Evidence map›Paper›PMID 31331706›Full record

Observational studyPatient education and counseling2019

Higher BMI associated with shorter visits in male oncology patients: An exploratory analysis.

Jon C Tilburt, Thomas O Byrne, Megan E Branda, Sean Phelan

Abstract readObservational Study
In one paragraph

Observational study in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Urgent-care antibiotic prescribing: An exploratory analysis to evaluate health inequities.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022
    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

4 authors.

Jon C TilburtDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA; Division of Healthcare Policy and Research, Mayo Clinic, Rochester, MN, USA; Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN, USA. Electronic address: tilburt.jon@mayo.edu.
Thomas O ByrneDivision of Biostatistics, Mayo Clinic, Rochester, MN, USA.
Megan E BrandaDepartment of Biostatistics and Informatics, Colorado School of Public Health, Denver, CO, USA.
Sean PhelanDivision of Healthcare Policy and Research, Mayo Clinic, Rochester, MN, USA.

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Assessing Patient Experience in Cancer Care: An Observational Communication StudyR01AT006515 · NCCIH · MAYO CLINIC ROCHESTER · PI TILBURT, JON C · 2011 to 2015
$3.5M
NCATS NIH HHS UL1 TR000135NCATS NIH HHS UL1 TR002377NCCIH NIH HHS R01 AT006515
6 · The paper itself

Abstract

objectiveTo determine the potential relationship between measures of patient-provider communication and patient body mass index (BMI) and gender in cancer care.

methodsWe audio-recorded cancer patients' communication with their clinicians in an academic medical oncology practice from 2012-2014. We coded audio-recordings with the Roter Interaction Analysis System. We then examined whether BMI was associated with patient centeredness, time with doctor, global affect, and patient self-reported communication quality. Univariate associations with BMI were assessed with Chi-square and Kruskal-Wallis tests. A cumulative logit model adjusted for patient and visit characteristics in a multivariable model.

resultsWe recorded 327 patient interactions with 37 clinicians. After adjusting for patient sex, and visit characteristics, visit length, patient-centeredness, global affect (patient or clinician) and satisfaction did not differ. However, higher BMI was associated with shorter visit length, and lower Negative Global Affect (p = 0.03 and p = 0.03, respectively) in men only.

conclusionIn this exploratory analysis, communication characteristics did not vary by patient BMI overall. However, in men, higher BMI was associated with shorter visit length and more negative affect. Those differences did not persist after adjusting for multiple comparisons. PRACTICE IMPLICATIONS: Patient body size may contribute to clinical communication in cancer care, particularly for obese men.

Indexed as

Body Mass IndexCommunicationPatient-Centered CarePatient SatisfactionAgedAged, 80 and overCross-Sectional StudiesHumansMiddle AgedNeoplasmsOffice VisitsPhysician-Patient RelationsPhysiciansTape RecordingPatient-centerednessPatient-physician communication

Identifiers

PMID31331706
PMCPMC6851463

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.