Evidence map›Paper›PMID 28429620›Full record

ArticleClinical pediatrics2017

Physician Perspectives on Decision Making for Treatment of Pediatric Sleep-Disordered Breathing.

Emily F Boss, Anne R Links, Ron Saxton, Tina L Cheng, Mary Catherine Beach

Abstract read
In one paragraph

Article in Clinical pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Surgeons' Views on Shared Decision-Making.Journal of patient-centered research and reviews · 2020
    Article
  6. Article
  7. Article
  8. Article
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.

Emily F Boss1 Johns Hopkins University, Baltimore, MD, USA.
Anne R Links1 Johns Hopkins University, Baltimore, MD, USA.
Ron Saxton1 Johns Hopkins University, Baltimore, MD, USA.
Tina L Cheng1 Johns Hopkins University, Baltimore, MD, USA.
Mary Catherine Beach1 Johns Hopkins University, Baltimore, MD, USA.

Funding

Communication Quality and Patient Outcomes in HIV/AIDS and Substance AbuseK24DA037804 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2015 to 2019
$923k
Shared Decision-Making and Outcomes in Pediatric Sleep-Disordered BreathingK08HS022932 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI BOSS, EMILY FRANCES · 2014 to 2018
$787k
AHRQ HHS K08 HS022932NIDA NIH HHS K24 DA037804
6 · The paper itself

Abstract

Sleep-disordered breathing (SDB) is prevalent in children and most commonly treated by surgery with adenotonsillectomy. We aimed to learn physician perspectives of social and communication factors that influence decision making for treatment of pediatric SDB. Purposive sampling identified 10 physician key informants across disciplines and practice settings, who participated in semistructured interviews regarding SDB care experiences and communication with parents. Interviews were analyzed using directed qualitative content analysis. Physicians provided a variety of perspectives on decision making for treatment that fell into 3 overarching themes: approach to surgery and alternatives, communication and decision making with families, and sociocultural factors/barriers to care. Perspectives were moderately heterogeneous, suggesting that individual social and relational elements may significantly influence how physicians refer patients and recommend treatment, and how parents choose surgery for this prevalent condition. These findings will inform development of culturally competent communication strategies and support tools to enhance shared decision making for physicians treating children with SDB.

Indexed as

Attitude of Health PersonnelDecision MakingParentsAdenoidectomyClinical Decision-MakingFemaleHealth CommunicationHumansInterviews as TopicMaleMiddle AgedPhysiciansSleep Apnea SyndromesTonsillectomyadenotonsillectomycommunicationpediatric otolaryngologyshared decision makingsleep-disordered breathing

Identifiers

PMID28429620
PMCPMC6460467

What OpenQuestion holds

Textmetadata
LicenceTDM
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.