Evidence map›Paper›PMID 41834478›Full record

SynthesisMedical decision making : an international journal of the Society for Medical Decision Making2026

Operationalizing and Measuring Informed Choice in Health Care: An Umbrella Review.

Holly Sprosen, Chiara Re, Grant D Stewart, Juliet A Usher-Smith

Abstract readSystematic Review
In one paragraph

Synthesis in Medical decision making : an international journal of the Society for Medical Decision Making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Holly SprosenGeneral Surgery Department, Middlemore Hospital, Auckland, New Zealand.ORCID 0000-0002-1029-9144
Chiara ReDepartment of Surgery, University of Cambridge, Cambridge Biomedical Centre, Cambridge, UK.ORCID 0000-0001-8908-0817
Grant D StewartDepartment of Surgery, University of Cambridge, Cambridge Biomedical Centre, Cambridge, UK.ORCID 0000-0003-3188-9140
Juliet A Usher-SmithDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID 0000-0002-8501-2531

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundInformed choice is of the highest importance in health care. However, confusion and challenges remain toward how it is conceptualized and measured.PurposeThis umbrella review aimed to establish how informed choice is operationalized in health care and the characteristics and performance of the most commonly used measurement instruments.Data SourcesFour electronic databases (Ovid MEDLINE, Ovid EMBASE, APA PsycINFO, and Cochrane Library) were searched up to January 29, 2024. Reference lists of included studies were hand searched for further relevant publications.Study SelectionAfter the titles and abstracts of 10,434 articles were screened by one reviewer and 10% were screened by a second reviewer for consistency, 2 reviewers independently screened 60 full-text articles for inclusion. Key eligibility criteria included systematic reviews in adult health care settings where the aim included an evaluation of measures of informed choice. Sixteen articles were included.Data ExtractionData were independently extracted by 2 reviewers using a standardized template.

Indexed as

Choice BehaviorDelivery of Health CareInformed ConsentDecision MakingHumanshealth servicesinformed choiceinformed consentmeasurement instrumentspsychometricssystematic reviews as topicumbrella review

Identifiers

PMID41834478
PMCPMC13062464

What OpenQuestion holds

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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.