Evidence map›Paper›PMID 27200394›Full record

ArticleThe archives of bone and joint surgery2016

Assessment of Decisional Conflict about the Treatment of carpal tunnel syndrome, Comparing Patients and Physicians.

Michiel Gjs Hageman, Jeroen K Bossen, Valentin Neuhaus, Chaitanya S Mudgal, David Ring, Science of Variation Group

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The archives of bone and joint surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03532373 (Testing of a Tool to Elicit Patient Preferences for CTS), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT03532373 nacompletednot on this mapstarted 2021, after this paper: background citation

Testing of a Tool to Elicit Patient Preferences for CTS

TypeinterventionalSponsorStanford UniversityRan2021 to 2023Enrolled49ConditionsCarpal Tunnel, Carpal Tunnel Syndrome, Carpal Tunnel Syndrome Left, Carpal Tunnel Syndrome RightArmsPreference Elicitation tool
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 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

6 authors.

Michiel Gjs HagemanOrthopaedic Hand and Upper Extremity Service, Yawkey Center, Massachusetts General Hospital, Boston, USA.
Jeroen K BossenOrthopaedic Hand and Upper Extremity Service, Yawkey Center, Massachusetts General Hospital, Boston, USA.
Valentin NeuhausOrthopaedic Hand and Upper Extremity Service, Yawkey Center, Massachusetts General Hospital, Boston, USA.
Chaitanya S MudgalOrthopaedic Hand and Upper Extremity Service, Yawkey Center, Massachusetts General Hospital, Boston, USA.
David RingOrthopaedic Hand and Upper Extremity Service, Yawkey Center, Massachusetts General Hospital, Boston, USA.
Science of Variation Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and treatment options for CTS. Secondary analyses assess the impact of patient and physician demographics and the strength of the patient-physician relationship on decisional conflict.

methodsOne-hundred-twenty-three observers of the Science of Variation Group (SOVG) and 84 patients with carpal tunnel syndrome completed a survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-9).

resultsOn average, patients had significantly greater decision conflict and scored higher on most subscales of the decisional conflict scale than hand surgeons. Factors associated with greater decision conflict were specific hand surgeon, less self-efficacy (confidence that one can achieve one's goals in spite of pain), and higher PDRQ (relationship between patient and doctor). Surgeons from Europe have--on average--significantly more decision conflict than surgeons in the United States of America.

conclusionsPatients with CTS have more decision conflict than hand surgeons. Decision aids might help narrow this gap in decisional conflict.

Indexed as

Carpal Tunnel SyndromeDecision aidsHand surgeryShared decision makin

Identifiers

PMID27200394
PMCPMC4852042
OpenAlexW2408241626

What OpenQuestion holds

Textmetadata
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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.