Doctors' versus patients' global assessments of treatment effectiveness: empirical survey of diverse treatments in clinical trials

dc.contributor.authorEvangelou, E.en
dc.contributor.authorTsianos, G.en
dc.contributor.authorIoannidis, J. P.en
dc.date.accessioned2015-11-24T19:23:53Z
dc.date.available2015-11-24T19:23:53Z
dc.identifier.issn1756-1833-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22380
dc.rightsDefault Licence-
dc.subject*Clinical Trials as Topicen
dc.subjectDecision Makingen
dc.subjectHumansen
dc.subject*Judgmenten
dc.subjectPatient Satisfactionen
dc.subjectPatients/*psychologyen
dc.subjectPhysicians/*psychologyen
dc.subjectTreatment Outcomeen
dc.titleDoctors' versus patients' global assessments of treatment effectiveness: empirical survey of diverse treatments in clinical trialsen
heal.abstractOBJECTIVE: To examine whether doctors' global assessments of treatment effects agree with patients' global assessments. DESIGN: Survey of trials included in systematic reviews of treatments for diverse conditions. DATA SOURCES: Cochrane database of systematic reviews. Data extracted Data on patients' global assessments and on doctors' global assessment for the same treatment against the same comparator. MAIN OUTCOME MEASURES: Relative odds ratio (ratio of odds ratios of global improvement with the experimental intervention versus control according to doctors compared with patients), and improvement rates according to doctors and patients. RESULTS: Doctors' global assessments were compared with patients' global assessments for 63 different treatment comparisons (240 trials) in 18 conditions. The summary relative odds ratio across the comparisons was not significant (0.98, 95% confidence interval 0.88 to 1.08; I(2)=0%, 95% confidence interval 0% to 30%). In 62 of the 63 comparisons the effects of treatment rated by patients and by doctors did not differ beyond chance, but for single comparisons the confidence intervals were large. Rates of improvement on average did not differ between doctors' assessments and patients' assessments (summary relative odds ratio 0.98, 0.88 to 1.06; I(2)=0%, 0% to 24%). CONCLUSION: Doctors' global assessments of the effects of treatments are on average similar to those of patients.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1136/bmj.39560.759572.BE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/18495634-
heal.identifier.secondaryhttp://www.bmj.com/highwire/filestream/370907/field_highwire_article_pdf/0-
heal.journalNameBMJen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2008-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

Αρχεία

Πρωτότυπος φάκελος/πακέτο

Προβολή: 1 - 1 of 1
Φόρτωση...
Μικρογραφία εικόνας
Ονομα:
Evangelou-2008-Doctors' versus pati.pdf
Μέγεθος:
126.22 KB
Μορφότυπο:
Adobe Portable Document Format

Φάκελος/Πακέτο αδειών

Προβολή: 1 - 1 of 1
Φόρτωση...
Μικρογραφία εικόνας
Ονομα:
license.txt
Μέγεθος:
1.74 KB
Μορφότυπο:
Item-specific license agreed upon to submission
Περιγραφή: