ArticleJAMA internal medicine2013
How patient centered are medical decisions?: Results of a national survey.
Article in JAMA internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 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
86 citing papers in PubMed, 1 synthesis or guideline pooled it, 156 citations in OpenAlex.
- Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association.Hypertension (Dallas, Tex. : 1979) · 2018Guideline
- Feasibility of contextualizing the Informed Health Choices learning resources in Italy: A pilot study in a primary school in Florence.F1000Research · 2022Trial
- Vapes, E-cigs, and Mods: What Do Young Adults Call E-cigarettes?Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Trial
- Decision Support Strategies for Hip and Knee Osteoarthritis: Less Is More: A Randomized Comparative Effectiveness Trial (DECIDE-OA Study).The Journal of bone and joint surgery. American volume · 2019Trial
- Randomized, Controlled Trial of an Advance Care Planning Video Decision Support Tool for Patients With Advanced Heart Failure.Circulation · 2016Trial
- Article
- Racial and Ethnic Differences in Shared Decision Making Among Patients With Hypertension: Results From the RICH LIFE Project.Journal of the American Heart Association · 2025Article
- Top 100 most cited articles on Patient Reported Experience Measures (PREM): insights and perspectives.Journal of patient-reported outcomes · 2024Review
- A Clinical Focus on Shared Decision Making in Clinical Practice When Providing Dysarthria and Dysphagia Services to Individuals With Amyotrophic Lateral Sclerosis.Perspectives of the ASHA special interest groups · 2024Article
- Medical Nutrition Therapy, In-Person, or Telephone Group Lifestyle Intervention for Type 2 Diabetes? A Qualitative Study of Patient Perceptions and Treatment Preferences.The science of diabetes self-management and care · 2024Article
- Association of Hospital Characteristics and Previous Hospitalization-Related Experiences with Patients' Perceptions of Hospital Care in China.International journal of environmental research and public health · 2022Article
- How is patient-centred care conceptualized in obstetrical health? comparison of themes from concept analyses in obstetrical health- and patient-centred care.Health expectations : an international journal of public participation in health care and health policy · 2022Review
- Article
- Using Standardized Videos to Examine the Validity of the Shared Decision Making Process Scale: Results of a Randomized Online Experiment.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Article
- Assessing the quality of shared decision making for elective orthopedic surgery across a large healthcare system: cross-sectional survey study.BMC musculoskeletal disorders · 2021Article
- Patient decision aid for trial of labor after cesarean (TOLAC) versus planned repeat cesarean delivery: a quasi-experimental pre-post study.BMC pregnancy and childbirth · 2021Article
- Psychometric evaluation of a decision quality instrument for medication decisions for treatment of depression symptoms.BMC medical informatics and decision making · 2021Article
- Differences in Implementation Outcomes of a Shared Decision-Making Program for Men with Prostate Cancer between an Academic Medical Center and County Health Care System.Medical decision making : an international journal of the Society for Medical Decision Making · 2021Article
- Let's Require Patients to Review a High-quality Decision Aid Before Receiving Important Tests and Treatments.Medical care · 2021Article
- Preliminary Evaluation of a Breast Cancer Screening Shared Decision-Making Aid Utilized Within the Primary Care Clinical Encounter.Journal of patient experience · 2021Article
26 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
importanceInforming and involving patients in their medical decisions is increasingly becoming a standard for good medical care, particularly for primary care physicians.
objectiveTo learn how patients describe the decision-making process for 10 common medical decisions, including 6 that are most often made in primary care.
designA survey of a national sample of adults 40 years or older who in the preceding 2 years had either experienced or discussed with a health care provider 1 or more of 10 decisions: medication for hypertension, elevated cholesterol, or depression; screening for breast, prostate, or colon cancer; knee or hip replacement for osteoarthritis, or surgery for cataract or low back pain.
settingAdults living in households in the United States in 2011.
participantsA national sample of adults drawn from a probability sample-based web panel developed by Knowledge Networks. MAIN OUTCOMES AND MEASURES: Patients' perceptions of the extent to which the pros and cons were discussed with their health care providers, whether the patients were told they had a choice, and whether the patients were asked for their input.
resultsResponses were obtained from 2718 patients, with a response rate of 58.3%. Respondents reported much more discussion of the pros than the cons of all tests or treatments; discussions about the surgical procedures tended to be more balanced than those about medications to reduce cardiac risks and cancer screening. Most patients (60%-78%) said they were asked for input for all but 3 decisions: medications for hypertension and elevated cholesterol and having mammograms (37.3%-42.7%). Overall, the reported decision-making processes were most patient centered for back or knee replacement surgery and least for breast and prostate cancer screening. CONCLUSIONS AND RELEVANCE: Discussions about these common tests, medications, and procedures as reported by patients do not reflect a high level of shared decision making, particularly for 5 decisions most often made in primary care.
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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.