Evidence map›Paper›PMID 31036041›Full record

Trial reportJournal of orthopaedic surgery and research2019

Do we really allow patient decision-making in rotator cuff surgery? A prospective randomized study.

Carlos Torrens, Joan Miquel, Fernando Santana

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and 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 NCT03205852 (Do we Really Allow Patient Decision-making in Rotator Cuff Surgery? A Prospective Randomized Study), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-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.

NCT03205852 completednot on this map

Do we Really Allow Patient Decision-making in Rotator Cuff Surgery? A Prospective Randomized Study

TypeobservationalSponsorHospital del MarRan2014 to 2014Enrolled80ConditionsRotator Cuff DiseaseArmsquestionnaire
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trailblazing Person-Centred Care: Lessons From a Hospital Cluster-Wide Retreat to Co-Design Approaches to Person-Centred Care in Singapore.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  2. Article
  3. Review
  4. 'Down to the person, the individual patient themselves': A qualitative study of treatment decision-making for shoulder pain.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  5. Article
  6. A Historical Analysis of Randomized Controlled Trials in Rotator Cuff Tears.International journal of environmental research and public health · 2020
    Review
  7. Article
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 at 2 institutions in 1 country.

Carlos TorrensDepartment of Orthopedics, Hospital del Mar, Passeitg Marítim 25-29, 08003, Barcelona, Spain. 86925@parcdesalutmar.cat.ORCID http://orcid.org/0000-0002-6690-1632
Joan MiquelDepartment of Orthopedics, Hospital d'Igualada, Consorci Sanitari l'Anoia, Barcelona, Spain.
Fernando SantanaDepartment of Orthopedics, Hospital del Mar, Passeitg Marítim 25-29, 08003, Barcelona, Spain.
Hospital Del Mar · ESHospital d'Igualada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a growing patient interest in being involved in the decision-making process. However, little information is provided on how this information should be structured. Does it make a difference, in patient treatment decision-making, whether information is given based on the benefits or on the side effects in rotator cuff disorders?

methodsIt is a prospective randomized study that includes patients diagnosed with rotator cuff tears. Patients were randomly allocated to either group A (benefit-inform) or group B (side effect-inform) and were asked to answer the following questions based on their assigned group: Group A: Your doctor informs you that you have a rotator cuff tear and states that if he/she surgically repairs your cuff tear you will improve and that the cuff remains healed at the 2-year follow-up in 71% of the cases where surgery is done. Would you choose surgery? Yes or No Group B: Your doctor informs you that you have a rotator cuff tear and that if he/she surgically repairs your cuff tear you will improve and that the cuff is torn again at 2-year follow-up in 29% of the cases where surgery is done. Would you choose surgery? Yes or No Age, gender, the shoulder affected and the functional status assessed through the Constant score were also recorded.

results80 patients were randomized (43 to group A and 37 to group B). The patients assigned to group A (benefit) accepted surgery significantly more frequently than those assigned to group B (complication) (P = 0.000). In group A, 36 of 43 (84%) accepted surgery, compared to 17 of 37 (46%) in group B.

conclusionsThe way that information on rotator cuff disorders is provided strongly influences patients' treatment decisions.

trial registrationClinicalTrials.gov, NCT03205852 . Registered 29 June 2017. Retrospectively registered.

Indexed as

Decision MakingAdultAgedAged, 80 and overArthroscopyFemaleHumansMaleMiddle AgedPatient ParticipationProspective StudiesRange of Motion, ArticularRotator Cuff InjuriesSurveys and QuestionnairesYoung AdultOutcomesPatient participationRotator cuffRotator cuff-repairShared decision-making

Identifiers

PMID31036041
PMCPMC6489206
OpenAlexW2947703352

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.