Evidence map›Paper›PMID 28271278›Full record

SynthesisIrish journal of medical science2017

Patient response to physician expressions of uncertainty: a systematic review.

R McGovern, D Harmon

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Irish journal of medical science, 2017. 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
–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

11 citing papers in PubMed.

  1. Bearing the Burdens of Medical Uncertainty.Journal of evaluation in clinical practice · 2025
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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

2 authors.

R McGovernGraduate Entry Medical School, University of Limerick, Limerick, Ireland.
D HarmonDepartment of Anaesthesia and Pain Medicine, Limerick University Hospital, Dooradoyle, Limerick, Ireland. dominicharmon@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe consequences of uncertainty are extensive with the potential to influence a multitude of issues such as patient expectations, diagnosis, treatment decisions, patient confidence and satisfaction and ultimately patient compliance.

aimsTo review the relevant literature pertaining to physician expressions of uncertainty and its effects on patients.

methodsA search was conducted in July 2016 of electronic databases; PsycINFO, PsycARTICLES, MEDLINE and Embase. Key search terms included uncertainty, physician uncertainty, patient attitude, patient confidence and patient satisfaction. Other sources were obtained from reference lists. The eligibility of studies and data extracted were cross-checked with inclusion and exclusion criteria.

resultsThe search yielded 14 studies and 4 were included for review. These studies yielded mixed results. In some studies patients preferred disclosure of uncertainty while in others such disclosure was negatively associated with patient confidence and satisfaction. This is at odds with the belief of theorists that uncertainty disclosure to patients is the crux of a successful doctor-patient relationship. The studies were, however, united in so far as the way in which the uncertainty was communicated to the patient was pivotal to patient responses to uncertainty.

conclusionsUncertainty is a ubiquitous feature of medicine and more research should examine how physician's expressions of uncertainty affect patients.

Indexed as

UncertaintyAttitudeHumansPatient SatisfactionPhysician-Patient RelationsPatient attitudePatient confidencePatient satisfactionPhysician uncertaintyUncertainty

Identifiers

What OpenQuestion holds

Textmetadata
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.