Gastroenterologist-Patient Communication About Crohnʼs Disease and Treatment with Biologic Therapy: Results of an In-office Linguistic Study

Persley, Kimberly M.; Eagan, C. J.; Waters, Heidi C.; Onofrey, Meaghan

doi:10.14309/00000434-201010001-01292

Cited by 1 publication

(1 citation statement)

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“… 22 46 One was a 2010 descriptive study of interactions between gastroenterologists and patients with Crohn’s disease regarding treatment with biologic therapy. 47 Information on any potential eligible publication related to this project was not available at the time of submitting this review. The other excluded published abstract reported the results of an ongoing observational study of 102 IBD clinic consultations conducted by 24 IBD clinicians (10 consultants, 10 IBD nurses and 4 trainees) with the aim to explore variability in the assessment and recording of clinical IBD outcomes during routine practice in England.…”

Section: Discussionmentioning

confidence: 99%

Clinical communication in inflammatory bowel disease: a systematic review of the study of clinician–patient dialogue to inform research and practice

et al. 2021

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ObjectivesThis systematic review aims to investigate what is currently known about the characteristics of interactions between patients with inflammatory bowel disease (IBD) and their clinicians and its effect on patient outcomes.Data sourcesScopus, PubMed, Embase, Communication Abstracts, Health & Society, Linguistics and Language Behaviour Abstracts and PsycINFO were systematically searched from inception to June 2021.Study eligibility criteriaPeer-reviewed journal articles and book chapters in English investigating the characteristics of naturally occurring interactions between clinicians that manage IBD and patients with IBD during recorded consultations were included.Study appraisal and synthesis methodsRisk of bias was assessed using a specifically developed quality assessment tool, grounded in linguistic theory and the Mixed Methods Appraisal Tool. A narrative synthesis guided by the linguistic concept of metafunction was performed to synthesise the findings.ResultsOf the 2883 abstracts reviewed five formed the basis of the review. Interactions between IBD nurses and patients have been mostly characterised in terms of information provision regarding prescribed medications without consideration of the interpersonal aspect. Discussing online medical information with nurses has been shown to improve patient satisfaction. Analyses of gastroenterologist–patient interactions have concentrated on the clinical relationship which has been shown to be disease-centred. Shared decision making in ulcerative colitis has been shown to be compromised due to lack of transparency regarding treatment goals.LimitationsThis review did not include articles in languages other than English. Cumulative evidence could not be produced due to the small number of included studies and the diversity of contexts, theories and data types.Conclusions and implications of key findingsThere is a paucity of systematic research on naturally occurring clinical communication in IBD and its effect on outcomes. Further research needs to be done to address this knowledge gap.PROSPERO registration numberCRD42020169657.

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Section: Discussionmentioning

confidence: 99%