Evidence map›Paper›PMID 25865413›Full record

ArticlePatient education and counseling2015

A cross-sectional study of provider and patient characteristics associated with outpatient disclosures of dietary supplement use.

Derjung M Tarn, Arun Karlamangla, Ian D Coulter, Debora A Paterniti, Lyndee Knox, Peter S Khang, Ka-Kit Hui, Neil S Wenger

Abstract read
In one paragraph

Article in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Derjung M TarnDepartment of Family Medicine, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, USA. Electronic address: dtarn@mednet.ucla.edu.
Arun KarlamanglaDivision of Geriatrics, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, USA.
Ian D CoulterDepartment of Dentistry, University of California-Los Angeles, Los Angeles, USA; RAND Corp., Santa Monica, USA.
Debora A PaternitiCenter for Healthcare Policy and Research and Departments of Internal Medicine and Sociology, University of California-Davis Medical Center, Sacramento, USA.
Lyndee KnoxL.A. Net Community Health Resource Network, Los Angeles, USA.
Peter S KhangKaiser Permanente Southern California, Los Angeles, USA.
Ka-Kit HuiUCLA Center for East-West Medicine, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, USA.
Neil S WengerDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, USA.
University of California, Los Angeles · USHealth Net · USKaiser Permanente · USRAND Corporation · US

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI IRWIN, MICHAEL R · 2006 to 2017
$9.8M
Physician-Patient Communication ProjectR01AT005883 · NCCIH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TARN, DERJUNG M · 2010 to 2013
$2.0M
NCCIH NIH HHS R01 AT005883NCCIH NIH HHS R01AT005883NIA NIH HHS P30 AG028748
6 · The paper itself

Abstract

objectiveExplore patterns in patients' disclosures of supplement use and identify provider and patient characteristics associated with disclosures.

methodsCross-sectional study of 61 outpatient primary care, integrative medicine, and complementary medicine providers, and 603 of their patients. Primary outcomes were supplement disclosures (based on audio recorded office visits, post-visit patient surveys and medical record abstractions for the day of the visits).

resultsSeventy-nine percent of 603 patients reported on a post-visit survey that they took a total of 2107 dietary supplements. Of those taking supplements, 232 patients (48.6%) discussed at least one supplement with their provider on the day of their office visit. However, patients disclosed only 714 (33.9%) of the 2107 supplements they were taking. Patients more frequently disclosed supplement use when they saw providers who attributed greater importance to asking about supplements. Patient characteristics such as patient activation, number of medical conditions, and use of prescription medications were not associated with disclosure of supplement use.

conclusionsProvider rating of the importance of asking about supplements is a major factor prompting patients' disclosures of supplement use. PRACTICE IMPLICATIONS: Provider-targeted interventions to encourage provider awareness about potential supplement-drug interactions are needed to increase disclosures about dietary supplement use.

Indexed as

Office VisitsPhysician-Patient RelationsTruth DisclosureAdultAgedAged, 80 and overCaliforniaCommunicationComplementary TherapiesCross-Sectional StudiesDietary SupplementsFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansIntegrative MedicineComplementary and alternative medicineDietary supplementsProvider–patient communicationProvider–patient relations

Identifiers

PMID25865413
PMCPMC4430347
OpenAlexW2081139058

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.