Evidence map›Paper›PMID 27104070›Full record

ArticleNeurology. Clinical practice2016

Patient engagement and shared decision-making: What do they look like in neurology practice?

Melissa J Armstrong, Lisa M Shulman, Joseph Vandigo, C Daniel Mullins

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

  1. The role of digital tools in the delivery of genomic medicine: enhancing patient-centered care.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Trial
  2. Article
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  5. Review
  6. Article
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  13. Engaging patients in primary care design: An evaluation of a novel approach to codesigning care.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  14. Shared decision making in mild cognitive impairment.Neurology. Clinical practice · 2019
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  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.

Melissa J ArmstrongDepartment of Neurology (MJA), University of Florida College of Medicine, Gainesville; Department of Neurology (LMS), University of Maryland School of Medicine, Baltimore; and Pharmaceutical Health Services Research Department (JV, CDM), University of Maryland School of Pharmacy, Baltimore.
Lisa M ShulmanDepartment of Neurology (MJA), University of Florida College of Medicine, Gainesville; Department of Neurology (LMS), University of Maryland School of Medicine, Baltimore; and Pharmaceutical Health Services Research Department (JV, CDM), University of Maryland School of Pharmacy, Baltimore.
Joseph VandigoDepartment of Neurology (MJA), University of Florida College of Medicine, Gainesville; Department of Neurology (LMS), University of Maryland School of Medicine, Baltimore; and Pharmaceutical Health Services Research Department (JV, CDM), University of Maryland School of Pharmacy, Baltimore.
C Daniel MullinsDepartment of Neurology (MJA), University of Florida College of Medicine, Gainesville; Department of Neurology (LMS), University of Maryland School of Medicine, Baltimore; and Pharmaceutical Health Services Research Department (JV, CDM), University of Maryland School of Pharmacy, Baltimore.

Funding

Enhancing Clinical Guideline Development via Patient and Stakeholder EngagementK08HS024159 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ARMSTRONG, MELISSA JO · 2015 to 2019
$693k
AHRQ HHS K08 HS024159
6 · The paper itself

Abstract

Neurology is inherently patient-centered given that clinical uncertainty is common, forcing physicians, patients, and families to partner on treatment approach. An increasing emphasis on patient-centered care, patient engagement, and shared decision-making (SDM) in health care provides neurologists with an opportunity to reassess current clinical approaches to decision-making. Such assessment is not simply theoretical but has clear practice implications, with patients indicating a desire for SDM and calls for reimbursement to be tied to demonstration of SDM in practice. We present a framework for how neurologists enhance patient-centered practice by (1) eliciting patients' values and goals, (2) targeting discussion of clinical options to those values and goals, and (3) partnering with patients to make individualized decisions. We also highlight resources that facilitate SDM and examples of SDM in neurology clinical practice.

Identifiers

PMID27104070
PMCPMC4828680

What OpenQuestion holds

Textmetadata
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.