Author Index for Abstracts
(Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Tags: Web-Only Abstracts Source Type: research

Medical Decisions of Pediatric Residents Turn Riskier after a 24-Hour Call with No Sleep
Conclusions. This study suggests that residents napping less than an hour during a night shift are prone to riskier clinical decisions. Hence, enabling residents to nap at least 1 hour during shifts is recommended. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Aran, A., Wasserteil, N., Gross, I., Mendlovic, J., Pollak, Y. Tags: Original Articles Source Type: research

Exploring Provider Reactions to Decision Aid Distribution and Shared Decision Making: Lessons from Two Specialties
Conclusions. Successfully implementing DAs in clinical practice to promote SDM requires addressing individual provider attitudes, beliefs, and knowledge of SDM by specialty. During DA development and implementation, providers should be asked for input about the specific conditions and care processes that are most appropriate for SDM. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Hsu, C., Liss, D. T., Frosch, D. L., Westbrook, E. O., Arterburn, D. Tags: Original Articles Source Type: research

Accuracy of the Surgeons Clinical Prediction of Postoperative Major Complications Using a Visual Analog Scale
Conclusion. Awareness of different ways a VAS is scored is important when designing and interpreting studies. Clinical assessment of major complications by the surgeon was initially comparable to the prediction of the POSSUM morbidity score and improved significantly following the presentation of clinically relevant feedback. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Woodfield, J. C., Sagar, P. M., Thekkinkattil, D. K., Gogu, P., Plank, L. D., Burke, D. Tags: Original Articles Source Type: research

The Influence of Disease Severity of Preceding Clinical Cases on Pathologists Medical Decision Making
Conclusion. Physicians appear to be influenced by the severity of previously interpreted test cases. Understanding types and sources of diagnostic bias may lead to improved assessment of accuracy and better patient care. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Frederick, P. D., Nelson, H. D., Carney, P. A., Brunye, T. T., Allison, K. H., Weaver, D. L., Elmore, J. G. Tags: Original Articles Source Type: research

Mapping the Decision-Making Process for Adjuvant Endocrine Therapy for Breast Cancer: The Role of Decisional Resolve
Conclusions. Adjuvant endocrine therapy, like other chronic care decisions, has a longer decision-making process and implementation period. Thus, theoretical, empirical, and clinical approaches should consider further exploring the new concept and measurement of decisional resolve, as it may help to improve subsequent medication adherence. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Beryl, L. L., Rendle, K. A. S., Halley, M. C., Gillespie, K. A., May, S. G., Glover, J., Yu, P., Chattopadhyay, R., Frosch, D. L. Tags: Original Articles Source Type: research

Primary Care Physicians Support of Shared Decision Making for Different Cancer Screening Decisions
Conclusions. Our results highlight the need to document SDM benefits and consider the specific contextual challenges, such as the level of uncertainty or whether evidence supports recommending/not recommending screening, when implementing SDM across an array of cancer screening contexts. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Elston Lafata, J., Brown, R. F., Pignone, M. P., Ratliff, S., Shay, L. A. Tags: Original Articles Source Type: research

Physician Recommendations Trump Patient Preferences in Prostate Cancer Treatment Decisions
Conclusions. Patients’ treatment decisions were based largely on urologists’ recommendations, which, in turn, were based on medical factors (age and Gleason score) and not on patients’ personal views of the relative pros and cons of treatment alternatives. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Scherr, K. A., Fagerlin, A., Hofer, T., Scherer, L. D., Holmes-Rovner, M., Williamson, L. D., Kahn, V. C., Montgomery, J. S., Greene, K. L., Zhang, B., Ubel, P. A. Tags: Original Articles Source Type: research

The Physician Recommendation Coding System (PhyReCS): A Reliable and Valid Method to Quantify the Strength of Physician Recommendations During Clinical Encounters
Conclusion. The PhyReCS is a reliable and valid way to capture the strength of physician recommendations. We believe that the PhyReCS would be helpful for other researchers who wish to study physician recommendations, an important part of patient decision making. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Scherr, K. A., Fagerlin, A., Williamson, L. D., Davis, J. K., Fridman, I., Atyeo, N., Ubel, P. A. Tags: Original Articles Source Type: research

The Bifocal Lens Model and Equation: Examining the Linkage between Clinical Judgments and Decisions
Conclusion. The BiLME links the results from two regression models—one linear and one logistic—based on the same set of cases. In its current form, the equation holds promise for understanding cognitive individual differences that could underlie practice variation. With minor modifications, it becomes possible to apply the equation to traditional, dual-system judgment analysis studies, where continuous judgments are compared with an ecology composed of dichotomous outcomes, or vice versa. In this regard, the BiLME is quite flexible and adds to the set of tools available to judgment analysts. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Beckstead, J. W. Tags: Original Articles Source Type: research

The Phenomenology of the Diagnostic Process: A Primary Care-Based Survey
Conclusions. The testing of specific disease hypotheses seems to play a lesser role than previously thought. Our data from real consultations suggest that GPs organize their search for information in a skillfully adapted way. Inductive foraging, triggered routines, descriptive questions, and hypotheses testing are essential building blocks to make a diagnosis in the generalist setting. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Donner-Banzhoff, N., Seidel, J., Sikeler, A. M., Bösner, S., Vogelmeier, M., Westram, A., Feufel, M., Gaissmaier, W., Wegwarth, O., Gigerenzer, G. Tags: Original Articles Source Type: research

The Influence of Varying Cost Formats on Preferences
Conclusions. The format used to describe cost affects how the attribute impacts patients’ preferences. Individuals are most cost-sensitive when cost is framed in terms of affordability and least cost-sensitive when cost is described in terms of how cheap the medication is compared with others. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Jiang, C. C., Fraenkel, L. Tags: Original Articles Source Type: research

The Role of Physicians First Impressions in the Diagnosis of Possible Cancers without Alarm Symptoms
Conclusion. We measured a strong association between family physicians’ first diagnostic impressions and subsequent diagnoses and decisions. We suggest that interventions to influence and support the diagnostic process should target its early stage of hypothesis generation. (Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Kostopoulou, O., Sirota, M., Round, T., Samaranayaka, S., Delaney, B. C. Tags: Original Articles Source Type: research

In Search of Cognitive Dignity: The Diagnostic Challenges of Primary Care
(Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Clay Sorum, P. Tags: Editorials Source Type: research

Decisional Conflict, Regret, and the Burden of Rational Decision Making
(Source: Medical Decision Making)
Source: Medical Decision Making - November 28, 2016 Category: Health Management Authors: Vickers, A. J. Tags: Editorials Source Type: research