ArticleBMJ open2016
Prevalence of clinically significant decisional conflict: an analysis of five studies on decision-making in primary care.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Patient decision aids in breast surgery and breast reconstruction reduce decisional conflict: a systematic review and meta-analysis.Breast cancer research and treatment · 2025Pooled it
- Case Study Analysis of a Decision Coaching Intervention for Young Adults with Early Psychosis.Community mental health journal · 2025Trial
- Impact of health literacy and primary language on the decision to pursue trial of labor after prior cesarean delivery.BMC pregnancy and childbirth · 2025Trial
- Effectiveness of a brief hope intervention for chronic kidney disease patients on the decisional conflict and quality of life: a pilot randomized controlled trial.BMC nephrology · 2022Trial
- Treatment decisions after interdisciplinary evaluation for nonarthritic hip pain: A randomized controlled trial.PM & R : the journal of injury, function, and rehabilitation · 2022Trial
- Trial
- Effect of shared decision making on mode of delivery and decisional conflict and regret in pregnant women with previous cesarean section: a randomized clinical trial.BMC pregnancy and childbirth · 2021Trial
- Trial
- Trial
- Individualized decision aid for diverse women with lupus nephritis (IDEA-WON): A randomized controlled trial.PLoS medicine · 2019Trial
- Shared decision-making in mental health care using routine outcome monitoring: results of a cluster randomised-controlled trial.Social psychiatry and psychiatric epidemiology · 2019Trial
- Trial
- Decisional Conflict in Palliative Head and Neck Cancer Patients.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Decisional Conflict Among Adolescents and Young Adults Before and After Facilitated Decision-Making About Learning Personal Genomic Information.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026Article
- Patient outcomes from implementing a shared decision-making aid for systemic lupus erythematosus: a prospective implementation study.The Lancet. Rheumatology · 2026Article
- Network Analysis of Multidimensional Interactions Between Self-Regulatory Fatigue, Decision Conflict, and Quality of Life in Advanced Cancer Patients: Identifying Core Nodes for Precision Intervention.Healthcare (Basel, Switzerland) · 2026Article
- Decisional conflict in women with a BRCA1 or BRCA2 pathogenic variant who have not elected for risk-reducing salpingo-oophorectomy.Hereditary cancer in clinical practice · 2026Article
- Where, How, and How Much? A Multicenter Cohort Study of the Relationship Across Lupus Decision-Aid Modality, Place of Administration, Interruption and Viewing Completeness, and Patient-Reported Outcomes.Arthritis care & research · 2025Observational
- Risk factors of decisional conflict among people living with chronic pain identified through a pan-Canadian survey.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesUnresolved clinically significant decisional conflict (CSDC) in patients following a consultation with health professionals is often the result of inadequate patient involvement in decision-making and may result in poor outcomes. We sought to identify the prevalence of CSDC in studies on decision-making in primary care and to explore its risk factors.
settingWe performed a secondary analysis of existing data sets from studies conducted in Primary Care Practice-Based Research Networks in Québec and Ontario, Canada.
participantsEligible studies included a patient-reported measure on the 16-item Decisional Conflict Scale (DCS) following a decision made with a healthcare professional with no study design restriction. PRIMARY AND SECONDARY OUTCOME MEASURES: CSDC was defined as a score ≥25/100 on the DCS. The prevalence of CSDC was stratified by sex; and patient-level logistic regression analysis was performed to explore its potential risk factors. Data sets of studies were analysed individually and qualitatively compared.
results5 projects conducted between 2003 and 2010 were included. They covered a range of decisions: prenatal genetic screening, antibiotics for acute respiratory infections and miscellaneous. Altogether, the 5 projects gathered data from encounters with a total of 1338 primary care patients (69% female; range of age 15-83). The prevalence of CSDC in patients varied across studies and ranged from 10.3% (95% CI 7.2% to 13.4%) to 31.1% (95% CI 26.6% to 35.6%). Across the 5 studies, risk factors of CSDC included being male, living alone and being 45 or older.
conclusionsPrevalence of CSDC in patients who had enrolled in studies conducted in primary care contexts was substantial and appeared to vary according to the type of decision as well as to patient characteristics such as sex, living arrangement and age. Patients presenting risk factors of CSDC should be offered tools to increase their involvement in decision-making.
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