Evidence map›Paper›PMID 24106969›Full record

ArticleBMC medical informatics and decision making2013

The influence of medical testing on patients' health: an overview from the gynecologists' perspective.

Jolande Y Vis, Myra C B van Zwieten, Patrick M M Bossuyt, Karel G M Moons, Marcel G W Dijkgraaf, Kirsten J McCaffery, Ben Willem J Mol, Brent C Opmeer

Abstract readEvaluation Study
In one paragraph

Article in BMC medical informatics and decision making, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. The Acceptability of Diagnostic Tests in the United Kingdom.Patient preference and adherence · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Provider Perspectives of Patient Experiences in Primary Care Imaging.Journal of the American Board of Family Medicine : JABFM
    Article
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

8 authors.

Jolande Y VisDepartment of Obstetrics and Gynecology, Academic Medical Center, Amsterdam, The Netherlands. jolandevis@gmail.com.
Myra C B van Zwieten
Patrick M M Bossuyt
Karel G M Moons
Marcel G W Dijkgraaf
Kirsten J McCaffery
Ben Willem J Mol
Brent C Opmeer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA medical tests may influence the health of patients by guiding clinical decisions, such as treatment in case of a positive test result. However, a medical test can influence the health of patients through other mechanisms as well, like giving reassurance. To make a clinical recommendation about a medical test, we should be aware of the full range of effects of that test on patients. This requires an understanding of the range of effects that medical testing can have on patients. This study evaluates the mechanisms through which medical testing can influence patients' health, other than the effect on clinical management, from a gynecologist's perspective.

methodsA qualitative study in which explorative focus groups were conducted with gynecologists, gynecological residents and gynecological M.D. researchers (n = 43). Discussions were transcribed verbatim. Transcriptions were coded inductively and analyzed by three researchers.

resultsAll participants contributed various clinical examples in which medical testing had influenced patients' health. Clinical examples illustrated that testing, in itself or in interaction with contextual factors, may provoke a wide range of effects on patients. Our data showed that testing can influence the doctor's perceptions of the patients' appraisal of their illness, their perceived control, or the doctor-patient relationship. This may lead to changes in psychological, behavioral, and/or medical outcomes, both favorably or unfavorably. The data were used to construct a conceptual framework of effects of medical testing on patients.

conclusionsBesides supporting clinical decision making, medical testing may have favorable or unfavorable effects on patients' health though several mechanisms.

Indexed as

Patient Outcome AssessmentAdultDiagnostic Tests, RoutineFocus GroupsGynecologyHumansPhysician-Patient RelationsQualitative Research

Identifiers

PMID24106969
PMCPMC3842635

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Registered trials

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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.