Evidence map›Paper›PMID 37695453›Full record

Observational studyEndocrine2024

Clinician feedback using a shared decision-making tool for the evaluation of patients with thyroid nodules-an observational study.

Naykky Singh Ospina, Chandani Patel Chavez, Eddison Godinez Leiva, Diliara Bagautdinova, Jessica Hidalgo, Sandra Hartasanchez, Sandra Algarin Perneth, Diana Barb, Deepa Danan, Peter Dziegielewski and 13 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Endocrine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Thyroid nodules: diagnosis and management.Nature reviews. Endocrinology · 2024
    Review
  6. Shared Decision-Making During Surgical Consultations for Indeterminate Thyroid Nodules.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Article
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

23 authors.

Naykky Singh OspinaDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA. Naykky.SinghOspina@medicine.ufl.edu.ORCID 0000-0001-7229-5061
Chandani Patel ChavezDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Eddison Godinez LeivaDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Diliara BagautdinovaCollege of Journalism and Communications, University of Florida, Gainesville, FL, USA.
Jessica HidalgoKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Sandra HartasanchezKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Sandra Algarin PernethKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Diana BarbDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Deepa DananDepartment of Otolaryngology, University of Florida, Gainesville, FL, USA.
Peter DziegielewskiDepartment of Otolaryngology, University of Florida, Gainesville, FL, USA.
Brian HughleyDepartment of Otolaryngology, University of Florida, Gainesville, FL, USA.
Ashok SrihariDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Sreevidya SubbarayanDivision of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA.
M Regina CastroDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Diana DeanDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
John MorrisDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Mabel RyderDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Marius N StanDivision of Endocrinology, Mayo Clinic, Rochester, MN, USA.
Ian HargravesKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Carma L BylundDepartment of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Debbie TreiseCollege of Journalism and Communications, University of Florida, Gainesville, FL, USA.
Victor M MontoriKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.
Juan P BritoKnowledge and Evaluation Research Unit in Endocrinology (KER_Endo), Mayo Clinic, Rochester, MN, USA.

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Adequate selection of patients for thyroid biopsy: evaluation of a shared decision making conversation aidK08CA248972 · NCI · UNIVERSITY OF FLORIDA · PI SINGH OSPINA, NAYKKY · 2020 to 2024
$1.1M
NCATS NIH HHS UL1 TR000064NCI NIH HHS K08 CA248972
6 · The paper itself

Abstract

backgroundWe pilot-tested an encounter conversation aid to support shared decision making (SDM) between patients with thyroid nodules and their clinicians.

objectiveCharacterize the clinician feedback after providing care to patients with thyroid nodules using a tool to promote SDM conversations during the clinical encounter, and evaluate how clinicians used the tool during the visit.

methodsMixed method study in two academic centers in the U.S., including adult patients presenting for evaluation of thyroid nodules and their clinicians. We thematically analyzed interviews with clinicians after they used the SDM tool in at least three visits to characterize their feedback. Additionally, investigators evaluated visits recordings to determine the extent to which clinicians engaged patients in the decision-making process (OPTION score, scale 0 to 100, higher levels indicating higher involvement), the tool's components used (fidelity), and encounter duration. Using a post-visit survey, we evaluated the extent to which clinicians felt the tool was easy to use, helpful, and supportive of the patient-clinician collaboration.

resultsThirteen clinicians participated in the study and used the SDM tool in the care of 53 patients. Clinicians thought the tool was well-organized and beneficial to patients and clinicians. Clinicians noticed a change in their routine with the use of the conversation aid and suggested it needed to be more flexible to better support varying conversations. The median OPTION score was 34, the fidelity of use 75%, and the median visit duration 17 min. In most encounters, clinicians agreed or strongly agreed the tool was easy to use (86%), helpful (65%), and supported collaboration (62%).

conclusionClinicians were able to use a SDM tool in the care of patients with thyroid nodules. Although they wished it were more flexible, they found on the whole that its use in the clinical encounter was beneficial to patients and clinicians.

Indexed as

Decision Making, SharedThyroid NoduleAdultDecision MakingFeedbackHumansPatient ParticipationSurveys and QuestionnairesShared decision makingThyroid cancerThyroid nodules

Identifiers

PMID37695453
PMCPMC10999160

What OpenQuestion holds

Textmetadata
LicenceTDM
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.