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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Shared Decision-Making in General Surgery: Prospective Comparison of Telemedicine vs In-Person Visits.
|
|---|---|
| Published in |
Journal of the American College of Surgeons, January 2023
|
| DOI | 10.1097/xcs.0000000000000538 |
| Pubmed ID | |
| Authors |
Alexander T Hawkins, Thomas Ueland, Chetan Aher, Timothy M Geiger, Matthew D Spann, Sara N Horst, Isabella V Schafer, Fei Ye, Run Fan, Kenneth W Sharp |
| Abstract |
The Covid-19 pandemic has accelerated a shift towards virtual telemedicine appointments with surgeons. While this form of healthcare delivery has potential benefits for both patients and surgeons, the quality of these interactions remains largely unstudied. We hypothesized that telemedicine visits will be associated with lower quality of shared decision-making. We performed a mixed-methods, prospective observational cohort trial. All patients presenting for a first-time visit at general surgery clinics between May 2021 and June 2022 were included. Patients were categorized by type of visit: in-person vs telemedicine. The primary outcome was level of shared decision-making as captured by Top Box score of the collaboRATE measure. Secondary outcomes included quality of shared decision-making as captured by the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) and satisfaction with consultation. An adjusted analysis was performed accounting for potential confounders. A qualitative analysis of open-ended questions for both patients and practitioners was performed. Over a 13-month study period, 387 patients were enrolled. 301 (77.8%) underwent an in-person visit and 86 (22.2%) underwent a telemedicine visit. The groups were similar in age, gender, employment, education, and generic quality of life scores. In an adjusted analysis, a visit type of telemedicine was not associated with either the collaboRATE TopBox score (OR 1.27; 95% CI 0.74-2.20) or SDM-Q-9 (β -0.60; p =0.76). Similarly, there was no difference in other outcomes. Themes from qualitative patient and surgeon responses included physical presence, time investment, appropriateness for visit purpose, technical difficulties, and communication quality. In this large, prospective study, there does not appear to be a difference in quality of shared decision making in patients undergoing in-person vs telemedicine appointments. |
X Demographics
The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 33% |
| Unknown | 4 | 67% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 83% |
| Science communicators (journalists, bloggers, editors) | 1 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 9 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 9 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 1 | 11% |
| Lecturer | 1 | 11% |
| Student > Bachelor | 1 | 11% |
| Professor | 1 | 11% |
| Researcher | 1 | 11% |
| Other | 0 | 0% |
| Unknown | 4 | 44% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 1 | 11% |
| Computer Science | 1 | 11% |
| Decision Sciences | 1 | 11% |
| Social Sciences | 1 | 11% |
| Unknown | 5 | 56% |
Attention Score in Context
This research output has an Altmetric Attention Score of 338. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 April 2023.
All research outputs
#97,610
of 25,394,764 outputs
Outputs from Journal of the American College of Surgeons
#17
of 4,356 outputs
Outputs of similar age
#2,564
of 472,834 outputs
Outputs of similar age from Journal of the American College of Surgeons
#1
of 103 outputs
Altmetric has tracked 25,394,764 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,356 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.4. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 472,834 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 103 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.