Evidence map›Paper›PMID 38728289›Full record

ArticlePloS one2024

Shared decision-making in psoriasis care: Evaluation of how patients' perception of clinicians' delivery of care changes by age and sex.

Robin Kikuchi, Paige Kingston, Audrey Hao, Kaviyon Sadrolashrafi, Rebecca K Yamamoto, Hannah Tolson, Sara N Bilimoria, Lily Guo, Danielle Yee, Maria T Ochoa and 1 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Robin KikuchiKeck School of Medicine, University of Southern California, Los Angeles, California, United States of America.
Paige KingstonKeck School of Medicine, University of Southern California, Los Angeles, California, United States of America.
Audrey HaoKeck School of Medicine, University of Southern California, Los Angeles, California, United States of America.ORCID 0009-0003-3327-1261
Kaviyon SadrolashrafiKirk Kerkorian School of Medicine at UNLV, Las Vegas, Nevada, United States of America.
Rebecca K YamamotoGeorgetown University School of Medicine, Washington, DC, United States of America.ORCID 0009-0005-4854-9128
Hannah TolsonUniversity of Arizona College of Medicine, Phoenix, Arizona, United States of America.
Sara N BilimoriaDivision of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, United States of America.
Lily GuoDuke University School of Medicine, Durham, North Carolina, United States of America.
Danielle YeeDivision of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, United States of America.
Maria T OchoaDepartment of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America.
April W ArmstrongDivision of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, United States of America.ORCID 0000-0003-0064-8707

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared decision-making (SDM) refers to a collaborative process in which clinicians assist patients in making medically informed, evidence-based decisions that align with their values and preferences. There is a paucity of literature on SDM in dermatology.

objectiveWe aim to assess whether male and female psoriasis patients evaluate their clinicians' engagement in SDM differently across different age groups.

methodsCross-sectional study using data from the 2014-2017 and 2019 Medical Expenditure Panel Surveys (MEPS).

resultsA weighted total of 7,795,608 psoriasis patients were identified. SDM Scores ranged from 1 to 4, with 4 representing the most favorable patient evaluation of their clinicians' engagement in SDM. We conducted multivariate linear regression to compare mean SDM Scores in male psoriasis patients versus female psoriasis patients across different patient age groups. Female patients ages 60-69 perceived significantly greater clinician engagement in SDM compared to age-matched male patients (female patient perception of SDM 3.65 [95%CI:3.61-3.69] vs. male patient perception of SDM 3.50 [95%CI:3.43-3.58], p<0.005). The same trend of older female patients evaluating their clinicians' engagement in SDM significantly higher than their age-matched male counterparts exists for the age group >70 (p<0.005). No significant differences between male and female patients' evaluations of their clinicians' engagement in SDM were demonstrated in subjects younger than 60. All calculations were adjusted for demographic and clinical factors.

conclusionsCompared to older male psoriasis patients, older female psoriasis patients evaluated their clinicians to be more engaged in shared decision-making.

Indexed as

Decision Making, SharedPsoriasisAdolescentAdultAgedAge FactorsCross-Sectional StudiesDelivery of Health CareFemaleHumansMaleMiddle AgedPatient ParticipationPerceptionPhysician-Patient RelationsSex Factors

Identifiers

PMID38728289
PMCPMC11086864

What OpenQuestion holds

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Registered trials

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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.