Evidence map›Paper›PMID 40040868›Full record

ArticlePatient preference and adherence2025

"Doctor-Led, Patient-Centered": A Mixed-Method Research Comparing Patients' and Doctors' Treatment Outcome Choices for Chronic Low Back Pain.

Xia Li, Ying Zhang, Zhuxin Mao, Qianji Chen, Xiaoxue Lan, Hong Chen, Ya-Nan Sun, Chang-He Yu, Xi-You Wang

Abstract read
In one paragraph

Article in Patient preference and adherence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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No citing paper in PubMed yet.

4 · The record

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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

9 authors.

Xia Li *Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, People's Republic of China.
Ying Zhang *Yungang Community Health Service Center of 731 Hospital of Beijing Aerospace Science & Industry Group, Beijing, People's Republic of China.
Zhuxin MaoCentre for Health Economics Research and Modelling Infectious Diseases (CHERMID), University of Antwerp, Antwerp, Belgium.ORCID 0000-0002-7444-1584
Qianji ChenLuohu Hospital of Traditional Chinese Medicine, Shenzhen, People's Republic of China.
Xiaoxue LanDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, People's Republic of China.ORCID 0009-0003-2348-5143
Hong ChenDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, People's Republic of China.
Ya-Nan SunTraditional Chinese Medicine Department, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Chang-He YuDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, People's Republic of China.
Xi-You WangDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic low back pain (CLBP) significantly impacts quality of life. Treatment outcomes are influenced by the perspectives and expectations of both patients and doctors, making it crucial to understand these views to optimize care and satisfaction. Purpose: This study aims to analyze the alignment and differences in doctors' and patients' perceptions of treatment outcomes and explore the implications of these differences. Methods: An explanatory sequential mixed-methods design was used, involving a questionnaire survey and two focus groups. The study was conducted at Dongzhimen Hospital from August 2020 to January 2021. Participants, including patients with any type of CLBP (age≥18) and doctors with at least one year of experience, were selected via purposive sampling. Quantitative data, analyzed with SPSS, were summarized as percentages for categorical variables and as means with standard deviations or medians for continuous variables. Differences between variables were assessed using the Chi-square and nonparametric rank sum tests. Focus group discussions were analyzed thematically to explore differing perspectives on treatment outcomes. Results: A questionnaire gathered perspectives from 30 patients (mean age 45±11.74 years) and 26 doctors (mean age 41.7±6.7 years). The results informed the development of specific questions for focus group interviews with 8 patients and 8 doctors. Quantitative results revealed that pain/discomfort and activities of daily living were equally important to both groups. However, many outcomes were valued differently. Five themes emerged: 1) Doctors' focus on treating the whole person; 2) Patients' emphasis on cost-effectiveness/satisfaction; 3) Patients' prioritization of body image and physical function; 4) Shared priority beyond pain; 5) Shared concerns on adverse events. Conclusion: This study highlights the importance of aligning treatment expectations between patients and doctors to improve satisfaction and outcomes in CLBP management. Enhanced communication strategies and shared decision-making are recommended to bridge these gaps.

Indexed as

interviewlow back painoutcomes comparisonpatient perspectivepreferencesurvey

Identifiers

PMID40040868
PMCPMC11878113

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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.