ArticlePloS one2014
Most important factors for the implementation of shared decision making in sciatica care: ranking among professionals and patients.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03924791 (Transforaminal Epidural Injection in Acute Sciatica), which is not on this map. Cited by 20 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.
Transforaminal Epidural Injection in Acute Sciatica
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Using Best-Worst Scaling to Investigate Preferences in Health Care.PharmacoEconomics · 2016Pooled it
- Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT.Health technology assessment (Winchester, England) · 2020Trial
- Role matters in understanding 'quality' in palliative care: a qualitative analysis of patient, caregiver and practitioner perspectives.BMJ open · 2024Article
- Shared decision-making for renal replacement treatment and illness perception in patients with advanced chronic kidney disease.BMC medical informatics and decision making · 2023Article
- The influence of the environment on the patient-centered therapeutic relationship in physical therapy: a qualitative study.Archives of public health = Archives belges de sante publique · 2023Article
- The Practice of Shared Decision-Making Among Physiotherapists and Patients with Musculoskeletal Conditions.Journal of multidisciplinary healthcare · 2023Article
- Patient and Caregiver Prioritization of Palliative and End-of-Life Cancer Care Quality Measures.Journal of general internal medicine · 2022Article
- Clinical Symptoms Contributing to Zenker's Diverticulum Repair: A Retrospective Review.Cureus · 2022Article
- Readability of patient education materials related to radiation safety: What are the implications for patient-centred radiology care?Insights into imaging · 2021Article
- Psychological predictors of medical residents' perspectives on shared decision-making with patients: a cross-sectional study.BMC medical education · 2020Article
- Transforaminal epidural injection versus continued conservative care in acute sciatica (TEIAS trial): study protocol for a randomized controlled trial.BMC neurology · 2019Article
- Article
- Patients' perceived needs for allied health, and complementary and alternative medicines for low back pain: A systematic scoping review.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Experimental measurement of preferences in health and healthcare using best-worst scaling: an overview.Health economics review · 2016Article
- Rationing in the intensive care unit in case of full bed occupancy: a survey among intensive care unit physicians.BMC anesthesiology · 2016Article
- Barriers and Facilitators Associated with Non-Surgical Treatment Use for Osteoarthritis Patients in Orthopaedic Practice.PloS one · 2016Article
- Variation in use of non-surgical treatments among osteoarthritis patients in orthopaedic practice in the Netherlands.BMJ open · 2015Article
- Measuring organisational readiness for patient engagement (MORE): an international online Delphi consensus study.BMC health services research · 2015Article
- Increasing Quality and Frequency of Goals-of-Care Documentation in the Highest-Risk Surgical Candidates: One-Year Results of the Surgical Pause Program.JB & JS open accessArticle
- Integrating Patient and Expert Perspectives to Conceptualize High-Quality Palliative Cancer Care for Symptoms in the US Veterans Health Administration: A Qualitative Study.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDue to the increasing specialization of medical professionals, patients are treated by multiple disciplines. To ensure that delivered care is patient-centered, it is crucial that professionals and the patient together decide on treatment (shared decision making (SDM)). However, it is not known how SDM should be integrated in multidisciplinary practice. This study determines the most important factors for SDM implementation in sciatica care, as it is known that a prior inventory of factors is crucial to develop a successful implementation strategy.
methods246 professionals (general practitioners, physical therapists, neurologists, neurosurgeons, orthopedic surgeons) (30% response) and 155 patients (96% response) responded to an internet-based survey. Respondents ranked barriers and facilitators identified in previous interviews, on their importance using Maximum Difference Scaling. Feeding back the personal top 5 most important factors, each respondent indicated whether these factors were barriers or facilitators. Hierarchical Bayes estimation was used to estimate the relative importance (RI) of each factor.
resultsProfessionals assigned the highest importance to: quality of professional-patient relationship (RI 4.87; CI 4.75-4.99); importance of quick recovery of patient (RI 4.83; CI 4.69-4.97); and knowledge about treatment options (RI 6.64; CI 4.53-4.74), which were reported as barrier and facilitator. Professionals working in primary care had a different ranking than those working in hospital care. Patients assigned the highest importance to: correct diagnosis by professionals (barrier, RI 8.19; CI 7.99-8.38); information provision about treatment options and potential harm and benefits (RI 7.87; CI 7.65-8.08); and explanation of the professional about the care trajectory (RI 7.16; CI 6.94-7.38), which were reported as barrier and facilitator.
conclusionsKnowledge, information provision and a good relationship are the most important conditions for SDM perceived by both patients and professionals. These conditions are not restricted to one specific disease or health care system, because they are mostly professional or patient dependent and require healthcare professional training.
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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.