Evidence map›Paper›PMID 31568003›Full record

SynthesisMedicine2019

Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries.

Alex Kappel Kørup, Jens Søndergaard, Giancarlo Lucchetti, Parameshwaran Ramakrishnan, Klaus Baumann, Eunmi Lee, Eckhard Frick, Arndt Büssing, Nada A Alyousefi, Azimatul Karimah and 3 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Opinions, Attitudes and Beliefs Regarding Spirituality and Religiosity in the Clinical Practice of Dental Students: A Cross-Sectional Study.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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  20. Doctor, Will You Pray for Me? Responding to Patients' Religious and Spiritual Concerns.Academic medicine : journal of the Association of American Medical Colleges · 2021
    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

13 authors.

Alex Kappel KørupResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense C.
Jens SøndergaardResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense C.
Giancarlo LucchettiDepartment of Medicine, Federal University of Juiz de Fora, Avenida Eugênio de Nascimento s/n-Aeroporto, Juiz de Fora, MG, Brazil.
Parameshwaran RamakrishnanGraduate Theological Union-University of California, Berkeley, CA.
Klaus BaumannCaritas Science and Christian Social Work, Faculty of Theology, Albert-Ludwig-University D-79085, Freiburg, Baden-Württemberg.
Eunmi LeeCaritas Science and Christian Social Work, Faculty of Theology, Albert-Ludwig-University D-79085, Freiburg, Baden-Württemberg.
Eckhard FrickResearch Centre Spiritual Care, Department of Psychosomatic Medicine and Psychotherapy, The University Hospital Klinikum rechts der Isar, Langerstr.
Arndt BüssingInstitute of Integrative Medicine, Faculty of Medicine, Witten/Herdecke University, Gerhard-Kienle-Weg 4, Herdecke, Germany.
Nada A AlyousefiCollege of Medicine, King Saud University (KSU), Riyadh, Saudi Arabia.
Azimatul KarimahDepartment of Psychiatry, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia.
Esther SchoutenDepartment of Neonatology, University Hospital Munich, Marchioninistrasse 15.
Inga WermuthDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich.
Niels Christian HvidtResearch Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense C.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObservational studies indicate that religious values of physicians influence clinical practice. The aim of this study was to test prior hypotheses of prevalence of this influence using a meta-analysis design.

methodsBased on a systematic literature search we performed individual participant data meta-analysis (IPDMA) on data based on 2 preselected questionnaires. Ten samples from 7 countries remained after exclusion (n = 3342). IPDMA was performed using a random-effects model with 2 summary measures: the mean value of the scale "Religiosity of Health Professionals"; and a dichotomized value of the question "My religious beliefs influence my practice of medicine." Also, a sensitivity analysis was performed using a mixed-models design controlling for confounders.

resultsMean score of religiosity (95% confidence interval [CI]) was significantly lower in the European subgroup (8.46 [6.96-9.96]) compared with the Asian samples India (10.46 [9.82-10.21]) and Indonesia (12.52 [12.19-12.84]), whereas Brazil (9.76 [9.54-9.99]) and USA (10.02 [9.82-10.21]) were placed in between. The proportion of the European physicians who agreed to the statement "My religious beliefs influence my practice of medicine" (95% CI) was 42% (26%-59%) compared with Brazil (36% [29%-43%]), USA (57% [54%-60%]), India (58% [52%-63%]), and Indonesia (91% [84%-95%]).

conclusionsAlthough large cross-cultural variations existed in the samples, 50% of physicians reported to be influenced by their religious beliefs. Religiosity and influence of religious beliefs were most pronounced in India, Indonesia, and a European faith-based hospital. Education regimes of current and future physicians should encompass this influence, and help physicians learn how their personal values influence their clinical practice.

Indexed as

Religion and MedicineAdultAustraliaBrazilDenmarkFemaleGermanyHumansIndiaIndonesiaMalePhysiciansPractice Patterns, Physicians'ReligionSurveys and QuestionnairesUnited States

Identifiers

PMID31568003
PMCPMC6756708

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.