Evidence map›Paper›PMID 25339248›Full record

ArticlePain medicine (Malden, Mass.)2015

The influence of health care professional characteristics on pain management decisions.

Emily J Bartley, Jeff Boissoneault, Alison M Vargovich, Laura D Wandner, Adam T Hirsh, Benjamin C Lok, Marc W Heft, Michael E Robinson

Abstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
  2. Review
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  7. Observational
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  9. Unconscious Bias among Health Professionals: A Scoping Review.International journal of environmental research and public health · 2023
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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

8 authors.

Emily J BartleyDepartment of Community Dentistry and Behavioral Science, University of Florida, Gainesville, Florida.
Jeff Boissoneault
Alison M Vargovich
Laura D Wandner
Adam T Hirsh
Benjamin C Lok
Marc W Heft
Michael E Robinson

Funding

SEX VS GENDER IN PAIN PERCEPTIONR01DE013208 · NIDCR · UNIVERSITY OF FLORIDA · PI ROBINSON, MICHAEL E · 2000 to 2011
$2.0M
Integrative and translational training in pain researchT32NS045551 · NINDS · UNIVERSITY OF FLORIDA · PI YEZIERSKI, ROBERT P. · 2005 to 2014
$1.8M
NIDCR NIH HHS R01 DE013208NIDCR NIH HHS R01DE013208NINDS NIH HHS T32 NS045551NINDS NIH HHS T32NS045551
6 · The paper itself

Abstract

objectiveEvidence suggests that patient characteristics such as sex, race, and age influence the pain management decisions of health care providers. Although this signifies that patient demographics may be important determinants of health care decisions, pain-related care also may be impacted by the personal characteristics of the health care practitioner. However, the extent to which health care provider characteristics affect pain management decisions is unclear, underscoring the need for further research in this area.

methodsA total of 154 health care providers (77 physicians, 77 dentists) viewed video vignettes of virtual human (VH) patients varying in sex, race, and age. Practitioners provided computerized ratings of VH patients' pain intensity and unpleasantness, and also reported their willingness to prescribe non-opioid and opioid analgesics for each patient. Practitioner sex, race, age, and duration of professional experience were included as predictors to determine their impact on pain management decisions.

resultsWhen assessing and treating pain, practitioner sex, race, age, and duration of experience were all significantly associated with pain management decisions. Further, the role of these characteristics differed across VH patient sex, race, and age.

conclusionsThese findings suggest that pain assessment and treatment decisions may be impacted by the health care providers' demographic characteristics, effects which may contribute to pain management disparities. Future research is warranted to determine whether findings replicate in other health care disciplines and medical conditions, and identify other practitioner characteristics (e.g., culture) that may affect pain management decisions.

Indexed as

Attitude of Health PersonnelHealthcare DisparitiesHealth PersonnelAdultCuesFemaleHumansMaleMiddle AgedPain ManagementAgeExperienceGenderPain Management DisparitiesPain TreatmentProvider CharacteristicsRace

Identifiers

PMID25339248
PMCPMC5555370

What OpenQuestion holds

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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.