Evidence map›Paper›PMID 11545684›Full record

ArticleBMC medical informatics and decision making2001

Identifying patient preferences for communicating risk estimates: a descriptive pilot study.

J M Fortin, L K Hirota, B E Bond, A M O'Connor, N F Col

Abstract readMulticenter Study
In one paragraph

Article in BMC medical informatics and decision making, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing 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

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

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Design features of graphs in health risk communication: a systematic review.Journal of the American Medical Informatics Association : JAMIA
    Pooled it
  5. Trial
  6. Trial
  7. Tables or bar graphs? Presenting test results in electronic medical records.Medical decision making : an international journal of the Society for Medical Decision Making
    Trial
  8. Article
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  10. Article
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  13. Article
  14. A tool to help patients visualize ASCVD risk and the potential impact of risk-lowering interventions.International journal of cardiology. Cardiovascular risk and prevention · 2022
    Article
  15. Article
  16. Article
  17. Genetic susceptibility, obesity and lifetime risk of type 2 diabetes: The ARIC study and Rotterdam Study.Diabetic medicine : a journal of the British Diabetic Association · 2021
    Article
  18. Lifetime risk of stroke stratified by chronic kidney disease and hypertension in the general Asian population: the Ohasama study.Hypertension research : official journal of the Japanese Society of Hypertension · 2021
    Article
  19. Short time horizons for fracture prediction tools: time for a rethink.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
  20. Article
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

5 authors.

J M FortinDecision Systems Group, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. fortin@dsg.harvard.edu
L K Hirota
B E Bond
A M O'Connor
N F Col

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients increasingly seek more active involvement in health care decisions, but little is known about how to communicate complex risk information to patients. The objective of this study was to elicit patient preferences for the presentation and framing of complex risk information.

methodTo accomplish this, eight focus group discussions and 15 one-on-one interviews were conducted, where women were presented with risk data in a variety of different graphical formats, metrics, and time horizons. Risk data were based on a hypothetical woman's risk for coronary heart disease, hip fracture, and breast cancer, with and without hormone replacement therapy. Participants' preferences were assessed using likert scales, ranking, and abstractions of focus group discussions.

resultsForty peri- and postmenopausal women were recruited through hospital fliers (n = 25) and a community health fair (n = 15). Mean age was 51 years, 50% were non-Caucasian, and all had completed high school. Bar graphs were preferred by 83% of participants over line graphs, thermometer graphs, 100 representative faces, and survival curves. Lifetime risk estimates were preferred over 10 or 20-year horizons, and absolute risks were preferred over relative risks and number needed to treat.

conclusionAlthough there are many different formats for presenting and framing risk information, simple bar charts depicting absolute lifetime risk were rated and ranked highest overall for patient preferences for format.

Indexed as

CommunicationRiskComputer GraphicsEducational StatusFemaleFocus GroupsHumansInterviews as TopicMenopauseMiddle AgedPatient Education as TopicPatient SatisfactionPilot ProjectsPostmenopausePremenopauseRacial Groups

Identifiers

PMID11545684
PMCPMC55342

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.