Evidence map›Paper›PMID 25743200›Full record

ArticleBMC medical informatics and decision making2014

Improving bone mineral density reporting to patients with an illustration of personal fracture risk.

Stephanie W Edmonds, Peter Cram, Xin Lu, Douglas W Roblin, Nicole C Wright, Kenneth G Saag, Samantha L Solimeo, PAADRN Investigators

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC medical informatics and decision making, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01507662 (Patient Activation After DXA Result Notification), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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.

NCT01507662 nacompletednot on this map

Patient Activation After DXA Result Notification

TypeinterventionalSponsorFredric D WolinskyRan2012 to 2015Enrolled7,749ConditionsOsteoporosis, Bone Diseases, MetabolicArmsBone Mineral Density Result Letter and Bone Health Brochure
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Patient-activation and guideline-concordant pharmacological treatment after bone density testing: the PAADRN randomized controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Trial
  6. Trial
  7. Activating Patients With a Tailored Bone Density Test Results Letter and Educational Brochure: the PAADRN Randomized Controlled Trial.Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry
    Trial
  8. Trial
  9. Patients' perspectives on adherence to cardiovascular screening consultation and lifestyle changes.Archives of public health = Archives belges de sante publique · 2024
    Article
  10. Visualizing machine learning-based predictions of postpartum depression risk for lay audiences.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
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  13. Review
  14. Review
  15. Review
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 at 5 institutions in 2 countries.

Stephanie W EdmondsDivision of General Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA. stephanie-edmonds@uiowa.edu.
Peter CramFaculty of Medicine, University of Toronto, Toronto, ON, Canada. peter.cram@uhn.ca.
Xin LuDivision of General Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA. xin-lu@uiowa.edu.
Douglas W RoblinKaiser Permanente Georgia, Atlanta, GA, USA. droblin@gsu.edu.
Nicole C WrightDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA. ncwright@uab.edu.
Kenneth G SaagDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA. ksaag@uab.edu.
Samantha L SolimeoDepartment of Veterans Affairs, Center for Comprehensive Access & Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA. samantha.solimeo@va.gov.
PAADRN Investigators
University of Alabama at Birmingham · USUniversity of Iowa · USIowa City VA Health Care System · USKaiser Permanente · USUniversity of Toronto · CA

Funding

A Patient Activation Intervention to Enhance Bone HealthR01AG033035 · NIA · UNIVERSITY OF IOWA · PI WOLINSKY, FREDRIC D · 2010 to 2014
$7.0M
Building Musculoskeletal Outcomes Research at the University of IowaK24AR062133 · NIAMS · UNIVERSITY OF IOWA · PI CRAM, PETER M · 2012 to 2016
$594k
NIAMS NIH HHS K24 AR062133NIA NIH HHS R01 AG033035
6 · The paper itself

Abstract

backgroundTo determine patients' preferences for, and understanding of, FRAX® fracture risk conveyed through illustrations.

methodsDrawing on examples from published studies, four illustrations of fracture risk were designed and tested for patient preference, ease of understanding, and perceived risk. We enrolled a convenience sample of adults aged 50 and older at two medical clinics located in the Midwestern and Southern United States. In-person structured interviews were conducted to elicit patient ranking of preference, ease of understanding, and perceived risk for each illustration.

resultsMost subjects (n = 142) were female (64%), Caucasian (76%) and college educated (78%). Of the four risk depictions, a plurality of participants (37%) listed a bar graph as most preferred. Subjects felt this illustration used the stoplight color system to display risk levels well and was the most "clear," "clean," and "easy to read". The majority of subjects (52%) rated the pictogram as the most difficult to understand as this format does not allow people to quickly ascertain their individual risk category.

conclusionsCommunicating risk to patients with illustrations can be done effectively with clearly designed illustrations responsive to patient preference.

trial registrationClinicalTrials.gov Identifier: NCT01507662.

Indexed as

ComprehensionFractures, BoneMedical IllustrationRiskAgedBone DensityFemaleHumansMaleMiddle AgedPatient PreferenceRandomized Controlled Trials as Topic

Identifiers

PMID25743200
PMCPMC4260260
OpenAlexW1965359632

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.