Evidence map›Paper›PMID 30418412›Full record

ArticleJournal of pediatric gastroenterology and nutrition2019

Shared Decision Making About Starting Anti-TNFs: A Pediatric Perspective.

Hilary K Michel, Robert B Noll, Nalyn Siripong, Sandra C Kim, Ellen A Lipstein

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Hilary K MichelDivision of Pediatric Gastroenterology, Hepatology and Nutrition, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
Robert B NollDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Nalyn SiripongClinical Translational Science Institute, University of Pittsburgh, Pittsburgh, PA.
Sandra C KimDivision of Pediatric Gastroenterology, Hepatology and Nutrition, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
Ellen A LipsteinJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Shared Decision Making In Pediatric Chronic Conditions: Biologics in IBD and JIAK23HD073149 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI LIPSTEIN, ELLEN A · 2012 to 2016
$656k
NCATS NIH HHS UL1 TR001857NICHD NIH HHS K23 HD073149
6 · The paper itself

Abstract

Shared decision making (SDM) is central to patient-centered medicine and has the potential to improve outcomes for pediatric patients with inflammatory bowel diseases. We surveyed specialists about their use of SDM in the decision to start a tumor necrosis factor-α inhibitor in pediatric patients. Results were compared between those who reported using SDM and those who did not. Of 209 respondents, 157 (75%) reported using SDM. Physician/practice characteristics were similar between users and nonusers. There were no statistically significant differences between groups in the components deemed important to the decision-making process nor the number of barriers or facilitators to SDM. Exploratory analyses suggested that physicians using SDM were more accepting of adolescent involvement in the decision-making process. Our results question the effectiveness of using reported barriers and facilitators to guide interventions to improve use of SDM, and suggest further work is needed to understand the adolescent role in decision making.

Indexed as

Decision MakingPatient ParticipationAdolescentAdultAgedArthritis, JuvenileAttitude of Health PersonnelCase-Control StudiesFemaleGastroenterologyHumansInflammatory Bowel DiseasesMaleMiddle AgedParentsPhysician-Patient RelationsTNF protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID30418412
PMCPMC7055652

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.