Evidence map›Paper›PMID 26796950›Full record

Trial reportJournal of critical care2016

The effect of framing on surrogate optimism bias: A simulation study.

Dev Patel, Elan D Cohen, Amber E Barnato

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of critical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Optimism bias in understanding neonatal prognoses.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  5. Observational
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

3 authors at 2 institutions in 1 country.

Dev PatelDepartment of Anesthesiology, University of Virginia, Charlottesville, VA.
Elan D CohenCenter for Research on Health Care, University of Pittsburgh, Pittsburgh, PA.
Amber E BarnatoCenter for Research on Health Care, University of Pittsburgh, Pittsburgh, PA; Section of Decision Sciences, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA; Department of Health Policy and Management, Pitt Public Health, University of Pittsburgh, Pittsburgh, PA. Electronic address: aeb2@pitt.edu.
University of Pittsburgh · USUniversity of Virginia · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Using behavioral economics to understand end-of-life decisionsK18NR012847 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BARNATO, AMBER E · 2010 to 2010
$69k
NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1TR000005NCRR NIH HHS UL1 RR024153NCRR NIH HHS UL1RR024153NINR NIH HHS K18 NR012847
6 · The paper itself

Abstract

purposeTo explore the effect of emotion priming and physician communication behaviors on optimism bias. MATERIALS AND

methodsWe conducted a 5 × 2 between-subject randomized factorial experiment using a Web-based interactive video designed to simulate a family meeting for a critically ill spouse/parent. Eligibility included age at least 35 years and self-identifying as the surrogate for a spouse/parent. The primary outcome was the surrogate's election of code status. We defined optimism bias as the surrogate's estimate of prognosis with cardiopulmonary resuscitation (CPR) > their recollection of the physician's estimate.

resultsOf 373 respondents, 256 (69%) logged in and were randomized and 220 (86%) had nonmissing data for prognosis. Sixty-seven (30%) of 220 overall and 56 of (32%) 173 with an accurate recollection of the physician's estimate had optimism bias. Optimism bias correlated with choosing CPR (P < .001). Emotion priming (P = .397), physician attention to emotion (P = .537), and framing of CPR as the social norm (P = .884) did not affect optimism bias. Framing the decision as the patient's vs the surrogate's (25% vs 36%, P = .066) and describing the alternative to CPR as "allow natural death" instead of "do not resuscitate" (25% vs 37%, P = .035) decreased optimism bias.

conclusionsFraming of CPR choice during code status conversations may influence surrogates' optimism bias.

Indexed as

Clinical Decision-MakingAgedCardiopulmonary ResuscitationCommunicationCritical IllnessCross-Sectional StudiesCuesEmotionsFemaleHumansMaleMiddle AgedObject AttachmentOptimismPatient AdvocacyPhysician-Patient RelationsCardiopulmonary resuscitationIntensive careOptimism biasPrognosisSurrogate decision making

Identifiers

PMID26796950
PMCPMC4769908
OpenAlexW2175325695

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.