Evidence map›Paper›PMID 29490966›Full record

ArticleBMJ open2018

Empathy, burn-out and the use of gut feeling: a cross-sectional survey of Danish general practitioners.

Anette Fischer Pedersen, Mads Lind Ingeman, Peter Vedsted

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Burnout prevalence among European physicians: a systematic review and meta-analysis.International archives of occupational and environmental health · 2022
    Pooled it
  4. Pooled it
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  7. Physicians' appraisal of parental concerns: a qualitative assessment.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
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  14. [Risk of Burnout syndrome in medical professionals in Córdoba City, Argentina]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021
    Observational
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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

3 authors.

Anette Fischer PedersenResearch Unit for General Practice and Research Centre for Cancer Diagnosis in Primary Care (CaP), Aarhus University, Aarhus, Denmark.
Mads Lind IngemanEmergency Department, Aarhus University Hospital, Aarhus, Denmark.
Peter VedstedResearch Unit for General Practice and Research Centre for Cancer Diagnosis in Primary Care (CaP), Aarhus University, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveResearch has suggested that physicians' gut feelings are associated with parents' concerns for the well-being of their children. Gut feeling is particularly important in diagnosis of serious low-incidence diseases in primary care. Therefore, the aim of this study was to examine whether empathy, that is, the ability to understand what another person is experiencing, relates to general practitioners' (GPs) use of gut feelings. Since empathy is associated with burn-out, we also examined whether the hypothesised influence of empathy on gut feeling use is dependent on level of burn-out.

designCross-sectional questionnaire survey. Participants completed the Jefferson Scale of Physician Empathy and The Maslach Burnout Inventory.

settingPrimary care.

participants588 active GPs in Central Denmark Region (response rate=70%). PRIMARY OUTCOME MEASURES: Self-reported use of gut feelings in clinical practice.

resultsGPs who scored in the highest quartile of the empathy scale had fourfold the odds of increased use of gut feelings compared with GPs in the lowest empathy quartile (OR 3.99, 95% CI 2.51 to 6.34) when adjusting for the influence of possible confounders. Burn-out was not statistically significantly associated with use of gut feelings (OR 1.29, 95% CI 0.90 to 1.83), and no significant interaction effects between empathy and burn-out were revealed.

conclusionsPhysician empathy, but not burn-out, was strongly associated with use of gut feelings in primary care. As preliminary results suggest that gut feelings have diagnostic value, these findings highlight the importance of incorporating empathy and interpersonal skills into medical training to increase sensitivity to patient concern and thereby increase the use and reliability of gut feeling.

Indexed as

Burnout, ProfessionalDiagnosisEmpathyPhysician-Patient RelationsAdultCross-Sectional StudiesDenmarkFemaleGeneral PractitionersHumansLogistic ModelsMaleMiddle AgedPractice Patterns, Physicians'Primary Health CareSelf Reportclinical decision-makingearly diagnosisempathygeneral practiceself-report

Identifiers

PMID29490966
PMCPMC5855338

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LicenceCC BY-NC
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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.