Evidence map›Paper›PMID 28961256›Full record

ArticlePloS one2017

Healthcare professionals' sources of knowledge of complementary medicine in an academic center.

Eleonore Aveni, Brent Bauer, Anne-Sylvie Ramelet, Isabelle Decosterd, Pierluigi Ballabeni, Eric Bonvin, Pierre-Yves Rodondi

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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
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  10. Perceptions of homeopathy in supportive cancer care among oncologists and general practitioners in France.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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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

7 authors.

Eleonore AveniInstitute for Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-9708-4890
Brent BauerDivision of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America.
Anne-Sylvie RameletInstitute of Higher Education and Research in Healthcare-IUFRS, Lausanne University, Lausanne, Switzerland.
Isabelle DecosterdPain Center, Department of Anesthesiology, Lausanne University Hospital, Lausanne, Switzerland.
Pierluigi BallabeniInstitute for Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Eric BonvinDepartment of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland.
Pierre-Yves RodondiInstitute for Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplementary medicine (CM) is utilized in a growing number of academic centers despite the debate concerning its value, risks and benefits. Healthcare professionals often feel uncomfortable discussing CM with patients, and little is known about their sources of knowledge in the field of CM.

objectiveTo assess healthcare professionals' sources of knowledge and attitude toward CM in an academic hospital. DESIGN AND

participantsThe cross-sectional web-based survey took place from October to December 2013. A total of 4,925 healthcare professionals working at Lausanne University Hospital, Switzerland, were invited to answer the questionnaire. MAIN MEASURES: Factors influencing healthcare professionals' opinion toward CM, knowledge and communication about CM. KEY

resultsThe questionnaire was answered by 1,247 healthcare professionals. The three key factors influencing professionals' opinion toward CM were personal experience, clinical experience and evidence demonstrating the physiological mechanism of CM. Personal experience was more associated with nurses' and midwives' opinion compared to physicians' (80.8% vs 57.1%, OR = 3.08, [95% CI: 2.35-4.05], P<0.001 and 85.3% vs 57.1%, OR = 3.83, [95% CI: 1.95-7.53], P<0.001, respectively) as well as with professionals trained in CM compared to non-trained professionals (86.0% vs 73.2%, OR = 2.60, [95% CI: 1.92-3.53], P<0.001). Physicians relied more on randomized controlled clinical trials compared to nurses (81.3% vs 62.9%, OR = 0.43, [95% CI: 0.33-0.57], P<0.001). A majority of the respondents (82.5%) agreed that they lacked knowledge about CM and 65.0% noted that it was the patient who initially started the discussion about CM.

conclusionsDifferent professionals used different strategies to forge opinions regarding CM: physicians relied more on scientific evidence, while nurses and midwives were more influenced by personal experience. Regardless of preferred information source, most respondents did not feel prepared to address patient questions regarding CM. Enhancing interprofessional education opportunities is an important strategy to help providers become empowered to discuss CM with patients. This in turn will help patients making informed decisions in their healthcare.

Indexed as

Academic Medical CentersComplementary TherapiesHealth PersonnelKnowledgeAdultCross-Sectional StudiesFemaleHumansInformation ServicesMaleMiddle AgedSwitzerland

Identifiers

PMID28961256
PMCPMC5621686

What OpenQuestion holds

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LicenceCC BY
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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.