BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2004
Intravenous immunoglobulin plus interferon-alpha in autoimmune hepatitis C.
Клиническое исследованиеСравнительное исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
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Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Khan A, Vandeplas G, Huynh T M T, Joish V N, Mannent L, Tomassen P, Van Zele T, Cardell L O, Arebro J, Olze H, Foerster-Ruhrmann U, Kowalski M L, Olszewska-Ziaber A, Holtappels G, De Ruyck N, van Drunen C, Mullol J, Hellings P W, Hox V, Toskala E, Scadding G, Lund V J, Fokkens W J, Bachert C
Аннотация
BACKGROUND: Choosing an orthopedic surgeon is a pivotal decision shaped by clinical competence and multiple non-clinical influences. While surgical expertise and outcomes are fundamental considerations, patients and their families also weigh communication quality, cultural alignment, institutional reputation, financial constraints, and increasingly, digital information sources. Understanding these determinants is crucial to delivering patient-centered orthopedic care.
METHODS: A scoping review was conducted following Arksey and O'Malley's framework and reported in accordance with PRISMA-ScR guidelines. PubMed, Scopus, and Embase were systematically searched for English-language studies published between January 2000 and March 2024 that explored personal, social, institutional, financial, cultural, psychological, or digital factors influencing surgeon selection. Eligible designs included qualitative, quantitative, and mixed-methods studies. Two reviewers independently screened records, extracted data using a standardized form, and synthesized findings narratively across thematic domains.
RESULTS: Of 1,245 records identified, 26 studies met the inclusion criteria. Six thematic domains emerged: (1) surgeon-specific attributes such as experience, certification, empathy, and gender; (2) referral networks and peer recommendations; (3) institutional reputation and perceived care quality; (4) financial and insurance constraints; (5) digital influences including online reviews and social media; and (6) familial and cultural dynamics. Surgeon experience and interpersonal communication were consistently prioritized, while referral pathways strongly guided decision-making. Financial and geographic barriers limited choice, particularly in low- and middle-income countries. Digital platforms increasingly shaped perceptions, though concerns about reliability persisted. Family members often dominated decision-making in collectivist societies.
CONCLUSION: Patients' and families' choices of orthopedic surgeons are multifactorial, reflecting an interplay of technical expertise, relational trust, financial considerations, cultural context, and digital engagement. Enhancing transparency, fostering culturally sensitive communication, addressing systemic and financial barriers, and improving the reliability of digital resources can better support informed, equitable, and patient-centered surgical decision-making.
SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at https://doi.org/10.1007/s43465-026-01816-z.
METHODS: A scoping review was conducted following Arksey and O'Malley's framework and reported in accordance with PRISMA-ScR guidelines. PubMed, Scopus, and Embase were systematically searched for English-language studies published between January 2000 and March 2024 that explored personal, social, institutional, financial, cultural, psychological, or digital factors influencing surgeon selection. Eligible designs included qualitative, quantitative, and mixed-methods studies. Two reviewers independently screened records, extracted data using a standardized form, and synthesized findings narratively across thematic domains.
RESULTS: Of 1,245 records identified, 26 studies met the inclusion criteria. Six thematic domains emerged: (1) surgeon-specific attributes such as experience, certification, empathy, and gender; (2) referral networks and peer recommendations; (3) institutional reputation and perceived care quality; (4) financial and insurance constraints; (5) digital influences including online reviews and social media; and (6) familial and cultural dynamics. Surgeon experience and interpersonal communication were consistently prioritized, while referral pathways strongly guided decision-making. Financial and geographic barriers limited choice, particularly in low- and middle-income countries. Digital platforms increasingly shaped perceptions, though concerns about reliability persisted. Family members often dominated decision-making in collectivist societies.
CONCLUSION: Patients' and families' choices of orthopedic surgeons are multifactorial, reflecting an interplay of technical expertise, relational trust, financial considerations, cultural context, and digital engagement. Enhancing transparency, fostering culturally sensitive communication, addressing systemic and financial barriers, and improving the reliability of digital resources can better support informed, equitable, and patient-centered surgical decision-making.
SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at https://doi.org/10.1007/s43465-026-01816-z.