Evidence map›Paper›PMID 24565268›Full record

ArticleBMC medical informatics and decision making2013

Incorporating patient and family preferences into evidence-based medicine.

Laura A Siminoff

Abstract read
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 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–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

36 citing papers in PubMed.

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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

1 author.

Laura A Siminoff

Funding

Appraisal and Diagnostic Delay in Colon CancerR01CA124607 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI THOMSON, MARIA D. · 2008 to 2012
$3.8M
Appraisal Delay and Disparities in Timely Cancer DiagnosisR01CA134280 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI SIMINOFF, LAURA A. · 2008 to 2010
$1.4M
NCI NIH HHS R01-CA124607NCI NIH HHS R01-CA134280PHS HHS HHSA 290-2008-10015-C
6 · The paper itself

Abstract

backgroundClinicians are encouraged to practice evidence-based medicine (EBM) as well as patient-centered medicine. At times, these paradigms seem to be mutually exclusive and difficult to reconcile. It can become even more challenging when trying to include the preferences of the patient's family members. This paper discusses the basis for this quandary, providing examples of the real-world impact it has on diagnosis-seeking and treatment decision-making behaviors and how it might inform implementation of EBM practices. ANALYSIS: To further explore the role of friends and family in health-care decision making and to understand how patients and families introduce other considerations that may or may not be congruent with a strictly EBM approach, data from two research studies that examined healthcare-seeking behaviors are presented. Both studies explore how family and friends not only can influence health-care decisions but also may be a source of conflict for the patient and/or clinician.

conclusionsIllness is a biological and social process. Clinicians who engage in EBM need to acknowledge the social and cultural factors that affect the health-care encounter, understand the important role of those factors in health-care decision making, and expand the paradigm of EBM to incorporate sociocultural influences more explicitly. Moreover, recognition of the influences family members and other caregivers have within the clinical encounter--by offering opinions and participating in treatment-related decision making--is needed and could lead to more efficient and effective health care.

Indexed as

Evidence-Based MedicineFamilyHumansPatient-Centered CarePatient Preference

Identifiers

PMID24565268
PMCPMC4029304

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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.