Evidence map›Paper›PMID 32346726›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

Problems with the problem list: challenges of transparency in an era of patient curation.

Amy S Porter, Jolene O'Callaghan, Kristin A Englund, Robert R Lorenz, Eric Kodish

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

5 authors.

Amy S PorterCenter for Comprehensive Care, Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.
Jolene O'CallaghanCleveland Clinic Foundation, Cleveland, Ohio, USA.
Kristin A EnglundDepartment of Infectious Disease, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Robert R LorenzCleveland Clinic Foundation, Cleveland, Ohio, USA.
Eric KodishPediatrics Institute, Cleveland Clinic Children's Hospital, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, Cleveland, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, the OpenNotes movement and other changes in healthcare have driven institutions to make medical records increasingly transparent. As patients have begun to question and request changes to their Problem Lists, clinicians have come to face the ever more frequent challenge of discerning which changes to make and which to refuse. Now clinicians and patients together choose the list of problems that represent the patient's current state of health and illness. As the physician's role slides closer to consultant and the medical paternalism of the twentieth century falls further into the background of our technology-infused present, who holds the power of delineating a patient's clinical identity? This paper examines the ethical and practical dimensions of this question and proposes a research agenda that aims to answer it. Such explorations are essential to ensuring that the physician remains relevant to patient's notions of health, illness, intervention, and healing.

Indexed as

Electronic Health RecordsEthics, MedicalPersonal AutonomyHumansMedical Records, Problem-OrientedPatient PortalsPhysician-Patient RelationsethicsOpenNotespatient autonomyproblem listshared decision-makingtransparency

Identifiers

PMID32346726
PMCPMC7647313

What OpenQuestion holds

Textmetadata
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.