Evidence map›Paper›PMID 28959720›Full record

ArticleJournal of patient experience2017

A Shared Medical Appointment on the Benefits and Risks of Opioids Is Associated With Improved Patient Confidence in Managing Chronic Pain.

Robert J Romanelli, Marina Dolginsky, Yuliya Byakina, Deborah Bronstein, Sandra Wilson

Abstract read
In one paragraph

Article in Journal of patient experience, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
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  3. Review
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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.

Robert J RomanelliPalo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
Marina DolginskyPalo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
Yuliya ByakinaPalo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
Deborah BronsteinDepartment of Managed Care, Palo Alto Medical Foundation, Mountain View, CA, USA.
Sandra WilsonPalo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate a shared medical appointment (SMA) on opioids in the treatment of chronic pain. RESEARCH

designThis prospective study was conducted at an ambulatory clinic within a health-care delivery system. The SMA is a single 90-minute encounter, led by a physician. We included adult patients who attended the SMA and completed an immediate pre-post survey. Survey items were measured on a scale from 0 (worst) to 5 (best). Mean differences in pre-post responses were assessed by a paired

resultsA total of 130 patients were included in the analysis. Patients showed improvements in confidence in self-managing pain (+0.44; 95% confidence interval [CI]: 0.29-0.59;

conclusionsAn SMA on the benefits and risks of opioids was associated with prompt improvements in patients' confidence in self-managing pain and in their health-care providers' ability to help manage pain. Such confidence can lay the foundation for increased patient engagement and activation in pain management.

Indexed as

chronic painopioid useshared medical appointments

Identifiers

PMID28959720
PMCPMC5593266

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.