Observational studyBMC family practice2016
More primary care patients regret health decisions if they experienced decisional conflict in the consultation: a secondary analysis of a multicenter descriptive study.
Observational study in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Extent and Predictors of Decision Regret among Informal Caregivers Making Decisions for a Loved One: A Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2020Pooled it
- Reducing decisional conflict in decisions about prenatal genetic testing: the impact of a dyadic intervention at the start of prenatal care.Journal of perinatal medicine · 2024Trial
- Concordance between influential adverse treatment outcomes and localized prostate cancer treatment decisions.BMC medical informatics and decision making · 2022Trial
- Treatment decisions after interdisciplinary evaluation for nonarthritic hip pain: A randomized controlled trial.PM & R : the journal of injury, function, and rehabilitation · 2022Trial
- Impact of MyDiabetesPlan, a Web-Based Patient Decision Aid on Decisional Conflict, Diabetes Distress, Quality of Life, and Chronic Illness Care in Patients With Diabetes: Cluster Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- The "good cancer" paradox: Decisional conflict and unmet support needs in patients with thyroid cancer facing surgical decisions-A mixed-methods study.Asia-Pacific journal of oncology nursing · 2026Article
- Timing of ileocolic resection for Crohn's disease: A survey of the patient perspective in the 'biological' era.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Adolescents' Experiences With Sequencing for Genetic Predisposition in Pediatric Cancer: A Quantitative Study.Psycho-oncology · 2026Article
- Assessing Clinical Factors and Communication Barriers Impacting Postoperative Regret in Patients with Pancreatic Cancer.Annals of surgical oncology · 2026Article
- Decision Conflict Faced by First-Degree Relatives of Liver Cancer Patients in Liver Cancer Screening: A Cross-Sectional Study in China.Patient preference and adherence · 2026Article
- Exploring Decisional Conflict Experienced by Individuals Considering Metoidioplasty and Phalloplasty Gender-affirming Surgery.Plastic and reconstructive surgery. Global open · 2024Article
- Knowledge, attitudes and decision regret: a longitudinal survey study of participants offered genome sequencing in the 100,000 Genomes Project.European journal of human genetics : EJHG · 2023Article
- Decision Regret among Patients with Early-stage Lung Cancer Undergoing Radiation Therapy or Surgical Resection.Clinical oncology (Royal College of Radiologists (Great Britain)) · 2023Article
- Patient preferences, regret, and health-related quality of life among older adults with acute myeloid leukemia: A pilot longitudinal study.Journal of geriatric oncology · 2023Article
- Patient-reported Satisfaction and Regret Following Focal Therapy for Prostate Cancer: A Prospective Multicenter Evaluation.European urology open science · 2023Article
- Attitudes of patients with cutaneous melanoma toward prognostic testing using the 31-gene expression profile test.Cancer medicine · 2023Article
- Physician Well-being and the Future of Health Information Technology.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021Review
- Factors Associated With Decision Regret Among Patients With Diverticulitis in the Elective Setting.The Journal of surgical research · 2021Article
- Psychological distress and quality of life following positive fecal occult blood testing in colorectal cancer screening.Psycho-oncology · 2020Article
- Decision regret in men living with and beyond nonmetastatic prostate cancer in the United Kingdom: A population-based patient-reported outcome study.Psycho-oncology · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe sought to estimate the extent of decision regret among primary care patients and identify risk factors associated with regret.
methodsSecondary analysis of an observational descriptive study conducted in two Canadian provinces. Unique patient-physician dyads were recruited from 17 primary care clinics and data on patient, physician and consultation characteristics were collected before, during and immediately after consultations, as well as two weeks post-consultation, when patients completed the Decision Regret Scale (DRS). We examined the DRS score distribution and performed ordinal logistic regression analysis to identify predictors of regret.
resultsAmong 258 unique patient-physicians dyads, mean ± standard deviation of decision regret scores was 11.7 ± 15.1 out of 100. Overall, 43 % of patients reported no regret, 45 % reported mild regret and 12 % reported moderate to strong regret. In multivariate analyses, higher decision regret was strongly associated with increased decisional conflict and less significantly associated with patient age and education, as well with male (vs. female) physicians and residents (vs. teachers).
conclusionAfter consulting family physicians, most primary care patients experience little decision regret, but some experience more regret if there is decisional conflict. Strategies for reducing decisional conflict in primary care, such as shared decision-making with decision aids, seem warranted.
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