Evidence map›Paper›PMID 21466686›Full record

ArticleBMC family practice2011

How do family physicians communicate about cardiovascular risk? Frequencies and determinants of different communication formats.

Stefan Neuner-Jehle, Oliver Senn, Odette Wegwarth, Thomas Rosemann, Johann Steurer

Abstract read
In one paragraph

Article in BMC family practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Taxonomies for synthesizing the evidence on communicating numbers in health: Goals, format, and structure.Risk analysis : an official publication of the Society for Risk Analysis · 2022
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  14. Do people really prefer verbal probabilities?Psychological research · 2020
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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.

Stefan Neuner-JehleInstitute of General Medicine and Health Services Research, University of Zürich, Switzerland. sneuner@bluewin.ch
Oliver Senn
Odette Wegwarth
Thomas Rosemann
Johann Steurer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients understand information about risk better if it is communicated in numerical or visual formats (e.g. graphs) compared to verbal qualifiers only. How frequently different communication formats are used in clinical primary care settings is unknown.

methodsWe collected socioeconomic and patient understanding data using questionnaires and audio-recorded consultations about cardiovascular disease risk. The frequencies of the communication formats were calculated and multivariate regression analysis of associations between communication formats, patient and general practitioner characteristics, and patient subjective understanding was performed.

resultsIn 73% of 70 consultations, verbal qualifiers were used exclusively to communicate cardiovascular risk, compared to numerical (11%) and visual (16%) formats. Female GPs and female patient's gender were significantly associated with a higher use of verbal formats compared to visual formats (p=0.001 and p=0.039, respectively). Patient subjective understanding was significantly higher in visual counseling compared to verbal counseling (p=0.001).

conclusionsVerbal qualifiers are the most often used communication format, though recommendations favor numerical and visual formats, with visual formats resulting in better understanding than others. Also, gender is associated with the choice of communication format. Barriers against numerical and visual communication formats among GPs and patients should be studied, including gender aspects. Adequate risk communication should be integrated into physicians' education.

Indexed as

Cardiovascular DiseasesHealth CommunicationPatient Education as TopicPhysicians, FamilyAdultFemaleHumansMaleMiddle AgedPhysician-Patient RelationsRisk FactorsSurveys and QuestionnairesTape Recording

Identifiers

PMID21466686
PMCPMC3080293

What OpenQuestion holds

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LicenceCC BY
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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.