Medullary sponge kidney associated with multivessel fibromuscular dysplasia: report of a case with renovascular hypertension.

STUDY

OBJECTIVE

To explore the professional and parental factors underlying low MMR uptake by qualitative synthesis of evidence from technical and non-technical anecdotal literature.

METHODS

An intensive investigation of literature covering research, press, online, E groups and grey literature was carried out using devised search strategies. Key themes were identified from both the research and anecdotal evidence, which were merged to form common themes.

RESULTS

The review of technical literature identified media scare and inadequate information from health professionals as the main reasons for non-uptake of MMR. The non-technical anecdotal evidence showed that professionals' belief in parental right to choose, target payments and fear of autism were the major factors.

CONCLUSIONS

Anecdotal evidence may contribute to evidence-based public health practice, especially in widely debated public health issues.