Evidence map›Paper›PMID 42669969›Full record

ArticleCanadian journal of gastroenterology & hepatology2026

Development and Validation of the Chinese Physicians' Reactions to Uncertainty Scale for Endoscopy: A Mixed-Methods Approach.

Yingnan Deng, Hanyue Ding, Wen Shi, Weiyang Zheng, Xiaowei Tang, Zhuo Yang, Hui Ding, Yunlu Feng, Aiming Yang, Dong Wu

Abstract readValidation Study
In one paragraph

Article in Canadian journal of gastroenterology & hepatology, 2026. 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. 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

10 authors.

Yingnan DengDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, pumc.edu.cn.ORCID https://orcid.org/0000-0001-9676-0124
Hanyue DingSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, pumc.edu.cn.ORCID https://orcid.org/0000-0001-9977-0985
Wen ShiDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, pumc.edu.cn.ORCID https://orcid.org/0000-0002-5770-5672
Weiyang ZhengDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, pumc.edu.cn.ORCID https://orcid.org/0000-0003-1769-2480
Xiaowei TangDepartment of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, China, ahswmu.cn.ORCID https://orcid.org/0000-0001-6064-0526
Zhuo YangDepartment of Endoscope, General Hospital of Northern Theater Command, Shenyang, Liaoning, China, syjqzyy.com.ORCID https://orcid.org/0000-0001-8337-8380
Hui DingDepartment of Gastroenterology, People's Hospital of Zhengzhou University (Henan Provincial People's Hospital), Zhengzhou, Henan, China.ORCID https://orcid.org/0000-0001-9030-8516
Yunlu FengDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, pumc.edu.cn.ORCID https://orcid.org/0000-0002-2761-100X
Aiming YangDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, pumc.edu.cn.ORCID https://orcid.org/0000-0002-2907-7904
Dong WuDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, pumc.edu.cn.ORCID https://orcid.org/0000-0001-9430-9874

Funding

National Science and Technology Planning Project XZ202501JD0021
6 · The paper itself

Abstract

objectivesTo develop and validate a Chinese Physicians' Reactions to Uncertainty Scale for Endoscopy for assessing endoscopists' reactions to uncertainty in clinical practice.

methodsUsing a mixed-methods design, we translated the original Physicians' Reactions to Uncertainty scale and generated endoscopy-specific items through focus-group interviews. The draft scale was refined through Delphi consultation and then evaluated in an online survey of 360 digestive endoscopists from 204 hospitals in China. Item reduction was based on dispersion, critical ratio, and item-total correlation analyses. Construct validity was assessed using exploratory factor analysis and confirmatory factor analysis. Content validity was evaluated using item-level and scale-level content validity indices, and reliability was examined using Cronbach's alpha and split-half reliability.

resultsThe final scale comprised 16 items across four dimensions: concerns about uncertainty and bad outcomes, disclosing uncertainty to patients, disclosing mistakes to physicians, and endoscopy-specific uncertainty responses and self-efficacy. In exploratory factor analysis, four factors explained 73.474% of the total variance. Confirmatory factor analysis supported an acceptable four-factor model fit (χ

conclusionsThe Chinese Physicians' Reactions to Uncertainty Scale for Endoscopy is a reliable and valid instrument for assessing endoscopists' reactions to uncertainty in China.

Indexed as

Attitude of Health PersonnelEndoscopy, GastrointestinalPhysiciansAdultChinaDelphi TechniqueEast Asian PeopleFactor Analysis, StatisticalFemaleFocus GroupsHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and Questionnairesendoscopygastrointestinalphysicianspsychometricssurveys and questionnairesuncertainty

Identifiers

PMID42669969
PMCPMC13527232

What OpenQuestion holds

Textmetadata
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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.