ArticleHealth expectations : an international journal of public participation in health care and health policy2013
The use of formal and informal knowledge sources in patients' treatment decisions in secondary stroke prevention: qualitative study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- There are some big changes in Health Expectations.Health expectations : an international journal of public participation in health care and health policy · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is robust empirical evidence to support clinical decision making in secondary stroke prevention after transient ischaemic attack (TIA) or recovered stroke. However, little attention has been paid to patients' utilization of this evidence in coming to decisions about their treatment choices.
objectiveTo examine the use of formal and informal knowledge by patients in making decisions about carotid endarterectomy (CEA) and medical treatment after TIA/recovered stroke. SETTING AND
participantsTwenty participants were recruited from an outpatient vascular surgical assessment clinic in England. Ten were receiving medical treatment alone, and 10 were undergoing CEA after TIA or recovered stroke.
methodTwenty-eight in-depth qualitative interviews were conducted. An iterative approach was used whereby emergent themes were further explored in later interviews. Interviews were audiotaped, transcribed and coded.
resultsParticipants gathered and utilized several types of knowledge in the process of making treatment decisions: Empirical knowledge (e.g. clinical trial findings); Pathophysiologic findings (e.g., results of clinical investigations); Experiential knowledge (e.g., personal experience of stroke); Goals and values (e.g., potential impact on family); System features (e.g., apparent urgency of treatment).
conclusionsIn addition to formal evidence, patients use other sources of informal or 'non-evidentiary' knowledge to support their decisions about treatment after TIA or recovered stroke. To enable evidence-based patient choice, health professionals need to appreciate the diverse types of evidence which patients use, to help them to access relevant and high-quality evidence, to balance evidence from different sources and to make choices which are congruent with their values and expectations.
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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.