Skip to main content


Publications trends of shared decision making in major medical journal: a full-text systematic review with bibliometric analysis

Date and Location




Sunday 22 September 2013 - 10:30 - 12:00


Presenting author and contact person

Presenting author

Xavier Blanc

Contact person

Xavier Blanc
Abstract text
Background: Shared Decision Making (SDM) is increasingly advocated as a model for medical decision making. However, there is still low use of SDM in clinical practice. High impact factor journals might represent an efficient way for its dissemination. Objectives: to identify and characterize SDM publications among major medical journals and their trends over time Methods: We selected the 15 medical journals with the highest impact factor. We retrieved publications from 1996 to 2011 through the full-text search function on each journal website and abstracted bibliometric data. We included publications of any type containing the phrase “shared decision making” or five other variants in their abstract or full text. These were referred to as SDM publications. We used a polynomial Poisson regression model with logarithmic link function to assess the evolution of the number of SDM publications according to publication characteristics. Results: We identified 1,285 SDM publications out of 229,179 publications in 15 journals from 1996 to 2011. SDM publications increased both exponentially in absolute and relative numbers per year, from 46 (0.32% relative to all publications from the 15 journals) in 1996 to 165 (1.17%) in 2011 (p<0.01). We found less research publications -original research papers, systematic reviews- (465, 36.2% of all SDM publications) than non-research publications. The increase of research publications across time was linear. SDM was approached through a range of clinical topics; gynaecology/obstetrics (118, 9.2% of all SDM publications), end-of-life care (114, 8.9%), and cardiovascular system (101, 7.9%) were the most frequent. Conclusions: This full-text systematic review showed that SDM publications increased exponentially in major medical journals from 1996 to 2011. This growth suggests an increased acceptance of the SDM model in the medical community.