Evidence map›Paper›PMID 39953310›Full record

ArticleJournal of general internal medicine2025

Saving Shared Decision-Making.

Douglas J Opel, Maya T Gerstein, Adam C Carle, Alaina K Fournier, Ian Hargraves, Jennifer E Lafata, Ellen A Lipstein, Trudy Mallinson, Nathalie Moise, Heather B Neuman and 8 more

Abstract readEditorial
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Shared Decision-Making. A Primer for Clinicians.Journal of general internal medicine · 2025
    Article
  4. Article
  5. Review
  6. 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

18 authors.

Douglas J OpelTreuman Katz Center for Pediatric Bioethics and Palliative Care, Seattle Children's Research Institute, Seattle, WA, USA. douglas.opel@seattlechildrens.org.ORCID 0000-0001-7021-191X
Maya T GersteinAgency for Healthcare Quality and Research, Rockville, MD, USA.
Adam C CarleJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Alaina K FournierAgency for Healthcare Quality and Research, Rockville, MD, USA.
Ian HargravesKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA.
Jennifer E LafataEshelman School of Pharmacy and Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Ellen A LipsteinJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Trudy MallinsonGeorge Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Nathalie MoiseDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Heather B NeumanDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Mary NixAgency for Healthcare Quality and Research, Rockville, MD, USA.
Christina PapadimitriouOakland University School of Health Sciences, Rochester, MI, USA.
Laura SchererUniversity of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Karen SepuchaMassachusetts General Hospital, Boston, MA, USA.
Matthew SimpsonAgency for Healthcare Quality and Research, Rockville, MD, USA.
Alan SchwartzDepartments of Medical Education and Pediatrics, University of Illinois, Chicago, IL, USA.
Jennifer E Stevens-LapsleyUniversity of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Neal W DickertEmory University School of Medicine, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Agency for Healthcare Research and Quality encouraged a re-examination of the concept, process, and measurement of shared decision-making (SDM) in 2016. Progress, however, has been slow. One illustrative example is SDM's relationship with the concept of equipoise: there remains little consensus on what equipoise means in the context of SDM, creating confusion about when SDM is and is not indicated. In this paper, we describe the ways in which this focus on equipoise in SDM is counter-productive and argue that equipoise is neither a necessary nor sufficient criterion in determining the need for SDM. Moreover, we suggest that what is needed to move the field of SDM forward is a shift away from focusing on when SDM is needed to instead focusing on how best to accomplish SDM across a variety of contexts by advancing the science of SDM implementation.

Indexed as

Decision Making, SharedPatient ParticipationHumanshealth communicationmedical ethicspatient preferenceshared decision-making

Identifiers

PMID39953310
PMCPMC12119428

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.