Evidence map›Paper›PMID 33583655›Full record

ArticlePatient education and counseling2021

Patient perceptions of trust formation in the surgeon-patient relationship: A thematic analysis.

Norman D Hogikyan, Lulia A Kana, Andrew G Shuman, Janice I Firn

Abstract read
In one paragraph

Article in Patient education and counseling, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Building Trust in a Newly Established Physician-Patient Relationship: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2026
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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

4 authors.

Norman D HogikyanUniversity of Michigan Medical School, 1301 Catherine St., Ann Arbor, MI, 48109, USA; Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109, USA; Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, 2800 Plymouth Road, Bldg. 14, G016, Ann Arbor, MI, 48109, USA. Electronic address: nhogikya@med.umich.edu.
Lulia A KanaUniversity of Michigan Medical School, 1301 Catherine St., Ann Arbor, MI, 48109, USA.
Andrew G ShumanUniversity of Michigan Medical School, 1301 Catherine St., Ann Arbor, MI, 48109, USA; Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109, USA; Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, 2800 Plymouth Road, Bldg. 14, G016, Ann Arbor, MI, 48109, USA.
Janice I FirnUniversity of Michigan Medical School, 1301 Catherine St., Ann Arbor, MI, 48109, USA; Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, 2800 Plymouth Road, Bldg. 14, G016, Ann Arbor, MI, 48109, USA; Department of Learning Health Sciences, University of Michigan Medical School, 1111 E. Catherine St. Ann Arbor, MI, 48109, USA.

Funding

NRSA Training CoreTL1TR002242 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOLINSTAT, MICHAEL ALLAN · 2017 to 2021
$2.8M
NCATS NIH HHS TL1 TR002242
6 · The paper itself

Abstract

objectiveTrust is crucial to the success of any personal or professional relationship. Literature on trust in the surgeon-patient relationship has been largely explored through quantitative methodologies, primarily examining why trust may or may not exist. We aimed to qualitatively elucidate the mechanisms of how trust develops between otolaryngologists and their patients.

methodsPatients were recruited by surgery scheduling staff following an outpatient visit where a decision had been made to proceed with surgery at a tertiary academic medical center. We used qualitative realist thematic analysis of phone interviews to explore participants' (n = 17) perceptions and conceptualization of trust formation within the surgeon-patient relationship.

resultsThematic analysis revealed three themes regarding trust formation in the surgeon-patient relationship: 1) Trust Across Various Contexts; 2) Impact of Prior Knowledge; and 3) Interpersonal Connection during the Clinical Encounter.

conclusionAn interpersonal surgeon-patient connection is crucial to the formation of trust. Trust is also influenced by surgeon and institutional reputation and witnessed surgeon interactions with the healthcare team. PRACTICE IMPLICATIONS: Patients perceive trust in a surgeon as carrying unique importance. To optimize conditions for trust development in this context, surgical care paradigms should promote meaningful preoperative interpersonal surgeon-patient relationships and positive surgeon and institutional reputations.

Indexed as

SurgeonsTrustHumansPatient Care TeamPerceptionQualitative ResearchBioethicsQualitative methodsShared decision-makingSurgeon-Patient relationshipTrust

Identifiers

PMID33583655
PMCPMC12044868

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.