Evidence map›Paper›PMID 29799668›Full record

ArticleArthritis care & research2019

Impact of Information Presentation Format on Preference for Total Knee Replacement Surgery.

Liana Fraenkel, W Benjamin Nowell, Christine E Stake, Shilpa Venkatachalam, Rachel Eyler, George Michel, Ellen Peters

Registry-linked trialAbstract read
In one paragraph

Article in Arthritis care & research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04694625 (Effects of Structured Rehabilitation Program on Pain and Function in Patients With Total Knee Replacement), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 20% of its field
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.

NCT04694625 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of Structured Rehabilitation Program on Pain and Function in Patients With Total Knee Replacement

TypeinterventionalSponsorRiphah International UniversityRan2021 to 2021Enrolled26ConditionsKneeArmsStructured Rehabilitation Program, Conventional Physical Therapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Insufficient evidence for interactive or animated graphics for communicating probability.Journal of the American Medical Informatics Association : JAMIA · 2024
    Pooled it
  2. Review
  3. Visualizing machine learning-based predictions of postpartum depression risk for lay audiences.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  4. Article
  5. Review
  6. Review
  7. Review
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 at 5 institutions in 1 country.

Liana FraenkelYale University School of Medicine, New Haven, and Veterans Administration Connecticut Healthcare System, West Haven, Connecticut.
W Benjamin NowellCreakyJoints, Global Healthy Living Foundation, Upper Nyack, New York.
Christine E StakeCreakyJoints, Global Healthy Living Foundation, Upper Nyack, New York.
Shilpa VenkatachalamCreakyJoints, Global Healthy Living Foundation, Upper Nyack, New York.
Rachel EylerUniversity of Connecticut School of Pharmacy, Storrs.
George MichelYale University School of Medicine, New Haven, Connecticut.
Ellen PetersOhio State University, Columbus.
Global Healthy Living Foundation · USThe Ohio State University · USUniversity of Connecticut · USVA Connecticut Healthcare System · USYale University · US

Funding

Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
National Institute of Arthritis and Musculoskeletal and Skin Diseases/NIH AR-060231-06National Science Foundation SES-1558230NIAMS NIH HHS K24 AR060231
6 · The paper itself

Abstract

objectivePatients have a poor understanding of outcomes related to total knee replacement (TKR) surgery, with most patients underestimating the potential benefits and overestimating the risk of complications. In this study, we sought to compare the impacts of descriptive information alone or in combination with an icon array, experience condition (images), or spinner on participants' preference for TKR.

methodsA total of 648 members of an online arthritis network were randomized to 1 of 4 outcome presentation formats: numeric only, numeric with an icon array, numeric with a set of 50 images, or numeric with a functional spinner. Preferences for TKR were measured before and immediately after viewing the outcome information using an 11-point numeric rating scale. Knowledge was assessed by asking participants to report the frequency of each outcome.

resultsParticipants randomized to the icon array, images, and spinner had stronger preferences for TKR (after controlling for baseline preferences) compared to those viewing the numeric only format (P < 0.05 for all mean differences). Knowledge scores were highest in participants randomized to the icon array; however, knowledge did not mediate the association between format and change in preference for TKR.

conclusionDecision support at the point-of-care is being increasingly recognized as a vital component of care. Our findings suggest that adding graphic information to descriptive statistics strengthens preferences for TKR. Although experience formats using images may be too complex to use in clinical practice, icon arrays and spinners may be a viable and easily adaptable decision aid to support communication of probabilistic information.

Indexed as

Decision Support TechniquesSurveys and QuestionnairesAgedArthritisArthroplasty, Replacement, KneeFemaleHumansInternetMaleMiddle AgedPatient Education as TopicRandom Allocation

Identifiers

PMID29799668
PMCPMC6252282
OpenAlexW2804679108

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.