Evidence map›Paper›PMID 37734895›Full record

Trial reportBMJ open2023

Occurrence of sensitive topics during ward round: an ancillary analysis of the BEDSIDE-OUTSIDE trial.

Sebastian Gross, Christoph Becker, Katharina Beck, Valentina Memma, Jens Gaab, Philipp Schütz, Jörg D Leuppi, Rainer Schaefert, Wolf Langewitz, Marten Trendelenburg and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03210987 (Effect of Bedside Patient Case Presentation Compared to Outside the Room Case Presentation on Patient Perception of Quality of Care and Patient Outcomes), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03210987 nacompletednot on this map

Effect of Bedside Patient Case Presentation Compared to Outside the Room Case Presentation on Patient Perception of Quality of Care and Patient Outcomes: a Randomized-controlled, Multicenter Trial

TypeinterventionalSponsorUniversity Hospital, Basel, SwitzerlandRan2017 to 2019Enrolled1,092ConditionsBedside Patient Case Presentation, Outside-the-room Patient Case PresentationArmspatient case presentation bedside, patient case presentation Outside-the-room
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

15 authors.

Sebastian GrossDepartment of Medical Communication / Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
Christoph BeckerDepartment of Medical Communication / Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.ORCID 0000-0001-6039-4003
Katharina BeckDepartment of Medical Communication / Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
Valentina MemmaDepartment of Medical Communication / Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
Jens GaabDivision of Clinical Psychology and Psychotherapy, Faculty of Psychology, University of Basel, Basel, Switzerland.
Philipp SchützFaculty of Medicine, University of Basel, Basel, Switzerland.
Jörg D LeuppiFaculty of Medicine, University of Basel, Basel, Switzerland.
Rainer SchaefertDepartment of Medical Communication / Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
Wolf LangewitzDepartment of Medical Communication / Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.ORCID 0000-0001-8298-7328
Marten TrendelenburgFaculty of Medicine, University of Basel, Basel, Switzerland.
Tobias BreidthardtFaculty of Medicine, University of Basel, Basel, Switzerland.
Jens EcksteinFaculty of Medicine, University of Basel, Basel, Switzerland.
Michael OsthoffFaculty of Medicine, University of Basel, Basel, Switzerland.
Stefano BassettiFaculty of Medicine, University of Basel, Basel, Switzerland.
Sabina HunzikerDepartment of Medical Communication / Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland sabina.hunziker@usb.ch.ORCID 0000-0003-3648-3609

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDiscussing sensitive topics (eg, medical uncertainty, social issues, non-adherence) during ward rounds is challenging and may negatively impact patient satisfaction with the healthcare they are receiving. In the previous multicentre randomised BEDSIDE-OUTSIDE trial focusing on communication during ward rounds, we investigated the interplay between sensitive topics and low reported satisfaction with care.

designPre-planned secondary analysis of a randomised controlled trial. For this analysis data of the original trial was pooled across intervention groups.

settingThree Swiss teaching hospitals.

participantsAdult patients hospitalised for medical care.

interventionsWe analysed predefined sensitive health topics and specific elements of communication from audiotapes recorded during ward rounds, for both patients dealing with and without sensitive topics. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary endpoint was overall patient satisfaction with care; measured on a Visual Analogue Scale from 0 to 100. Secondary endpoints included duration of ward rounds and further satisfaction outcomes.

resultsOf the 919 included patients, 474 had at least one sensitive topic including medical uncertainty (n=251), psychiatric comorbidities (n=161), tumour diagnosis (n=137) and social issues (n=125). Compared with patients without sensitive topics, patients with sensitive topics reported lower satisfaction with care (mean (SD), 87.7 (±14.6) vs 90.2 (±12.1), adjusted difference -2.5 (95% CI -4.28 to -0.72), p=0.006. Among patients with sensitive topics, risk factors for low satisfaction included several parameters concerning patient-physician interaction such as disagreements during ward rounds (mean (SD), 14/212 (6.6%) vs 41/254 (16.1%), adjusted OR 2.78 (95% CI 1.47 to 5.27), p=0.002).

conclusionsA large proportion of medical inpatients must deal with sensitive health topics. This is associated with lower satisfaction with care, particularly if the patient perceives the interaction with doctors during ward rounds as unsatisfactory. Educating physicians on specific communication techniques may help improve care for these patients. TRIAL REGISTRATION NUMBER: NCT03210987.

Indexed as

Health FacilitiesInpatientsAdultCommunicationDissent and DisputesHospitals, TeachingHumanshospitalizationinternal medicinemedical education & trainingmedical ethics

Identifiers

PMID37734895
PMCPMC10514661

What OpenQuestion holds

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Registered trials

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.