Evidence map›Paper›PMID 26315611›Full record

ArticleArthritis care & research2016

Evolution of Patient Decision-Making Regarding Medical Treatment of Rheumatoid Arthritis.

Alexandra L Mathews, Adriana Coleska, Patricia B Burns, Kevin C Chung

Registry-linked trialAbstract read
In one paragraph

Article in Arthritis care & research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00124254 (An Outcome Study of Rheumatoid Hand Arthroplasty), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.7field-weighted citation impact, top 7% 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.

NCT00124254 nacompletednot on this map

An Outcome Study of Rheumatoid Hand Arthroplasty

TypeinterventionalSponsorUniversity of MichiganRan2003 to 2017Enrolled170ConditionsArthritis, RheumatoidArmsSilicone metacarpophalangeal joint arthroplasty, Usual care
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 42 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Shared decision-making practices and patient values in pharmacist outpatient care for rheumatic disease: A multiple correspondence analysis.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Appropriating and asserting power on inflammatory arthritis teams: A social network perspective.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  13. Article
  14. Review
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

4 authors at 1 institution in 1 country.

Alexandra L MathewsUniversity of Michigan, Ann Arbor.
Adriana ColeskaUniversity of Michigan, Ann Arbor.
Patricia B BurnsUniversity of Michigan, Ann Arbor.
Kevin C ChungUniversity of Michigan, Ann Arbor.
University of Michigan–Ann Arbor · US

Funding

An Outcome Study of Rheumatoid Hand ArthroplastyR01AR047328 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2003 to 2016
$3.1M
Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS 2K24-AR-053120-06NIAMS NIH HHS 2R01-AR-047328-06NIAMS NIH HHS K24 AR053120NIAMS NIH HHS R01 AR047328
6 · The paper itself

Abstract

objectiveThe migration of health care toward a consumer-driven system favors increased patient participation during the treatment decision-making process. Patient involvement in treatment decision discussions has been linked to increased treatment adherence and patient satisfaction. Previous studies have quantified decision-making styles of patients with rheumatoid arthritis (RA); however, none of them have considered the evolution of patient involvement after living with RA for many years. We conducted a qualitative study to determine the decision-making model used by long-term RA patients, and to describe the changes in their involvement over time.

methodsTwenty participants were recruited from the ongoing Silicone Arthroplasty in Rheumatoid Arthritis study. Semistructured interviews were conducted and data were analyzed using grounded theory methodology.

resultsNineteen out of 20 participants recalled using the paternalistic decision-making (PDM) model immediately following their diagnosis. Fourteen of the 19 participants who initially used PDM evolved to shared decision-making (SDM). Participants attributed the change in involvement to the development of a trusting relationship with their physician, as well as to becoming educated about the disease.

conclusionWhen initially diagnosed with RA, patients may let their physician decide on the best treatment course. However, over time patients may evolve to exercise a more collaborative role. Physicians should understand that even within SDM, each patient can demonstrate a varied amount of autonomy. It is up to the physician to have a discussion with each patient to determine his or her desired level of involvement.

Indexed as

Choice BehaviorPatient ParticipationAdultAgedAntirheumatic AgentsArthritis, RheumatoidArthroplastyAttitude of Health PersonnelCommunicationDecision Support TechniquesFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedAntirheumatic Agents

Identifiers

PMID26315611
PMCPMC5079428
OpenAlexW1898747340

What OpenQuestion holds

Textmetadata
LicenceTDM
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.