Evidence map›Paper›PMID 11533431›Full record

ReviewQuality in health care : QHC2001

Understanding risk and lessons for clinical risk communication about treatment preferences.

A Edwards, G Elwyn

Abstract readReview
In one paragraph

Review in Quality in health care : QHC, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Translating Evidence to Advanced Parkinson's Disease Patients: A Systematic Review and Meta-Analysis.Movement disorders : official journal of the Movement Disorder Society · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Beliefs about causes of colon cancer by English-as-a-Second-Language Chinese immigrant women to Canada.Journal of cancer education : the official journal of the American Association for Cancer Education · 2011
    Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Thyroid Cancer Risk Communication in Patients with Thyroid Nodules.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  12. Article
  13. Navigating ethical challenges of conducting randomized clinical trials on COVID-19.Philosophy, ethics, and humanities in medicine : PEHM · 2022
    Article
  14. Review
  15. Risky business, healthy lives: how risk perception, risk preferences and information influence consumer's risky health choices.The European journal of health economics : HEPAC : health economics in prevention and care · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

A EdwardsDepartment of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff CF3 7PN, UK. edwardsag@cf.ac.uk
G Elwyn

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper defines risk and its component elements and describes where clinical practice may be starting from in terms of what is reported in the literature about understanding risks and the information requirements of consumers. It notes briefly how theoretical models in the literature contribute to our understanding by providing a basis from which to summarise current evidence about the effects of healthcare interventions which address risks and risk behaviour. The situations or types of interventions in which risk related interventions are most effective are described, but a significant caveat is noted about the types of outcomes which have been reported in the literature and which are most appropriate to evaluate. The effects of "framing" variations in the information given to consumers and the ethical dilemmas these raise for a debate about "informed choice" in healthcare programmes are discussed. In response to both the practical and ethical dilemmas that arise from the current evidence, some of the areas where attention should be focused in the future are outlined so that both health gain and informed choice might be achieved. These include the use of decision aids, although their implementation is not widespread at present. Lessons from the current literature on how further progress can be made towards improved communication, discussion between professionals and consumers, and enhancing informed choice are discussed.

Indexed as

CommunicationPatient SatisfactionPhysician-Patient RelationsRisk AssessmentDecision MakingHumansInformed ConsentPatient Participation

Identifiers

PMID11533431
PMCPMC1765742

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.