Evidence map›Paper›PMID 24931952›Full record

ArticleThe Journal of rheumatology2014

English language proficiency, health literacy, and trust in physician are associated with shared decision making in rheumatoid arthritis.

Jennifer L Barton, Laura Trupin, Chris Tonner, John Imboden, Patricia Katz, Dean Schillinger, Edward Yelin

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of rheumatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
15.4field-weighted citation impact, top 1% of its field
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

70 citing papers in PubMed, 2 syntheses or guidelines pooled it, 126 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD.Clinical journal of the American Society of Nephrology : CJASN · 2017
    Pooled it
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  6. Improving outcomes of patients with advanced prostate cancer through a better understanding of clinical factors contributing to financial toxicity: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Jennifer L BartonFrom the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco.
Laura TrupinFrom the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco.
Chris TonnerFrom the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco.
John ImbodenFrom the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco.
Patricia KatzFrom the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco.
Dean SchillingerFrom the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco.
Edward YelinFrom the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco.
Centro Hospitalar de Lisboa Ocidental · PTCerner (United States) · USMurphy Oil Corporation (United States) · USSan Francisco General Hospital · USUniversity of San Francisco · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
The Interplay of Sociodemographic and Genetic Factors in SLE Health DisparitiesP60AR053308 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KATZ, PATRICIA P · 2006 to 2016
$11.8M
Medication Summary Guides for Vulnerable Populations with Rheumatoid ArthritisR18HS019209 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YELIN, EDWARD H · 2010 to 2010
$1.4M
AHRQ HHS R18 HS019209AHRQ HHS R18 HS19209NCATS NIH HHS UL1 TR000004NCRR NIH HHS UL1 RR024131NIAMS NIH HHS P60 AR053308
6 · The paper itself

Abstract

objectiveTreat-to-target guidelines promote shared decision making (SDM) in rheumatoid arthritis (RA). Also, because of high cost and potential toxicity of therapies, SDM is central to patient safety. Our objective was to examine patterns of perceived communication around decision making in 2 cohorts of adults with RA.

methodsData were derived from patients enrolled in 1 of 2 longitudinal, observational cohorts [University of California, San Francisco (UCSF) RA Cohort and RA Panel Cohort]. Subjects completed a telephone interview in their preferred language that included a measure of patient-provider communication, including items about decision making. Measures of trust in physician, education, and language proficiency were also asked. Logistic regression was performed to identify correlates of suboptimal SDM communication. Analyses were performed on each sample separately.

resultsOf 509 patients across 2 cohorts, 30% and 32% reported suboptimal SDM communication. Low trust in physician was independently associated with suboptimal SDM communication in both cohorts. Older age and limited English proficiency were independently associated with suboptimal SDM in the UCSF RA Cohort, as was limited health literacy in the RA Panel Cohort.

conclusionThis study of over 500 adults with RA from 2 demographically distinct cohorts found that nearly one-third of subjects report suboptimal SDM communication with their clinicians, regardless of cohort. Lower trust in physician was independently associated with suboptimal SDM communication in both cohorts, as was limited English language proficiency and older age in the UCSF RA Cohort and limited health literacy in the RA Panel Cohort. These findings underscore the need to examine the influence of SDM on health outcomes in RA.

Indexed as

Decision MakingHealth LiteracyLanguagePatient ParticipationPhysician-Patient RelationsTrustAdultAgedArthritis, RheumatoidCommunicationFemaleHumansInterviews as TopicMaleMiddle AgedHEALTH COMMUNICATIONHEALTH LITERACYRHEUMATOID ARTHRITISTRUST

Identifiers

PMID24931952
PMCPMC4286372
OpenAlexW2110326271

What OpenQuestion holds

Textmetadata
LicenceTDM
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.