ArticleJournal of evaluation in clinical practice2011
The impact of physicians' reactions to uncertainty on patients' decision satisfaction.
Article in Journal of evaluation in clinical practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient response to physician expressions of uncertainty: a systematic review.Irish journal of medical science · 2017Pooled it
- Trial
- A randomized experimental study to test the effects of discussing uncertainty during cancer genetic counseling: different strategies, different outcomes?European journal of human genetics : EJHG · 2021Trial
- "The median isn't the message": How to communicate the uncertainties of survival prognoses to cancer patients in a realistic and hopeful way.European journal of cancer care · 2019Trial
- Less Is More: A Narrative Review of Deciding When Surgical Intervention Should Be Withheld.Cureus · 2022Review
- I Don't Have a Diagnosis for You: Preparing Medical Students to Communicate Diagnostic Uncertainty in the Emergency Department.MedEdPORTAL : the journal of teaching and learning resources · 2022Article
- Prevalence and Tolerance of Prognostic Uncertainty Among Thoracic Oncologists.The oncologist · 2021Article
- Communication between neonatologists and parents when prognosis is uncertain.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Development of the Uncertainty Communication Checklist: A Patient-Centered Approach to Patient Discharge From the Emergency Department.Academic medicine : journal of the Association of American Medical Colleges · 2020Article
- Communicating uncertainties when disclosing diagnostic test results for (Alzheimer's) dementia in the memory clinic: The ABIDE project.Health expectations : an international journal of public participation in health care and health policy · 2020Observational
- Predictors of next-generation sequencing panel selection using a shared decision-making approach.NPJ genomic medicine · 2018Article
- Shared Decision Making in the Emergency Department Among Patients With Limited Health Literacy: Beyond Slower and Louder.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Article
- Factors influencing access to education, decision making, and receipt of preferred dialysis modality in unplanned dialysis start patients.Patient preference and adherence · 2016Article
- Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
rationalePatients' and physicians' response to uncertainty may affect decision outcomes. The purpose of this study was to explore the impact of patients' and physicians' reactions to uncertainty on patients' satisfaction with breast health decisions.
methodsSeventy-five women facing breast cancer prevention or treatment decisions and five surgeons were recruited from a breast health centre. Patients' and physicians' anxiety from uncertainty was assessed using the Physicians' Reactions to Uncertainty Scale; wording was slightly modified for patients to ensure the scale was applicable. Patients' decision satisfaction was assessed 1-2 weeks after their appointment. A mixed-effects logistic regression model was used to assess associations between patients' and providers' anxiety from uncertainty and patients' decision satisfaction. A provider-specific random effects term was included in the model to account for correlation among patients treated by the same provider.
resultsPatients' decision satisfaction was associated with physicians' anxiety from uncertainty (beta = 0.92, P < 0.01), but not with patients' anxiety from uncertainty (beta = -0.18, P > 0.27).
conclusionsThis study suggests that physicians' reactions to uncertainty may have an effect on decision satisfaction in patients. More research is needed to confirm this relationship and to determine how to help patient-provider dyads to manage the uncertainty that is inherent in most cancer decisions.
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Registered trials
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.