Evidence map›Paper›PMID 31208462›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2019

Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations.

Yolanda Evong, Jill Chorney, Gilanders Ungar, Paul Hong

Abstract read
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Hypospadias surgery: understanding parental emotions, decisions and regrets.International journal of impotence research · 2023
    Review
  8. Shared decision-making for pediatric elective penile surgery.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  9. Article
  10. Article
  11. Telemedicine for ENT: Effect on quality of care during Covid-19 pandemic.European annals of otorhinolaryngology, head and neck diseases · 2020
    Article
  12. Observational
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

4 authors.

Yolanda EvongDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Jill ChorneyIWK Health Centre, 5850/5920 University Avenue, PO Box 9700, Halifax, Nova Scotia, B3K 6R8, Canada.
Gilanders UngarIWK Health Centre, 5850/5920 University Avenue, PO Box 9700, Halifax, Nova Scotia, B3K 6R8, Canada.
Paul HongDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada. Paul.Hong@iwk.nshealth.ca.

Funding

Faculty of Medicine, Dalhousie University Department of Surgery
6 · The paper itself

Abstract

objectiveIncreased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this study was to describe perceived and observed levels of SDM during pediatric otolaryngology consultations.

methodsOne hundred and seventeen parents and their children undergoing elective surgical consultations were prospectively enrolled. The visits were videotaped and coded using the Observing Patient Involvement (OPTION) scale. Following the encounter, all participants completed a questionnaire that measured perceived levels of SDM (SDM-Q-9). Surgeons also completed a similar questionnaire (SDM-Q-Doc). Spearman's correlation coefficient was determined to measure the associations between observed and perceived levels of SDM.

resultsThe overall OPTION scores were low (median score of 14 out of 48) and not significantly correlated with perceived levels of SDM (SDM-Q-9, p = 0.415; SDM-Q-Doc, p = 0.236), surgery type (p = 0.197), or patient demographic factors. The OPTION scores were positively correlated with consultation length (p < 0.001). There was great variability in the level to which each OPTION items were observed during the consultation (not present in any visits to present in 96.6% of the visits).

conclusionsObserved levels of SDM were consistently low, but higher levels were observed when the surgeon spent more time during the consultation. Observed levels of SDM did not match perceived levels of SDM, which were consistently rated higher by both caregivers and surgeons.

Indexed as

Decision Making, SharedOtorhinolaryngologic Surgical ProceduresParentsPatient ParticipationAdolescentAdultAgedChildElective Surgical ProceduresFemaleHumansMaleMiddle AgedMiddle Ear VentilationSurveys and QuestionnairesTonsillectomyAdeontonsillectomyPediatric otolaryngologyShared decision makingTympanostomy tube

Identifiers

PMID31208462
PMCPMC6580583

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.