Evidence map›Paper›PMID 36859287›Full record

ArticleBMC medical informatics and decision making2023

Effects of a shared decision making intervention for older adults with multiple chronic conditions: the DICO study.

Ruth E Pel-Littel, Bianca M Buurman, Marjolein H van de Pol, Jos W R Twisk, Linda R Tulner, Mirella M Minkman, Wilma J M Scholte Op Reimer, Julia C M van Weert

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2023. 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
8.7field-weighted citation impact, top 2% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
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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

8 authors at 6 institutions in 1 country.

Ruth E Pel-LittelDepartment of Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. r.pel@vilans.nl.
Bianca M BuurmanDepartment of Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Marjolein H van de PolDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Jos W R TwiskDepartment of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Linda R TulnerDepartment of Geriatric Medicine, OLVG, Amsterdam, The Netherlands.
Mirella M MinkmanVilans, Center of Expertise for Long-Term Care, Utrecht, The Netherlands.
Wilma J M Scholte Op ReimerACHIEVE, Center of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
Julia C M van WeertAmsterdam School of Communication Research/ASCoR, University of Amsterdam, PO Box 15791, 1001 NG, Amsterdam, The Netherlands. j.c.m.vanweert@uva.nl.
Academic Medical Center · NLUniversity of Amsterdam · NLOLVG · NLRadboud University Medical Center · NLTilburg University · NLVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the effects of a shared decision making (SDM) intervention for older adults with multiple chronic conditions (MCCs).

methodsA pragmatic trial evaluated the effects of the SDM

resultsFrom two outpatient geriatric clinics 216 patients with MCCs participated. The mean age was 77.3 years, and 56.3% of patients were female. No significant difference was found in the overall level of SDM as measured with the OPTION

conclusionThis study provides scope for improvement of SDM in geriatrics. Engaging older adults with MCCs and informal caregivers in the decision making process should be an essential part of SDM training for geriatricians, beyond the SDM steps of explaining options, benefits and harms. More attention should be paid to the integration of preparatory work in the consultation.

Indexed as

Decision Making, SharedMultiple Chronic ConditionsAgedAmbulatory Care FacilitiesFemaleGeriatriciansHumansMaleOutpatientsProspective StudiesCommunication trainingGeriatriciansInformal caregiversMultiple chronic conditionsOlder patientsPragmatic trialPreparatory toolSDMShared decision making

Identifiers

PMID36859287
PMCPMC9976432
OpenAlexW4322734773

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.