Evidence map›Paper›PMID 25258518›Full record

ArticlePatient preference and adherence2014

Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy.

Simone Steinhausen, Oliver Ommen, Sunya-Lee Antoine, Thorsten Koehler, Holger Pfaff, Edmund Neugebauer

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04690452 (Evaluation of the Efficacy and Mechanisms of Change of Compassion Cultivation Training in Medical Students), which is not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 17% 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.

NCT04690452 nacompletednot on this mapstarted 2020, after this paper: background citation

Evaluation of the Efficacy and Mechanisms of Change of Compassion Cultivation Training in Medical Students

TypeinterventionalSponsorUniversidad Complutense de MadridRan2020 to 2021Enrolled40ConditionsStress, Depression, Anxiety, Burn OutArmsCompassion Cultivation Training
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Exploring Compassionate Care in Virtual Rehabilitation: Qualitative Study.JMIR rehabilitation and assistive technologies · 2025
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  18. Creating a culture of communication in undergraduate medical education.Proceedings (Baylor University. Medical Center) · 2020
    Article
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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

6 authors at 4 institutions in 1 country.

Simone SteinhausenInstitute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Campus Cologne-Merheim, Germany.
Oliver OmmenFederal Centre for Health Education (BZgA), Cologne, Germany.
Sunya-Lee AntoineInstitute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Campus Cologne-Merheim, Germany.
Thorsten KoehlerInstitute for Applied Social Sciences (infas), Bonn, Germany.
Holger PfaffInstitute for Medical Sociology, Health Services Research and Rehabilitation Science (IMVR), Faculty of Human Science and Faculty of Medicine, University of Cologne, Germany.
Edmund NeugebauerInstitute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Campus Cologne-Merheim, Germany.
Witten/Herdecke University · DEFederal Centre for Health Education · DEInfas Institut für Angewandte Sozialwissenschaft (Germany) · DEUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate accident casualties' long-term subjective evaluation of treatment outcome 6 weeks and 12 months after discharge and its relation to the experienced surgeon's empathy during hospital treatment after trauma in consideration of patient-, injury-, and health-related factors. The long-term results are compared to the 6-week follow-up outcomes. PATIENTS AND

methodsTwo hundred and seventeen surgery patients were surveyed at 6 weeks, and 206 patients at 12 months after discharge from the trauma surgical general ward. The subjective evaluation of medical treatment outcome was measured 6 weeks and 12 months after discharge with the respective scale from the Cologne Patient Questionnaire. Physician Empathy was assessed with the Consultation and Relational Empathy Measure. The correlation between physician empathy and control variables with the subjective evaluation of medical treatment outcome 12 months after discharge was identified by means of logistic regression analysis under control of sociodemographic and injury-related factors.

resultsOne hundred and thirty-six patients were included within the logistic regression analysis at the 12-month follow-up. Compared to the 6-week follow-up, the level of subjective evaluation of medical treatment outcome was slightly lower and the association with physician empathy was weaker. Compared to patients who rated the empathy of their surgeon lower than 31 points, patients with ratings of 41 points or higher had a 4.2-fold higher probability to be in the group with a better medical treatment outcome (3.5 and above) on the Cologne Patient Questionnaire scale 12 months after discharge from hospital (P=0.009, R (2)=33.5, 95% confidence interval: 1.440-12.629).

conclusionPhysician empathy is the strongest predictor for a higher level of trauma patients' subjective evaluation of treatment outcome 6 weeks and 12 months after discharge from the hospital. Interpersonal factors between surgeons and their patients are possible key levers for improving patient outcomes in an advanced health system. Communication trainings for surgeons might prepare them to react appropriately to their patients' needs and lead to satisfactory outcomes for both parties.

Indexed as

accidentcommunicationinjurylong-term outcomepatient-reported outcomephysician–patient interactiontrauma surgery

Identifiers

PMID25258518
PMCPMC4173813
OpenAlexW2056976350

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.