University of Toronto, Ont
CMAJ 158:75-83. 1998..To validate a score based on clinical symptoms and signs for the identification of group A Streptococcus (GAS) infection in general practice patients with score throat...
- Development and validation of the Osteoporosis Risk Assessment Instrument to facilitate selection of women for bone densitometryS M Cadarette
Canadian Multicentre Osteoporosis Study, University of Toronto, Ont
CMAJ 162:1289-94. 2000..The objective of this study was to develop and validate a clinical tool to help clinicians identify which women are at increased risk for osteoporosis and should therefore undergo further testing with bone densitometry...
- Does having regular care by a family physician improve preventive care?W J McIsaac
Mount Sinai Family Medicine Centre, Toronto, Ont
Can Fam Physician 47:70-6. 2001..To assess whether regular care from a family physician is associated with receiving preventive services...
- Visits by adults to family physicians for the common coldW J McIsaac
Mt Sinai Family Medicine Centre, Toronto, Ontario, Canada
J Fam Pract 47:366-9. 1998..We examined how often a large population of adults visited doctors when they had a cold, the degree to which they engaged in self care, and the characteristics of those seeking care...
- The impact of empirical management of acute cystitis on unnecessary antibiotic useWarren J McIsaac
Mt Sinai Family Medicine Centre, 600 University Ave, Room 413, Toronto, Ontario, Canada M5G 1X5
Arch Intern Med 162:600-5. 2002..Guidelines for the management of acute cystitis support empirical antibiotic treatment; however, up to half of symptomatic women have negative urine cultures...
- Peptic ulcer disease and exposure to domestic petsW J McIsaac
Mount Sinai Family Medical Centre, Department of Family and Community Medicine, University of Toronto, Ontario, Canada
Am J Public Health 89:81-4. 1999..This study assessed whether an association exists between household pets and peptic ulcer disease...
- Antibiotic prescribing for upper respiratory tract infection: the importance of diagnostic uncertaintySandra R Arnold
Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
J Pediatr 146:222-6. 2005..17; 95% CI, 1.11 to 1.24, 5-year increments). CONCLUSIONS: Clinical factors, which may lead physicians to be concerned about possible bacterial infection in children, are associated with antibiotic use for pediatric URI...
- Information needs in the management of osteoporosis in family practice: an illustration of the failure of the current guideline implementation processSusan B Jaglal
Graduate Department of Rehabilitation Science, University of Toronto, Toronto, ON, Canada
Osteoporos Int 14:672-6. 2003....
- Canadians without regular medical doctors. Who are they?Y Talbot
Department of Family and Community Medicine, University of Toronto U of T, Ontario
Can Fam Physician 47:58-64. 2001....
- Evaluation of decision rules for referring women for bone densitometry by dual-energy x-ray absorptiometryS M Cadarette
Osteoporosis Research Program, Women s College Ambulatory Care Centre, Sunnybrook and Women s College Health Sciences Centre, 76 Grenville St, 10th Floor E, Room 1005, Toronto, Ontario, Canada M5S 1B2
JAMA 286:57-63. 2001..Identification of women with low bone mineral density (BMD) is an important strategy in reducing the incidence of osteoporotic fractures. However, screening all women is not recommended...
- The validity of decision rules for selecting women with primary osteoporosis for bone mineral density testingSuzanne M Cadarette
Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
Osteoporos Int 15:361-6. 2004..These data confirm the validity of the ORAI, the OST chart and the OST equation as screening tools for BMD testing. Further evidence is required to confirm the validity of the body weight criterion...
- Attitudes of primary care physicians and their patients about home blood pressure monitoring in OntarioAlexander G Logan
Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, Department of Family and Community Medicine, University of Toronto, Canada
J Hypertens 26:446-52. 2008..Guidelines recommend home blood pressure monitoring (HBPM) to improve blood pressure control, but the attitudes of primary care physicians and their hypertensive patients towards its use are not known...
- How are family physicians managing osteoporosis? Qualitative study of their experiences and educational needsSusan B Jaglal
Ontario Ministry of Health and Long Term Care
Can Fam Physician 49:462-8. 2003..To explore family physicians' experiences and perceptions of osteoporosis and to identify their educational needs in this area...