par Rozenberg, Serge ;Ham, Hamphrey
Référence European journal of obstetrics, gynecology, and reproductive biology, 96, 2, page (215-217)
Publication Publié, 2001
Article révisé par les pairs
Résumé : Background: While it is obvious that patients should be involved in the decision making process, questions arise as to whether it is feasible to inform them objectively. Objective: To assess the impact of the physician's opinion, on the choice of treatment, to the patient. Setting: We imagined a hypothetical case of a 55-years-old woman with a high risk of osteoporosis. Two patient information letters were written, containing valid scientific information, but reflecting two diverging physicians' opinions, giving the choice between two available medications for osteoporosis prevention: hormone replacement therapy (HRT) and a selective estrogen receptor modulator (SERM), raloxifene. Subjects: We submitted one of the letters (by lottery) to 58 nurses. They were asked to act as this potential patient, and to choose which treatment they preferred to have prescribed. Results: 23/30 women receiving the version favouring the use of HRT, preferred HRT, 26/28 receiving the version favouring SERM preferred this treatment (Chi-Square Pearson 37.3; P < 0.001). Conclusion: The content of the information provided and its wording have a great influence on the patients' decision. © 2001 Elsevier Science Ireland Ltd.