Evidence map›Paper›PMID 27118280›Full record

ArticleBMC surgery2016

A survey on beliefs and attitudes of trainee surgeons towards placebo.

Mathew J Baldwin, Karolina Wartolowska, Andrew J Carr

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Factors Underlying Patient and Surgeon Willingness to Participate in a Placebo Surgery Controlled trial: A Qualitative Investigation.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Putting placebos to the test.PLoS biology · 2017
    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

3 authors at 2 institutions in 1 country.

Mathew J BaldwinOxford NIHR Musculoskeletal Biomedical Research Unit, Old Road, Oxford, OX3 7LD, UK.
Karolina WartolowskaThe Botnar Institute of Musculoskeletal Sciences, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Old Road, Oxford, OX3 7LD, UK. karolina.wartolowska@ndorms.ox.ac.uk.
Andrew J CarrOxford NIHR Musculoskeletal Biomedical Research Unit, Old Road, Oxford, OX3 7LD, UK.
Nuffield Orthopaedic Centre · GBNIHR Oxford Musculoskeletal Biomedical Research Centre · GB

Funding

Medical Research Council MC_PC_12020Medical Research Council MC_PC_14103
6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the beliefs and attitudes of trainee surgeons regarding placebo interventions, in surgical practice and in research, and to compare them to those of senior orthopaedic surgeons.

methodsAn invitation to participate in an online survey was sent to all the email addresses in the members' database of the British Orthopaedic Trainees Association (BOTA).

resultsAll 987 members of BOTA were invited to participate in the survey and 189 responded (19 %). The majority of trainees think that the placebo effect is real (88 %), has therapeutic benefits (88 %) and that placebo manipulations are permissible (98 %). Sixty per cent of respondents agree that placebo can be used outside of research, most commonly, to distinguish between organic and non-organic symptoms (36 %). Trainees are more likely than senior surgeons to use placebo for pain management (34 % vs. 12 %). They are mainly concerned about the risk of side effects associated with the use of placebo (80 %) and prefer placebo interventions with minimal invasiveness. Seventy-three per cent respondents would recruit patients into the proposed randomised controlled surgical trial.

conclusionsThe views regarding efficacy, permissibility and indications for placebo among trainees are similar to those of orthopaedic consultants. Orthopaedic trainees regard placebo as permissible and show willingness to recruit into placebo-controlled trials. However, they seem to have limited understanding of mechanisms of placebo effect and underestimate its ubiquity.

Indexed as

Attitude of Health PersonnelPlacebo EffectAdultFemaleHumansMaleMiddle AgedOrthopedic SurgeonsSurveys and QuestionnairesAttitudes and BeliefsOrthopaedicsPlacebosSurgery

Identifiers

PMID27118280
PMCPMC4847348
OpenAlexW2343729576

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.