Evidence map›Paper›PMID 39027230›Full record

ArticlePEC innovation2024

Associations between physicians' SDM behaviour and participation of older patients and family members in triadic decision-making: An observational study.

Bea L Dijkman, Marie Louise Luttik, Wolter Paans, Ellen M Driever, Hanneke van der Wal-Huisman, Paul L P Brand, Barbara L van Leeuwen

Abstract read
In one paragraph

Article in PEC innovation, 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. Treatment decision-making for patients with cancer aged 75 and older: perspectives from focus group interviews with patients, family caregivers, and healthcare providers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

7 authors.

Bea L DijkmanDepartment of Surgery, Groningen University, University Medical Center Groningen, the Netherlands.
Marie Louise LuttikResearch Group Nursing Diagnostics, Hanze University of Applied Sciences Groningen, the Netherlands.
Wolter PaansResearch Group Nursing Diagnostics, Hanze University of Applied Sciences Groningen, the Netherlands.
Ellen M DrieverDepartment of Innovation and Research, Isala Hospital, Zwolle, the Netherlands.
Hanneke van der Wal-HuismanDepartment of Surgery, Groningen University, University Medical Center Groningen, the Netherlands.
Paul L P BrandDepartment of Innovation and Research, Isala Hospital, Zwolle, the Netherlands.
Barbara L van LeeuwenDepartment of Surgery, Groningen University, University Medical Center Groningen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Medical consultations with older patients often include triadic conversations and decision-making processes involving physicians, patients, and family members. The presence of family members may change the communication dynamics and therefore increase the complexity of the consultation and decision-making process. Objective: This study explored associations between physicians' shared decision-making (SDM) behaviour and patients' and family members' participation in the decision-making process. Methods: Using an observational design, we analysed 95 recorded consultations between medical specialists, patients aged ≥65 years, and accompanying family members at a Dutch hospital. The OPTION Results: We found a strong positive correlation between physicians' behaviour and patients' and family members' participation in SDM (0.68 and 0.64, respectively, Conclusion: While not asserting causation, our study suggests physicians potentially play a facilitating role in shaping the SDM process together with proactive contributions from patients and family members. Innovation: The results offer new insights into triadic SDM and provide suggestions for refining the OPTION

Indexed as

Family membersOlder patientsShared decision-makingTriadic decision-making

Identifiers

PMID39027230
PMCPMC11254731

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.