Evidence map›Paper›PMID 39745520›Full record

Trial reportInternational journal of colorectal disease2025

Women's preferences regarding the use of chaperones during proctological examinations conducted by male physicians: a randomised clinical trial.

Daniel C Damin, Paulo C Contu, Ricardo Francalacci Savaris, Bruna Biazi

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03615586 (The Use of Chaperone in Routine First Visit Anorectal Examination of Women), 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.

NCT03615586 naunknown statusnot on this map

The Use of Chaperone in Routine First Visit Anorectal Examination of Women

TypeinterventionalSponsorHospital de Clinicas de Porto AlegreRan2018 to 2020Enrolled188ConditionsExanimationArmsWith Chaperone, Without Chaperone
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Sustainable quality improvement interventions to ensure adequate physician documentation of chaperone presence in breast clinic: a multicycle clinical audit.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    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

4 authors.

Daniel C DaminDepartment of Surgery, Division of Coloproctology, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande Do Sul. Room 600 A, Rua Ramiro Barcelos, Porto Alegre, RS, 2350, Brazil. ddamin@hcpa.edu.br.ORCID http://orcid.org/0000-0001-5031-3409
Paulo C ContuDepartment of Surgery, Division of Coloproctology, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande Do Sul. Room 600 A, Rua Ramiro Barcelos, Porto Alegre, RS, 2350, Brazil.
Ricardo Francalacci SavarisDepartment of Obstetrics and Gynaecology, School of Medicine, Federal University of Rio Grande Do Sul., Room 900, Rua Ramiro Barcelos, Porto Alegre, RS, 2350, Brazil.
Bruna BiaziDepartment of Surgery, Division of Coloproctology, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande Do Sul. Room 600 A, Rua Ramiro Barcelos, Porto Alegre, RS, 2350, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe presence of chaperones during intimate physical examinations is a matter of ongoing debate. While most guidelines recommend the use of chaperones in all cases, there are no clinical trials specifically investigating intimate exams performed on women by male physicians. We aimed to evaluate female patients' perceptions regarding the presence or absence of chaperones during proctological examinations conducted by male physicians.

methodsIn this randomised clinical trial, patients were assigned, unaware that they were participating in a study, to either Group 1 (without a chaperone during their proctological exam) or Group 2 (with a chaperone). After the appointment, they completed a questionnaire regarding the examination they had just undergone. The study was conducted at two hospitals in Southern Brazil.

resultsNinety-five patients were included in each group. The mean (SD) comfort score was 8.3 (2.9) with a chaperone and 8.8 (2.5) without a chaperone (P = 0.25). When asked if they would want the exam performed the same way in the future, 72.6% in Group 1 answered 'yes', compared to 58.9% in Group 2 (P = 0.046). In Group 2, 48.4% of patients did not feel more protected by the chaperone, while none of the patients in Group 1 felt less protected without one.

conclusionsForgoing chaperones during proctological examinations of women, when the physician is male, is well accepted by most patients. Preferences regarding chaperones are complex, demanding a selective approach. The use of chaperones should remain a recommendation, not a requirement, to accommodate individual needs while maintaining the doctor-patient relationship.

trial registrationClinicalTrials.gov number, NCT03615586.

Indexed as

Medical ChaperonesPatient PreferenceAdultFemaleHumansMaleMiddle AgedPhysical ExaminationPhysician-Patient RelationsPhysiciansSurveys and QuestionnairesChaperoneDoctor-patient relationshipIntimate examinationProctology

Identifiers

PMID39745520
PMCPMC11695391

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.