CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Sore throat - acute - Evidence
Evidence on reasons for GP consultation
One Belgian study found the main reasons for people with sore throat to visit their doctors are for reassurance and pain relief. This is supported by a much smaller UK study.
- In a Belgian study (n = 298 people with sore throat), patients were asked to rate the importance of 13 reasons for visiting their family physician on a 4-point Likert scale (very, rather, little, or not important). Knowledge and beliefs about acute sore throat and the use of antibiotics were also scored using a validated questionnaire [van Driel et al, 2006]. The study found the three most frequent reasons for consulting doctors were: establishing the cause of symptoms, pain relief, and information on the course of disease.
- More than 80% of all patients considered these 3 reasons very/rather important: 'I want an antibiotic' ranked 11th out of 13 items and was rated very/rather important by 37.6% of the respondents (very important by 16.3%).
- The ranking of the most important reasons for visiting the family physician was similar among those patients who hoped for an antibiotic (n = 106) and those who did not (n = 176).
- Similar results were found in a small UK qualitative study (n = 17) which reported that about two-thirds of people with sore throat consulted for reassurance, with some seeking an explanation of their condition, or pain relief for themselves and their children [Butler et al, 1998].
© NHS Institute for Innovation and Improvement