Evidence map›Paper›PMID 31567900›Full record

Observational studyThe Journal of the American Academy of Orthopaedic Surgeons2020

Patient Preferences for Shared Decision Making: Not All Decisions Should Be Shared.

Sarah E Lindsay, Aaron Alokozai, Sara L Eppler, Paige Fox, Catherine Curtin, Michael Gardner, Raffi Avedian, Ariel Palanca, Geoffrey D Abrams, Ivan Cheng and 2 more

Abstract readObservational Study
In one paragraph

Observational study in The Journal of the American Academy of Orthopaedic Surgeons, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Article
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  10. Trends in the Treatment of Adolescent Clavicle Fractures: Are We Listening to the Evidence?Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023
    Article
  11. Review
  12. Observational
  13. Observational
  14. Article
  15. Psychometric characteristics of the health care empowerment questionnaire in a sample of patients with arthritis and rheumatic conditions.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. 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

12 authors.

Sarah E LindsayFrom the Department of Orthopaedic Surgery, Stanford University, Redwood City, CA.
Aaron Alokozai
Sara L Eppler
Paige Fox
Catherine Curtin
Michael Gardner
Raffi Avedian
Ariel Palanca
Geoffrey D Abrams
Ivan Cheng
Robin N Kamal
VOICES Health Policy Research Investigators:

Funding

Developing and Testing a Tool for Preference Elicitation in Carpal Tunnel SyndromeK23AR073307 · NIAMS · STANFORD UNIVERSITY · PI KAMAL, ROBIN N · 2018 to 2022
$866k
NIAMS NIH HHS K23 AR073307
6 · The paper itself

Abstract

introductionTo assess bounds of shared decision making in orthopaedic surgery, we conducted an exploratory study to examine the extent to which patients want to be involved in decision making in the management of a musculoskeletal condition.

methodsOne hundred fifteen patients at an orthopaedic surgery clinic were asked to rate preferred level of involvement in 25 common theoretical clinical decisions (passive [0], semipassive [1 to 4], equally shared involvement between patient and surgeon [5], semiactive [6 to 9], active [10]).

resultsPatients preferred semipassive roles in 92% of decisions assessed. Patients wanted to be most involved in scheduling surgical treatments (4.75 ± 2.65) and least involved in determining incision sizes (1.13 ± 1.98). No difference exists in desired decision-making responsibility between patients who had undergone orthopaedic surgery previously and those who had not. Younger and educated patients preferred more decision-making responsibility. Those with Medicare desired more passive roles. DISCUSSION: Despite the importance of shared decision making on delivering patient-centered care, our results suggest that patients do not prefer to share all decisions.

Indexed as

Decision Making, SharedAdolescentAdultAgedAged, 80 and overDelivery of Health CareFemaleHumansMaleMiddle AgedOrthopedic ProceduresPatient-Centered CarePatient PreferencePatientsProspective StudiesYoung Adult

Identifiers

PMID31567900
PMCPMC8080702

What OpenQuestion holds

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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.