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Effect of Bedside vs. Non-bedside Patient Case Presentation During Ward Rounds: a Systematic Review and Meta-analysis

Gamp, Martina and Becker, Christoph and Tondorf, Theresa and Hochstrasser, Seraina and Metzger, Kerstin and Meinlschmidt, Gunther and Langewitz, Wolf and Schäfert, Rainer and Bassetti, Stefano and Hunziker, Sabina. (2019) Effect of Bedside vs. Non-bedside Patient Case Presentation During Ward Rounds: a Systematic Review and Meta-analysis. Journal of general internal medicine, 34 (3). pp. 447-457.

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Official URL: https://edoc.unibas.ch/73936/

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Abstract

Ward rounds are important for communicating with patients, but it is unclear whether bedside or non-bedside case presentation is the better approach.; We conducted a comprehensive search up to July 2018 to identify randomized controlled trials (RCTs) comparing bedside and non-bedside case presentations. Data was abstracted independently by two researchers and study quality was assessed using the Cochrane Risk of Bias Tool. Our primary outcome was patient's satisfaction with ward rounds. Our main secondary outcome was patient's understanding of disease and the management plan.; Among 1647 identified articles, we included five RCTs involving 655 participants with overall moderate trial quality. We found no difference in having low patient's satisfaction between bedside and non-bedside case presentations (risk ratio [RR], 0.85; 95% CI, 0.66 to 1.09). We also found no impact on patient's understanding of their disease and management plan (RR, 0.92; 95% CI, 0.67 to 1.28). Trial sequential analysis (TSA) indicated low power of our main analysis.; We found no differences in patient-relevant outcomes between bedside and non-bedside case presentations with a lack of statistical power among current trials. There is a need for larger studies to find the optimal approach to patient case presentation during ward rounds.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Psychosomatik > Psychosomatik (Schäfert)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Psychosomatik > Psychosomatik (Schäfert)
07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Epidemiologie (Lieb)
UniBasel Contributors:Meinlschmidt, Gunther
Item Type:Article, refereed
Article Subtype:Research Article
ISSN:1525-1497
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:21 Aug 2020 12:15
Deposited On:21 Aug 2020 12:15

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