Evidence map›Paper›PMID 28686656›Full record

ArticlePloS one2017

Avoiding fears and promoting shared decision-making: How should physicians inform patients about radiation exposure from imaging tests?

Blanca Lumbreras, José Vilar, Isabel González-Álvarez, Mercedes Guilabert, María Pastor-Valero, Lucy Anne Parker, Jorge Vilar-Palop, Ildefonso Hernández-Aguado

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

8 authors.

Blanca LumbrerasDepartment of Public Health, History of Science and Gynecology, Miguel Hernández University, Alicante, Spain.
José VilarRadiodiagnostic Department, Peset Hospital, Valencia, Spain.
Isabel González-ÁlvarezRadiodiagnostic Department, San Juan Hospital, Alicante, Spain.
Mercedes GuilabertPsychology department, Miguel Hernández University, Alicante, Spain.
María Pastor-ValeroDepartment of Public Health, History of Science and Gynecology, Miguel Hernández University, Alicante, Spain.
Lucy Anne ParkerDepartment of Public Health, History of Science and Gynecology, Miguel Hernández University, Alicante, Spain.
Jorge Vilar-PalopCentro Nacional de Dosimetría - Radonic y CRC, Valencia, Spain.
Ildefonso Hernández-AguadoDepartment of Public Health, History of Science and Gynecology, Miguel Hernández University, Alicante, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to evaluate the population's awareness about the radiation exposure associated with five specific imaging tests, and their preference regarding three different formats for receiving the information before undergoing an imaging test.

methodsA quantitative and qualitative evaluation through a survey and focal groups including general population from two health departments in Spain. The sampling was carried out in stages (according to health department size) and stratified by age and sex, to get a representative sample. We randomly selected the participants from these stages to be contacted by telephone by a trained nurse. Oral informed consent was obtained.

resultsOf 602 participants in the quantitative survey, 418 (70.3%) stated that they were aware of the risk associated with radiation. While the majority of these 418 participants knew that x-rays involve radiation (85.4%), fewer were aware that CT (42%) and mammography (38%) also involve radiation, and a substantial proportion believed, incorrectly, that MRI (38%) and ultrasound (18.4%) expose patients to radiation. The population preference was to receive the information using both oral and written formats, accompanied by a table showing the equivalence of the radiation associated with the imaging test to either a number of chest X-rays and exposure number of days of background radiation. DISCUSSION: The general population does not receive enough information regarding radiation exposure and the associated risks related to imaging tests. Initiatives should be designed to reinforce the patient's awareness when ordering a diagnostic imaging test.

Indexed as

Decision MakingHealth Knowledge, Attitudes, PracticeRadiation ExposureAwarenessFearFemaleHumansMalePhysiciansRadiation DosageRisk AssessmentSpainTomography, X-Ray Computed

Identifiers

PMID28686656
PMCPMC5501589

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.