Evidence map›Paper›PMID 33274816›Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2021

The impact of a physician's recommendation and gender on informed decision making: A randomized controlled study in a simulated decision situation.

Anna Lea Meinhardt, Marie Eggeling, Ulrike Cress, Joachim Kimmerle, Martina Bientzle

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 16% of its field
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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. The impact of a physician's recommendation and gender on informed decision making: A randomized controlled study in a simulated decision situation.Health expectations : an international journal of public participation in health care and health policy · 2021
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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 at 1 institution in 1 country.

Anna Lea MeinhardtKnowledge Construction Lab, Leibniz-Institut fuer Wissensmedien, Tuebingen, Germany.
Marie EggelingKnowledge Construction Lab, Leibniz-Institut fuer Wissensmedien, Tuebingen, Germany.ORCID 0000-0001-9749-7321
Ulrike CressKnowledge Construction Lab, Leibniz-Institut fuer Wissensmedien, Tuebingen, Germany.ORCID 0000-0002-8996-8303
Joachim KimmerleKnowledge Construction Lab, Leibniz-Institut fuer Wissensmedien, Tuebingen, Germany.ORCID 0000-0002-6345-9498
Martina BientzleKnowledge Construction Lab, Leibniz-Institut fuer Wissensmedien, Tuebingen, Germany.ORCID 0000-0002-1312-4032
Leibniz-Institut für Wissensmedien · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examined the influence of physicians' recommendations and gender on the decision-making process in a preference-sensitive situation.

methodsN = 201 participants were put in a hypothetical scenario in which they suffered from a rupture of the anterior cruciate ligament (ACL). They received general information on two equally successful treatment options for this injury (surgery vs physiotherapy) and answered questions regarding their treatment preference, certainty and satisfaction regarding their decision and attitude towards the treatment options. Then, participants watched a video that differed regarding physician's recommendation (surgery vs physiotherapy) and physician's gender (female vs male voice and picture). Afterwards, they indicated again their treatment preference, certainty, satisfaction and attitude, as well as the physician's professional and social competence.

resultsParticipants changed their treatment preferences in the direction of the physician's recommendation (P < .001). Decision certainty (P < .001) and satisfaction (P < .001) increased more strongly if the physician's recommendation was congruent with the participant's prior attitude than if the recommendation was contrary to the participant's prior attitude. Finally, participants' attitudes towards the recommended treatment became more positive (surgery recommendation: P < .001; physiotherapy recommendation: P < .001). We found no influence of the physician's gender on participants' decisions, attitudes, or competence assessments.

conclusionThis research indicates that physicians should be careful with recommendations when aiming for shared decisions, as they might influence patients even if the patients have been made aware that they should take their personal preferences into account. This could be particularly problematic if the recommendation is not in line with the patient's preferences.

Indexed as

PhysiciansAttitudeDecision MakingFemaleHumansMalePhysician-Patient RelationsResearch Designattitudedecision satisfactiongendermedical decision makingphysiotherapyrecommendationssurgery

Identifiers

PMID33274816
PMCPMC8077152
OpenAlexW3109395096

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.