ArticleHealth expectations : an international journal of public participation in health care and health policy2012
Do physicians' recommendations pull patients away from their preferred treatment options?
Article in Health expectations : an international journal of public participation in health care and health policy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled 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.
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
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared decision-making behaviours in health professionals: a systematic review of studies based on the Theory of Planned Behaviour.Health expectations : an international journal of public participation in health care and health policy · 2015Pooled it
- The impact of patient narratives on medical students' perceptions of shared decision making: A randomized controlled trial.Medical education online · 2021Trial
- The impact of a physician's recommendation and gender on informed decision making: A randomized controlled study in a simulated decision situation.Health expectations : an international journal of public participation in health care and health policy · 2021Trial
- Patient preferences and willingness to pay for transitional care in breast cancer: a discrete choice experiment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Perspectives of hospitalized heart failure patients: preferred and perceived participation roles in treatment decisions.Heart and vessels · 2023Article
- Article
- Patient-based benefit-risk assessment of medicines: development, refinement, and validation of a content search strategy to retrieve relevant studies.Journal of the Medical Library Association : JMLA · 2022Article
- Variability of Prognostic Communication in Critically Ill Neurologic Patients: A Pilot Multicenter Mixed-Methods Study.Critical care explorations · 2022Article
- Provider Recommendations for Phase I Clinical Trials Within a Shared Decision-Making Model in Phase I Cancer Clinical Trial Discussions.JCO oncology practice · 2020Article
- The association between patients' preferred treatment after the use of a patient decision aid and their choice of eventual treatment.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Real-World Treatment Patterns of Disease Modifying Therapy (DMT) for Patients with Relapse-Remitting Multiple Sclerosis and Patient Satisfaction with Therapy: Results of the Non-Interventional SKARLET Study in Slovakia.Patient preference and adherence · 2020Article
- Surgeons' Views on Shared Decision-Making.Journal of patient-centered research and reviews · 2020Article
- Communication, Leadership, and Decision-Making in the Neuro-ICU.Current neurology and neuroscience reports · 2016Review
- Article
- Patient preferences for treatment of multiple sclerosis with disease-modifying therapies: a discrete choice experiment.Patient preference and adherence · 2016Article
- Values and preferences for oral antithrombotic therapy in patients with atrial fibrillation: physician and patient perspectives.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Are parents of children hospitalized with severe community-acquired pneumonia more satisfied with care when physicians allow them to share decisions on the antibiotic route?Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Values and risks of second opinion in Japan's universal health-care system.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Expect the unexpected: patients' and families' expectations and experiences of new clinical procedures.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Teriflunomide for the treatment of relapsing-remitting multiple sclerosis: patient preference and adherence.Patient preference and adherence · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
CONTEXT AND
objectiveShared decision making is especially advocated for preference-sensitive decisions. We investigated whether physicians' recommendations pull patients away from their preferred treatment option when making a preference-sensitive decision. DESIGN, PARTICIPANTS AND
methodsInpatients (N = 102 with schizophrenia, N = 101 with multiple sclerosis) were presented with a hypothetical scenario (the choice between two drugs). They were first asked about their preferences concerning the two drugs and then they received a (fictitious) clinician's recommendation that was contrary to their preferences. Subsequently they made a final choice between the two drugs.
main outcome measuresThe main outcome measure was whether the patient followed the physician's advice in the hypothetical scenario. Thereby patient's (pre-recommendation) preferences served as a baseline.
resultsIn the decision scenario, about 48% of the patients with schizophrenia and 26% of the patients with multiple sclerosis followed the advice of their physician and thus chose the treatment option that went against their initial preferences. Patients who followed their physician's advice were less satisfied with their decision than patients not following their physician's advice (schizophrenia: t = 2.61, P = 0.01; multiple sclerosis: t = 2.67, P = 0.009). DISCUSSION AND
conclusionsWhen sharing decisions with patients, physicians should be aware that their advice might influence patients' decisions away from their preferred treatment option. They should encourage their patients to identify their own preferences and help to find the treatment option most consistent with them.
Indexed as
Identifiers
What OpenQuestion holds
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.