Evidence map›Paper›PMID 22778792›Full record

ReviewDeutsches Arzteblatt international2012

Decision aids for patients.

Matthias Lenz, Susanne Buhse, Jürgen Kasper, Ramona Kupfer, Tanja Richter, Ingrid Mühlhauser

Abstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  5. Review
  6. Article
  7. Article
  8. Harms and Benefits of Cancer Screening.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2021
    Article
  9. Article
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  12. Strategies for Appropriate Patient-centered Care to Decrease the Nationwide Cost of Cancers in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2017
    Article
  13. Patient education as empowerment and self-rebiasing.Medicine, health care, and philosophy · 2016
    Article
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  15. Article
  16. Article
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  18. Review
  19. Evidence-based health information and risk competence.German medical science : GMS e-journal · 2015
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Matthias LenzHamburg University, School of Mathematics, Informatics and Natural Sciences, Hamburg, Germany. matthias.lenz@uni-hamburg.de
Susanne Buhse
Jürgen Kasper
Ramona Kupfer
Tanja Richter
Ingrid Mühlhauser

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients want to be more involved in medical decision-making. To this end, some decision aids are now available.

methodsWe present an overview of this subject, in which we explain the terms "shared decision-making", "decision aid", and "evidence-based patient information" and survey information on the available decision aids in German and other languages on the basis of a literature search in MEDLINE, EMBASE and PsycInfo and a current Cochrane Review. We also searched the Internet for providers of decision aids in Germany.

resultsDecision aids exist in the form of brochures, decision tables, videos, and computer programs; they address various topics in the prevention, diagnosis, and treatment of disease. They typically contain information on the advantages and disadvantages of the available options, as well as guidance for personal decision-making. They can be used alone or as a part of structured counseling or patient education. Minimal quality standards include an adequate evidence base, completeness, absence of bias, and intelligibility. Our search revealed 12 randomized controlled trials (RCTs) of decision aids in German and 106 RCTs of decision aids in other languages. These trials studied the outcome of the use of decision aids not just with respect to clinical developments, but also with respect to patient knowledge, adherence to treatment regimens, satisfaction, involvement in decision-making, autonomy preference, and decisional conflicts.

conclusionOnly a small fraction of the available decision aids were systematically developed and have been subjected to systematic evaluation. Patients are still not receiving the help in decision-making to which medical ethics entitles them. Structures need to be put in place for the sustainable development, evaluation and implementation of high-quality decision aids.

Indexed as

Decision Making, Computer-AssistedInformed ConsentAudiovisual AidsComputer-Assisted InstructionGermanyHumansInformation DisseminationPatient Education as TopicPatient Participation

Identifiers

PMID22778792
PMCPMC3389744

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.