Evidence map›Paper›PMID 27981559›Full record

ArticleHealth services research2018

Relationships as Medicine: Quality of the Physician-Patient Relationship Determines Physician Influence on Treatment Recommendation Adherence.

Heather Orom, Willie Underwood, Zinan Cheng, D Lynn Homish, I'Yanna Scott

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

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  13. Attitudes toward deprescribing for hospital inpatients.Clinical medicine (London, England) · 2022
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  19. A qualitative examination of patient priorities and preferences during treatment decision-making for recurrent head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
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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

5 authors.

Heather OromDepartment of Community Health and Health Behavior, University at Buffalo, Buffalo, NY.ORCID 0000-0002-0147-8378
Willie UnderwoodDepartment of Urology, Roswell Park Cancer Institute, Buffalo, NY.
Zinan ChengTouro College of Osteopathic Medicine, Middletown, NY.
D Lynn HomishDepartment of Community Health and Health Behavior, University at Buffalo, Buffalo, NY.
I'Yanna ScottDepartment of Community Health and Health Behavior, University at Buffalo, Buffalo, NY.

Funding

Race, Prostate Cancer Treatment, and Treatment Decision Difficulty and RegretR01CA152425 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI OROM, HEATHER, UNDERWOOD, WILLIE · 2010 to 2014
$2.8M
NCI NIH HHS R01 CA152425
6 · The paper itself

Abstract

objectiveTo determine whether quality of physician-patient relationships influences uptake of physician treatment recommendations in men with clinically localized prostate cancer (PCa). STUDY

settingData were collected July 2010 to August 2014 at two cancer centers and three community facilities. STUDY

designAnalyses were prospective and cross-sectional. We modeled associations between quality of the patient-physician relationship and influence of physician recommendations on treatment choice using generalized estimating equations (GEE). DATA COLLECTION: Data were collected via survey and medical record abstraction. PRINCIPAL

findingsParticipants (N = 1166) were 14.7 percent minority; 37.1 percent had low-, 47.5 percent had intermediate-, and 15.4 percent had high-risk PCa. Those reporting a better physician-patient relationship perceived that their physician's treatment recommendation was more influential (RR = 1.05, 95 percent CI = 1.04-1.05, p < .001) and were more likely to choose the recommended treatment (OR = 2.92, 95 percent CI = 2.39, 3.58, p < .001). A pattern of interactions emerged indicating that quality of the physician-patient relationship was more strongly associated with influence of recommendations for more, versus less aggressive treatment in those with low-risk, but not intermediate-risk disease.

conclusionsPrioritizing quality of the physician-patient relationship through training, practice change, and patient feedback may increase adherence. However, strategies need to align with efforts to reduce physician recommendations for inefficacious treatments to prevent overtreatment.

Indexed as

Decision MakingPhysician-Patient RelationsPractice Patterns, Physicians'AgedCancer Care FacilitiesCommunity Health CentersCross-Sectional StudiesHumansLongitudinal StudiesMaleMiddle AgedPatient CompliancePatient ParticipationProspective StudiesProstatic NeoplasmsSocioeconomic FactorsadherenceovertreatmentPatient-centered carephysician-patient relationshipprostate cancer

Identifiers

PMID27981559
PMCPMC5785307

What OpenQuestion holds

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Registered trials

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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.