Evidence map›Paper›PMID 39648180›Full record

SynthesisDiagnosis (Berlin, Germany)2025

Developing a framework for understanding diagnostic reconciliation based on evidence review, stakeholder engagement, and practice evaluation.

Sandra Algarin Perneth, Gilberto Perez Rodriguez Garcia, Juan P Brito, Tejal Gandhi, Carma L Bylund, Ian G Hargraves, Naykky Singh Ospina

Abstract readSystematic Review
In one paragraph

Synthesis in Diagnosis (Berlin, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Trial
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.

Sandra Algarin PernethDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Gilberto Perez Rodriguez GarciaDivision of Endocrinology, Department of Medicine, 3463 University of Florida , Gainesville, FL, USA.
Juan P BritoKnowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Tejal GandhiChief Safety and Transformation Officer, Press Ganey Associates LLC, South Bend, IN, USA.
Carma L BylundDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, 3463 University of Florida , Gainesville, FL, USA.
Ian G HargravesKnowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Naykky Singh OspinaDivision of Endocrinology, Department of Medicine, 3463 University of Florida , Gainesville, FL, USA.

Funding

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
NCI NIH HHS K08 CA248972
6 · The paper itself

Abstract

objectivesDiagnostic reconciliation is the collaborative process between patients and clinicians to create and reconcile evidence-based, feasible, and desirable care plans. However, the specific components of this process remain unclear. The objective of this study was to develop the first comprehensive framework to elucidate the diagnostic reconciliation process.

methodsWe followed a multi-step and iterative approach to develop the framework, including a focused systematic review of diagnostic conversations, quantitative evaluation of recordings of real-life clinical visits recordings, and stakeholder engagement (e.g., patients, clinicians, researchers).

resultsWe identified 17 potential components to the process of diagnostic reconciliation through literature review and stakeholder engagement. After review of 56 clinical visits and further stakeholder engagement, we developed a final framework including four categories: 1) understanding the need for a test/referral, 2) logistics of test/referral scheduling, 3) test/referral information, and 4) test/referral results.

conclusionsThe proposed framework lays the foundation for evaluation and improvement of diagnostic conversations in practice. Clinicians can enhance patient-centered diagnosis by co-creating diagnostic plans of care in practice and using the components described in the novel diagnostic reconciliation framework.

Indexed as

Stakeholder ParticipationCommunicationHumansReferral and Consultationdiagnosis excellencediagnostic conversationdiagnostic errordiagnostic reconciliation

Identifiers

PMID39648180
PMCPMC11839145

What OpenQuestion holds

Textmetadata
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.