White coat hypertension in pediatrics

Jurko, A; Minarik, Milan; Jurko, Tomas; Tonhajzerová, Ingrid

doi:10.1186/s13052-016-0213-3

Cited by 31 publications

(26 citation statements)

References 29 publications

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“…Although pediatric and psychiatric patients may accept, or even prefer casual dress, it was disliked in the orthopaedic surgery setting [5,8]. Previous studies have established a ''white coat effect'' where patients experience reflexive hypertension and anxiety when examined by a doctor wearing a white coat [14,20,25,26]. The results of our study showing a preference for a white coat and scrubs, taken in light of prior research on physician attire, are likely explained by the white coat's associated authority, professionalism, and ability to identify the physician.…”

Section: Discussionmentioning

confidence: 99%

Physicians’ Attire Influences Patients’ Perceptions in the Urban Outpatient Orthopaedic Surgery Setting

Jennings

Ciaravino

Ramsey

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Previous work has established that physician attire influences patients' perceptions of their physicians. However, research from different specialties has disagreed regarding what kinds of physician attire might result in increased trust and confidence on the part of patients. Questions/Purposes The purpose of this study was to investigate how surgeon attire affects patients' perceptions of trust and confidence in an urban orthopaedic outpatient setting. Methods Eighty-five of 100 patients solicited completed a three-part questionnaire in the outpatient orthopaedic clinic at an urban teaching hospital. In the first section, participants viewed eight images, four of a male surgeon and four of a female surgeon wearing a white coat over formal attire, scrubs, business attire, and casual attire, and rated each image on a five-level Likert scale. Participants were asked how confident, trustworthy, safe, caring, and smart the surgeon appeared, how well the surgery would go, and how willing they would be to discuss personal information with the pictured surgeon. The participant ranked all images from most to least confident in the second part and the last section obtained demographic information from the patients. Surveys were scored using a five-level Likert scale and a Friedman test was used to detect statistical significance when comparing all attires. Similarly, the white coat was preferred to casual attire in all categories (confidence: MD, 0.810 ± 0.921; smart: MD, 0.493 ± 0.801; surgical skill: MD, 0.640 ± 0.880; ability to discuss: MD, 0.564 ± 0.988; trust: MD, 0.545 ± 0.836; safety: MD, 0.581 ± 0.860; caring: MD, 0.479 ± 0.852; p \ 0.001 for all comparisons). For the female surgeon, white coat and scrubs were not different, however the white coat was preferred to business attire in four of seven categories. Casual clothing was widely disliked in all categories for surgeons (men and women). When attire was compared for confidence on a scale, the white coat ranked Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved or waived approval for the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research. This study was performed at

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Section: Discussionmentioning

confidence: 99%

Physicians’ Attire Influences Patients’ Perceptions in the Urban Outpatient Orthopaedic Surgery Setting

Jennings

Ciaravino

Ramsey

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…The argument is that this increase is due to anxiety of dental treatment or white coat hypertension phenomenon. We are aware of that fact; there is a prevalence of white coat hypertension of approximately 15% depending on age [9,10].…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Hypertension in Endodontic Clinics: A Pilot Study

Bogari¹,

Bakalka²,

Hazzazi³

et al. 2016

Dentistry

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Background: Hypertension is one of the leading causes of death worldwide, and a major risk factor for heart diseases and strokes. A lot of undiagnosed or uncontrolled hypertensive patients seek dental treatment in regular basis. However, neither doctors nor patients are doing enough to fight and diagnose this silent killer disease. This study investigated the prevalence of undiagnosed or uncontrolled hypertensive patients who visited our endodontic clinic for dental treatment.

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“…4,5 Such effect is known as "white coat hypertension" and there is no consensus on its impact or management. 6 In this situation, ambulatory blood pressure monitoring (ABPM) over 24 hours defines the presence or absence of white coat hypertension. Likewise, there is a reverse effect known as "masked hypertension," that refers to the presence of normal measurements at the physician's office and abnormal ambulatory values.…”

Section: Introductionmentioning

confidence: 99%