Evidence map›Paper›PMID 34452967›Full record

SynthesisBMJ open2021

Clinical communication in inflammatory bowel disease: a systematic review of the study of clinician-patient dialogue to inform research and practice.

Neda Karimi, Ria Kanazaki, Annabelle Lukin, Alison Rotha Moore, Astrid-Jane Williams, Susan Connor

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

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

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

  1. Guideline
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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

6 authors.

Neda KarimiGastroenterology and Liver Research Group, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia Neda.Karimi@unsw.edu.au.ORCID 0000-0002-2841-637X
Ria KanazakiGastroenterology and Liver Research Group, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.ORCID 0000-0002-8866-1078
Annabelle LukinDepartment of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0003-1023-7207
Alison Rotha MooreEnglish Language & Linguistics, Faculty of Law Humanities and the Arts, University of Wollongong, Wollongong, New South Wales, Australia.ORCID 0000-0002-9697-5747
Astrid-Jane WilliamsGastroenterology and Liver Research Group, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.
Susan ConnorGastroenterology and Liver Research Group, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.ORCID 0000-0001-5606-0270

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review aims to investigate what is currently known about the characteristics of interactions between patients with inflammatory bowel disease (IBD) and their clinicians and its effect on patient outcomes. DATA SOURCES: Scopus, PubMed, Embase, Communication Abstracts, Health & Society, Linguistics and Language Behaviour Abstracts and PsycINFO were systematically searched from inception to June 2021. STUDY ELIGIBILITY CRITERIA: Peer-reviewed journal articles and book chapters in English investigating the characteristics of naturally occurring interactions between clinicians that manage IBD and patients with IBD during recorded consultations were included. STUDY APPRAISAL AND SYNTHESIS

methodsRisk of bias was assessed using a specifically developed quality assessment tool, grounded in linguistic theory and the Mixed Methods Appraisal Tool. A narrative synthesis guided by the linguistic concept of metafunction was performed to synthesise the findings.

resultsOf the 2883 abstracts reviewed five formed the basis of the review. Interactions between IBD nurses and patients have been mostly characterised in terms of information provision regarding prescribed medications without consideration of the interpersonal aspect. Discussing online medical information with nurses has been shown to improve patient satisfaction. Analyses of gastroenterologist-patient interactions have concentrated on the clinical relationship which has been shown to be disease-centred. Shared decision making in ulcerative colitis has been shown to be compromised due to lack of transparency regarding treatment goals. LIMITATIONS: This review did not include articles in languages other than English. Cumulative evidence could not be produced due to the small number of included studies and the diversity of contexts, theories and data types. CONCLUSIONS AND IMPLICATIONS OF KEY

findingsThere is a paucity of systematic research on naturally occurring clinical communication in IBD and its effect on outcomes. Further research needs to be done to address this knowledge gap. PROSPERO REGISTRATION NUMBER: CRD42020169657.

Indexed as

Colitis, UlcerativeInflammatory Bowel DiseasesCommunicationHumansinflammatory bowel diseasequalitative researchsocial medicine

Identifiers

PMID34452967
PMCPMC8404434

What OpenQuestion holds

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LicenceCC BY
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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.